Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Eagan, Jack L_5/5/2016
xvikArc A-44, ' 7-1 r. '4.14t.Vict,id flkilF I a fg•ea Pi%.AT1+1 4%, FCNts. L 0.4 . . - de.,79/7■V:17. 1/1..i"..N.:7..0,4,-...T.....s.sHa31.4:-111.-4'9C.i.tr• . ,. _— . . -4;r6:177cL.4.?'-'1" c.C.11 i''T</"C"-911 t."?..: .??.:1 INQIANAIS.T.ATE1RE17,. - YIE irIL•EIHEAKH: 11 ! ..--- % 1 :jar' .19"e-11: i'VIII'l -: :',....*,-.:4 :fr. - r.\--- ; lc .; - E ■ , ., ......, I ligt.-:„Ilir.'31, ,,,,,,4111 -•.5: ee--lii -rut.1-il, -ifik-.%-..finlitt-----AiriW-40,-.ii in --- ..,?-.: :11 :4,11-i _Ari ,,c, :, , : ---mr...§.:: Local:No:.000388' . N" '''s- ,K <EDR:Ne■A .000000433749. ---...-:..K.:::3. 1 gtateiko,008726< I 1rDecedenrs Legal Narce)(FirseMiddle•las1):41V.,"}11W,01:51-2, :11,19M,*;1/1;9,9,1PIle27-1,,,IVIiiffri,:i1RF, :-.;:i.: ;;;.;,-...luit.fa..,I.T.,:rtotorec;4::,;27.03 44H1110127.4\rota .''.&IM 71,-(.441W444;;Ag1-:;?41, =4;t1j. ,.,.„ 4.41}:;;(1.-Wit- ../111- 11-' ' ' :fia-ca-atta-0flicectit:-;-SiK-C11.11 ' il W(4:3!" !IF.--a , i ACK:LEE EAGANs.>".. .-.1, -11:;,:-.--"arf;:-::::3/4,..--i;;;S:i11:??..•?.....-. z>./r..`-111.**...1%:- ..).„`=9.•::".a .3::,::‘,MAL 11-...S:06.".47.1•PIVI-.... 1. .r:::::-... 402/19/2015'.%.. - ., :-.C:f:68.11tA; J'AcrIVZ;I:-.S:%!'043>,:2:i>.,?>, tfel!"..,Ctir...at?.:1 Mictutn:t :.-',UT ??...,:::: ■t.08/30/1946 :rai :EVANSVILLEr-INB:3-_-7.•.:11::,-;51,$.>./.5-h./ , 9.Eves in U.S,Amled Forces?.,i ,10.U Death Ocarred In A Hosp!tat •, :' ;-..,,,•,:,rzirsc-v i 7 Oa?If Drat)Occurred Somenere OVI5Than A Hosole,,:?-istl!itr/24,W r-,c4",?‘tliljcit:4.!;jri,,Leit191/4,11 .:•;',"" re..,:...$., ,g,'":"."41 C.1.45Z:t1<!-'*:!z:c‘;:,4;:::; ;„::::-,., .,:11:,/,-, ::`,..;<,,-.."-t,..fe,<ti:0'1Foite*Fratjfigtibelerien. f‘"THcatC,§0,Niasing Homen.f‘ter`in Care FaafitY.:C-Ztr 4,,, S 1 .D.Yei i 0.N6 r,Dun 0 tniariedtr. IEMeieency be`parlsr;graCi4i,en't=°paid di Airiial; iloa;:;--,,pan.f„Th-F--,- :1!,,ei-7.,,frilr,...,'*--.N.)Ottor •,,:-,r: :tt`o-t.t"."to,";;"=-:"•■,O.O-.113r.•-•..-'-',;:torotr$O3Szo,,,„".?„ rt. ira,r7-1.:1.0.--,I, ..,..‹.,1; ;--...: ., •.:,-;:::•1■,-,/-i. :.----•••:•- : , :... , 7 , • :7.:, ,iib - ;,...,.-t71:77:!.-..1 :,,,2,1,11;...