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Death Certificate - Schmitt, Magdalen C_7/28/2016
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IF,3 ,-,4.4trl, 41E-,:.Etim 7-:.mir,c5:(4.4! ..ctinisic... 4 -MAGDALEisiriSCHMIT .S .•;',: ..- 7.S.-..>•::-.... e HOEFLING".. '`..1:- ..-38...:>7...;tc.. $2....:FEMALE:',.. .:72,:13:13:-.N.-3-.9S..:::'''s•Z-S.02/16/2016sr-, .`":, ....,...„."_,..-.' ForcasZi!g ',20,.If CtathOccurred In A Heeptal:K..iqpi.7%01/44,1,7r ,u!i ;19aQf DizeathOrsurred Somewhere Otl? JIzan A Holiptta!„.:-...--..Q:r.c.."..fcq1i ....z0r....-1 :-: .f„. 11;17:7,..41Lc..;ell .2%Z"--';•al"..tz.:...."..Q'tin..W ::''''Z'..<1,,ASZT.....,.. 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HAUBSTADT; IN 47639.-*:. . •'' '‘•:. ..7:11'.i&!fr: r.1••••: ,14., : 54.`Tse-&-C--,..tt*:::-.:'6:C: ': 7 ''. -, ''•:: 4 7 1"1,--::",,C.1.,-.:::&cs,----!:,,,Lt i6:i.I.4,16thisisn-sc..“sz-s,...-„gc;..,--.--,zz,„....-:-.:--:74 fz,- - ----:-.: c.--_: ::.•„:. ;",,-- .-‘,-J,-..,,,-..,..--,.‘,. .-"L--t., ...:::7.:. 25.3.yethcdp!caNytal _;- - -, ; . ,, 1 25O Place Of Disposzioan(Name Of Cemetery.Clymer%Other!lace); -25c.Locaton.,gay:Towel,And State t-_,. :'1:...' i :- -' -. .., :;;;- -t. ....■ r. 0=BISIZEI.dierna6on 0 Dinawe 0 Entombnierit '. ! ' : c . . : -:''.' f :,.. " -7 •Z i.-7..1.t 3<-:-.?: ,-;;;,■:”....- ;,.,r - , .4 0 Omer(SPecify): 5..,' 't t' ' r,/'- : '-- ST-JAMES CATHOLIC CEMETERY, 2---••-•". ::.• HAUBSTADT.-IN-•a . ...' t .....-' - -•,--..... .-e..e:Fie..•,..:-:4-7.: 2E Was Corm.'comacted? .,-, --:, 27.,,Nenz,e,Az,,,4 copy/5w Address Of Funerat„Facilny -775,:tc."-.;---et"T 7 ;TT •--:', ';.- ..?'.1.trctc, 'NZ' ' :-.1 .. ,...' ,,,, -; -t:f: 27a: 1..•!eral Hang u8eSr",72