-2s .,-",7.. .,' -" ',-f•-• !rt• ,--e ?., f:----:-1.1L'-'. hi-fei .11‘e-....: 1, ,!,11fiEactIty Name;(11 Nc4 Instttnon,Give Street eneNurnter) '.;.'s• .,. i • =.,, -,-,'.. i,:,c.,. .,,.,,,;7c..:.-2.4..?;_c.,--.;?z;.!,-.C.,,..„4,t,<.-.t, 4,„74,,',: ' Z. rf, ''.-'. C:..,- -.:.:<•...r...7.e.,..CFS C.(e..$1.4.K.:S -,e, • DEACONEss'Ficis2ITACINC: c.:-:- ;' -: ': ',. ':i -.".•::2: - •,?..o,1.-t.:- t!..-tt.",•,' Si,.,••,..:, s:- '. -t":_-, - ::.,..,:t.....; S"'" .2:oo`...o.."•,-"":"Dio •%'.4• t. ez1/4••-,•••.' 7' ' , . • ' - -:: • 7,-;',7 '-'4,s--•A ‘":::.5.c..; ,..••:, / .., -....• •-•-•-•z.e..X.""`•1K6-NRoonvat ..,-4.--• ' tat... LIVASVILLE-IIN"47747-r1, ' ' I, '/- r-. ..,;.-:':::. .i1 %._;:111C.;;;;;1.• VANDERBURGWC-3,411%;;.%.:$'1!".,•' :1:11/2.t.i5i:t1.:*:;P:Ye.-”f.................................... Ina. Arg;.Spouse, Lre^ze!.N!ne k - • l; : '15a..:in.' ".‘?-±1,-9N'.,°L-,:.::Maiden 9.1.7t!I,;;2 C'f-R-QC--;;;''3,,i": ‘1,!'CIRIdtnr,R!;,319aP:rj13P ''j 7, '11MS%Eu9!--tsl="gL?,,Y la -..0 F :; ,%: : :1 . e; 7t ,0 le.<2_1111=±._ -,-. _, , PAULNEAGAN r . ..: , : , ; - ..* J ". ' DUNKEL .• .%,:r1. 2--..-;::I..,t.:- :- :•:-...<:=..t,, MILLWRIGHT !%1.'. ..R..' -.?, .1 LUMBER-COMPANY?:-‘111 -.;",....1.: :;•:i8"..1,11"-ent..?-51e1r-- c i-'s '. ';;:' ; --.1.'a c“Int1' '''•,,,--.,,c.;. . '-;S ...--":%: ";1,8':,:',C4,91',.I..,?,' "Th.. , ,z‘.,1,,i't-i'f''.'1'.\>: '''s"--•.•:ri-3:."-<":39'?".1;,.- -;',-;.W., r%:, "ti. ,;: .'`,..,i : 1W4f...te",..;:: ' .• . ' - ' •, , _, t.:-: i '',. ' ,"".-', .,:;4 c'. 1;;;;,■1;;;;;%=,.ilietl .,---,1,.1, . i.i,:::-•:-- '-,..,,:•-'.' .: - • r:f.:C. " 'z'-',:: „e=1,1't.ff-A,-;',,-, I.‘ INDIANIA?:!:"'.-t'''': "-I 1' • .,"'t '' GIBSON', ''-'1;.1, 3." ,-,::::".'4.72 ELBERFELDI,21.::::<;:ckr...c Sc1R-.:1,::•••• '''';1:-. ..;-%:,...!<;11`.3.--s.,....!:.-.0-<1.■,---;11./C-. Ji-kc 4:ig , A8c,Seeet And Number:,.. ', . p'".I, • ., i' -ff 1.N,.:.■::-1-,C;:-' :11.,,,2! ,;•^,:",f,-. i,!, 18c1 Apt No^,: ---: ,,18e..4Zip cola 7{7 v..Ins"Coy timosic i r t . •, .„..: ..../..±,J1,5•-../, , _ . , - ';..'IP343:5OUTH*sTATE,ROAD 57 .- • , J i . I: - ;% ' ' "I 1: &I'••• -; 1- ...1% ‘ • .: ''• I; % ' % ' ''-' f-:.< :- ";":0 Yes'121 00 . •-•-•.: :1: ;.2.-. :':- :::-, l':ZZ.C.;--a..ftr -..,-,•:-?,--..;,-c-•• • • -,,i;:' . ;.: '4'• 47613'.>:::: • _ • 19.-.oe.:euncsEducabon c-,-:: >-,. :,.,...:,2.,-.; :. 20,paceeentottriispanic,Ogican ;:..: ::.;•••-;.41:( i 21.,Decetn5s Raceie-ii:1 .....4:i11,: r.t.,- ,,,.. ; '"---":„1 ,'7,-4,.. I:ItS7.,:jr, 1,-.2. ffilt:p 'CI, iljlo-H.StAbbCoRADJATE OA*GED ' •!..7 i7.7... •'ir: 7it.:':•‘-v■:.C:k.`,• ,L.-7' . . -"'ktir.:77". .,: l.'1,71.t,,*;-A<?=•;:7477:7 -- k‘ <-..77 -7. '''•L.C‘7>;.t..t.,),..... .4, ,' COMPLETED irl'i : .: -.? NOT:HISPANIC, -;'''' •:. ,z:-.."' !::.;:-...ticr, VVhite>,:-.46::":1-.:: .ir--1 'i....,?'",a12-.-,.t. ::.•>:- :;..-.Y;;;;--;;;;;;;;:::ti.-;.*2. 2p;i:i..„, 22 Father's Name(Fut,Middle,Last) ',... r; ..,;- --. ...,-; 4; -';- 23:Mothers!,lame(Hilt.Midc9e,tast): 7,-",' 1 •-::-.. ... 23a M°/2ets...Mt”1411Plim, 147-c k %: '."2-4-... ...??..F5,,,S,'- "., c -: . ' ' i , . ''..C.": ".C"`"'S..k:•:‘-...<”`..--r `,..t - .. ; X' • - .. -...---'. -.,. :7,1'..t.i. •..4*. :%,....w..t1 Ila.•■•;›,.":Ix . : 7 ', .: , :'. -, .•'--Vi?11•-•..--..:.."•fr'-'1, :- :-•-•- ..- A"R7. • ,-7- •-", ' , C i ; F., ,•,:o.: •*-•.: ro. ALFREDtEAGAN : : , ! :: ; : -","; '- % : ‘. ALICE SLIE:EAGAN:::' r.,...ti ,-;-%:th... :. : -: COON r.,.-",: „: ::: :Pl...c. !tr,-..C.,,.. .1 24:Intanants Name", - .: : gr `- 24a Relationship To Dececlem.:::-,<;,-240.Marino Address'(Street And Nunber:City.§tate.Zip code),.....,.:-%:-..<••:::::&f- ,::::.,;:: ::::::.%;r;,...c.,;,..".4.1,;•"*; IV ,,,,. ;".11%?;*:1•;;;Sle.:-E,;):':::,9. -",":::-...'rt • FL-'!:i, -:!:1-f....>"; r'•.'%:•;-1-Is:::4: (.- :-; :;..t.'iV.22- 1 ,.., • PAULA EAGAN ' . • ' - ' ' • ; WIFE • ' ----- :''2.; ,,%-:; 10343 SOUTH;STATEROAD•57,ELBERFELD IN 47613 •••••,, •r-%-.11.'Ii.-4I;.-IIII :•. fl I , ,."---,--44., ,zz-:i• SIS:SS'.. c ...--ZzT.S.: '11;:-.1,31: - : • -,,t. ' 25a Meta:10f thsposiecn ' , : - • , 4, 2543 Place 01 Dispoelecc(NameCii Cemetery,Ciema Other Place); 25514ocatonTtOty,Tayn,And State , r:::-- ; ;.!: 'i • -:* ;o 0 riza tea.,;trcr.; 0 D-&:apon 0 Entombment • i . ; • ' : . '. :: ' "(.^.' Vk; ,-.-i J'''-":"." L'',44 I nj ' . ' ." • C- • - tz• ' lt<fk. w 1 tingvkgioiTigttO • r•'' - t. v o' `, 't . .. ;I" :„..o:o:O„....".:g>,.":1;:',,, .-t, ,::: ,:"*.t .-•,:z-,,i/ ol-4,,,,. -o-•••, i , - ,.; .., -.:-. •• ;;;,".."trio A : o'di,r.-rs'ar4c!•-: :,-" :• .,,.. .,„.... r'rl: EVANSVILLE CREMATORY. ,„::1:.Cf:1111'%'...2.;;: EVANSVILLE;;IN t;.:E... .-/. • : ',... :,>: 1-,„?..„..,,,,,,,..-5,,,„, -4 _. 76,Was Coroner Contacted,. ,' •• 27. Name And Cate,Address 01 Ftneral Faojty .'..7./'•.,•14:..S.1‘0,...,:$%,„•;? ,-`.. ,::`,..%,';`,1:-1/4`-<!.;<...: z. t, .'''- 7.2 211.-Ftra21...HcczTI.i5ejzsoNurnter...,„ ,...,4 ,-- > - , .., .,-,.. , -.. :::: : ... . .. •">•/It,•"1,-/<■"•• : -t: t•.`:' - ' : ; -' •4:>-•-;•----.2;iik->'?:-.-."-- ; licrvei,raft,i0 - , , ' • -,, '. ' ; , . - i :, :, ..,,, .:■'', rr,"Thlts',.,..;,h'1."--.-. ' ,c , ;.--.. .. . . . . . .. . ... . PIERRE:FUNERAL:HOME INC.::2601 W!,FRANKLINSTREEVEVANSVILLIE',IN:47112c., . . FH83601897%... ;;;";11%L.,..--....c 271,1Signature Of Indiana Funeral Sentice Licensee'7,,;-:,...3--??.:7-,err;-",,Icr r -.?"-..--,.-. - ,;:-.4:7■A‘r,r...1ffS".).„7. ,7,7h7 27c.7 License thenber.(01iFerq.e.): ...337.?F 77:-7•,...7-7;3-.3,-:":iz...:77.ytii: ' -.....ti aAtAES'AT.;.PIERREBY ELECTRONIC-SISNATUAEI-e,C.' 1!!' -:. ::;;; %::!“-G-At111:c.12:iliK:1.1.'1111.-..;!-.11:: FD29400078 -,:,. 2, --;" ...,-.1.,-.;. ......;;.. ::-....,iii,.:1-rrim: /....;>-; 14.,..; .. ....;;, -..c.;:..--,-;:::•,,:;-,„::. .::,,,,,.....--.•-..rs-c:;.-.-..-; ; -..!..:, .:..- '..- -z*-,Vause Of Death?(See Instructions Ancl,Etargles): tS,!...-5- ,-"'4',i1..S...,•i,.. -:-,2,.‘,,C,;;;acjiiii,,,,•,±4;R.,.... . . .'. '...' . ....:"11. >"' '-‘ ' r ' ;,:t.irl'eNet:ohi;P, .1,28:Part I Enter me chain Of Events r Diseases,!Nudes,Or Complications-That Directly Caused The Death:Do Not Erder-Teardnal Events 1.,.„.2; n 4 i i Such As Cardiac Ariesti Respiratory Arrest,Or VentriaTlar Fibrillation V1/4,fitLioil Snaiiiij The Etiology.DO Not AbEiM•rieti:Entei.Onti One Cause On' ,,r *-. . , 4 , , - • ::4 Jo Dea tiKtnAdd Adolituial Udell(Alecesiary„, •." , : ..,-, '-, , , ;.•.',•-..' I::ctO4f.t..ror-<:„"•;.:121.,..tt-ii."..',"):::z-.-S.''4..'"<$...:925,1- - ' • • : -':ts ";.: -Cs>...."'"'`.1",-- -Or ' :211:-..-c-m"."1-t1-:„• ?"--• , csf-',:`,...."-•;••••••,-,..., - - , -: - '•t. ...:.1`,"o• . t .- ".....tr ".1"..to- --,,., ...o. -;:immecia:e Cause(Firial Disease Or Condition Resulting In Death) A SEPSIS'i .i.' 4 ..<7; 42,i il.-!,•,--litlf;,54,RI:v"...'1! . t-f .' : ,■ ' ACUTE hu-rinill I,-*?,','",:.'S.,.,c...,: '-,,..i...:, : --.. :,-. ., •' / .. . , '...... -: ,' • i.:,---.;•,,,” ! 'I ' '41i.i,44R:44."",Zmatter.c.9t)'.“. ''' , r:.„:, ''''..5;. •":".-:,. "--1,l';'''CLr.,",1:1:1' • 'l ''' ..: ` •..- 't", ....tr. :„.: 1 ,..., .7. ' 9-- ' .,..•.: : , :-. t t.Z f- : :. ..f.<,..:S>./.4.7 :F. tirie'kt Enter miiundetikIgcausi(Dieae prinitay That Inia3:0 •t .7.: :7 ;,..21,1r,:7.2.,C7V;1‘ ' .;..c! 9 ",11A4 i i I a, ,, •", 'o". . -•r ," .O•;if r,-4.,..t.sti2S' The EceritiReidltirij In Death)List,2-•, :' .S.0 ; .-, :. ---",...- - -•.;:"":. ‘,;.; .- ,i-,-,:,,* .:4 ',so"Oq ■-: $., ...,., t o:tot:17Z., ..: -t.. ,.C.`;'..-;,,2 Crs,'?„,- .4.,. , .. ., ..... - • o. - t ? ..:1":-,,oc: "-",•. . •• -• t - t •, " c to -.t - ..-...o t ;.--o•t .- ,t It ... 124`"•""‘"••••":"190:".0O•-"i --:•-.,2-•'. . •°''' ;""--/ 1 -'';t ''?"..21117eif It Of ... , • - !, •-: t -.- . L.,-----'it ot-at .4....to.....11;r.solip etl-,...L,.. ,.„ . :., ,, • -... Hr. •, . ..• ,...-- ....4,;<.tts, S-‘44 ,,.. a:t4..tt:- '-',..9- <-...". ' '-.."54,5:12‘... ••:Ss,....q..,I '`, iF'ane•EnwcOner SinnthcardCona.ocnsCorrobtemo to Doris St.*Not Resultng In The tinder:yin;Cause Givin In Pan I-;,••, .-. ..,Tir 11-1.te •14,:I'M:m.0r; ilp>r..--n.:4;:-:ern------. ir- eemlar..!.4 iir•WMI '''ct. "-" ''Ir .'';' ,1•••• r - . ::" ':-=';!-.. ''"- ' ".%;-€ ;-; ty:C--;-'12.I.<1-: -Ir.'s.-- I r..-r2';11kr•CI?'''..>”•11P7nU-I Yes Culd No...1r,- 's ._ RESPIRATORY.FAILURE'-:-..":-'!"..:.2:,. clift,7•• ",it- 1--,--:4‘ • , , - .- . , .r., :,,,,..ti.,<C,'-`.,,i,-,-,.-:::- . ::-.-Z:z-••:-.7-CNY--.77:NoW7.77,-"al,,-,Z.:3•:■•-Z.STr--,:-..N.m.u"..."..-,-,aCc..1.:1 Yes- .o 4, i;31!Did Tobacoo Use Catibute To Death? 7.3?" 7: ,32 If Female, I.,•---:''"....4 ::.• :1. : ,;"<,?..i!it,T2'.%,:1111.2.71 04 --.. .m.rip!"."Pe.T.P.v..3.7%u:la";:tlill'%-iillit.lailiiir;:: ri As. i _::21il "ti-ltd ,-Divat;:Pall'In; Dr 14 .Wilkt Ti.be nn.(j.0 14:11F4c-..1.ra -,,i 1, 7-i-E,rir. :El N8,561 0 1110111kitie"0 Accidint'0 Penchi;Investigasjon ,"" ?. 0„‘Yn--4,Ed Probably.0 Na unknown ' -:•,-, r,-, .1.... ....:":". .<_-,•;?:$„ ,_,.i.-S.,_ . thifraw,h0 t :--,7.-... - .A... ' •..,,,, ,-.7:,..-c,:,•?-•::-.3,..... ',7--,-- r :',44, ,"'-' ' LI t.t_Prea-■4•eiP'•7•1°D.T.T,:lot."..On-ii-Nn'-i -_ _ at. • a, CM% , a,a•.a Cab]Net Se Dean:lined..t.r.. .,._•,--h,,-.IV•Ith.. ,. "' ,I HC r' -- ,•:' 35 Time injury ,, '.'.• ' - ,t.36. Place Of •s, E.,.. I"' e, ',It', el7F•Prig- te,-esutrant Wooded Area) •i!, '.37..•litury At Wock7;p11;c4 ,, • i 3441;418(?9,;),11;11c(51•DYY- ' • . ' ' <:c. --- , ,„. `', .u-4c;:ir--Ato ,-- -q..'x'. ',4"-- i;•-'4,r-d....'"3-t:-::_-=.7::i. ---t .• ■; 38.;Location Of Injury 2 Starr ,, . i,, 38a Cry Or.Town 4 -",..,4 :r sap:,Street 8.4Number.,%4 il,:?• eti-.;;-":;: ,.:.;.;,i, , f ' ' '.-...: 38c"Ap14.4N9,-;:xt ma:zi9 c,5,7411 ' -rii ,,,-- z. . .. - ; ,, ;;;,..‘.-,.;24-..'.:-.:.z.,..L.',K,::::s.:,(.:":5;c;4,..- .1,..:!;;4::::, :,..:. ';,; . %. -; :.' ",:--. ...k;;;),--..-,,---.:,, --;,;;'-f-- ; -• --: -; : ;•:, , -- .F--,:s!.;•:...--....ci ----:,-...-.;;--,:‘,--.!:-.--...,-;-: , . , ..--; . .. .- , -:'.. ;,..-;::c.- •r, ,.... -: -- , 39:.Describe Haw Injury,0--con-ef. ;: 4 •4 . , ' • ,, / ... -":,4;,;a,:,4;,..?..„; 7,,-,-,7-,:i.rit`,..,Z:1; „,„,-,,,f',. [1..,,,. 4°A It TranFP?nathninitrirfTli-."-c..I!ri.C< ff:-.<9,kir,:r..c ij,,,, ,'5',e''''' ,1e;.t:•: -.,?". 'clic'. :•''., - ,• - •T , , .• -- -:.. .• .... ‘.' „r2; ,41uStonatureLCif person Cectfying Cause Of Deatn,t;%- ''-• ,, C- ' '.:-.:4, : :, ...".: ,4 ,'-',-4,..* ,!!..17:e. 1,4,, ,....L 1,,r.c. 42;cefilna?,;(cnick04;ork)I 1,4,.?„11,j ,..,:::.'„4j!:;?,2,L;S:?.2::filre,ti:1,1,1!,2. ANDREITMIHAI CROITORU!•B`LELECTRONICSIG NATURE : t?..,."-<:21;::,1 , :-,:t,...t:t:::'''' <ID Caiiilie Phisician.4--`"■.0 Capper C,1".1.>CI Heath OfaceSS"... al.. .3, 41 43:.Name;Address And Ziro Coy,4of Person Certfilno Cause Of Dr: -- ‘ -7 .:. : ,, ••- ., -I tc.,"-!: •-?-.:1. .,--”,- •::::,• '-i-c.- 44,License Nattier ' -'-'-' ;li :45. Date , 4.4„1 ilor:545; 1, '413,-°:2;"•-r-ii•IS..<.•:tt ---_.: ' - , -If '- • • . _-_,-;= ----.L-,,, /..--2. i---r . i' -:.&. r'-■ Are-.1:- ....-- -....-z;-,' 122, .:5..-L-C.41■114---,14e;Qc. .; t ANDREI.MIFIAI,CRbITOKU 600 MARY ST.,,EVANSVILIt,iN .47:tiliz::,F=5:-.,"t?t,-.5-::$<;;;t ..tot,...-t.,,A:, r >.;; -.. 01070432A ;,:„' ;>: t>,,02/20/2015 1 :". 4621Addr"al Funeral ir''ke Pmrder. '5(,';,'f'C-7; . .•: :,.r.,...,• .-,,,,,,pft.-;;;;,14,-;I:oz,-,-,..1,-,ILE......tii15..-z-,;,!,;::„..-:,-,-„ii: c)!..?:.,:i,,:jj;:r..:3-. pt.:--;, ,-. -...;14,1;r:n;FR!!CSI '..‘ ''`., .. '-',.;!'“..:-, ?:.•il..‘2C('-i-S■4("n■&4'.[C,-‘4,444..<:itZMt S."41: €.1.P.4:.\-.1/4.1/41, Z;.CC- t .,,‘::::,11."(-c.■.--2j •!,.S,S,:L'.. ....■•..e.":„■aKS,C■444 ,::f.C.in Lt.:312.1W,9f iffial.,-.K.,29,5'Tittiej4 rrra sir?" ir tlf:P.3 149'4.tr FeClist!-tr,P111V.,)5:afic-_-ded-, IN9P3.-V91TY!te-179=4rprirl,• i ROBERT:AhNicEli-C.geEAltrtVIN:ELECTRONIC SIGNATURE E.....--' " I it413 t-i-i,illf-.%.1.111V-2.4,.1144li ...4iiiirt.13123:20.15;*.ILI ..e.i -eat', ;...4 it W ' :i.:11; -;;'......2r7S,'41.-4L,--...st,-7 ilt-.2-?›.:'' '-41itr-tcit-&-h—>Ar...--- 1..,v1,;-:.. /;-. 'hi. --,-';:; ;',1%4.7.ti_.--7:C .--..-'1/4: 'it' --.,,...:1 : ..., 4 i miice:,r, 7:41 ,,,,,..-,:r:-.--3,-. I --,:liprin,-....1,q‘,...4-5;-■ .:,--nii. :i!iik,---; Lc: ,--"Ili :1 ,--1.' ;-S.5% ': -:--- ; wire,. - 1 --.- — ,,-,„ dieptcaf).-.3.----... m-5..4 . '(..9 -.,-:-,‘ =. 0cyles.„-:‹ IN.--‘,.-__or) -„,..--.%,--.--,,s - %...- ...„-‘, f'.... ; --.. 's- --,.. 4.,...•.„,......if._ --- ...,--:„. -- ....... ......r, , , ;,, ),-..m.... _ . ..ti. •,i,... -_,.. _ ; , .,.n,„ ...tr..,-....,c;fl, .....th.„ -.Att.., _AN, ....trt,.. ..-: t ...-! t,.. . re. --IN -.tn.:3,e: State FoOn 53395'-ATTENTION ESTATE:7;Th;Scia#Securrj*is hong Tquestettay this-slate agzi.c./4150.0@er}VT.:uicii,aeliihjirrilip[icl6ILleiS'colinitiFicana thire$titilicipeittiretSettiatillir,&1111 • ,,. 7<ii: '''-t-,711;WW-4.etAt ."AINra‘calK.:16:.„. igAiradcuci-EVCIAC"siraitiiCoNto;e7■ClUotikf cf,SPEVALtairrh SE8U-FIM(PAF.11R;CAIIC31,_t/-06,1MT-;CEZ14,0 ,1-FiE StASOF DfialA0t BAUclnT , RN FROM•RANGE TO s e WHEN CIUSSEDORINAI:,-•eee: ENT A.S"HIDDEN •t C. ER' THAT;•PEARS WHEN PHOTO ePIED,riitqfrenizil•re:',.,NP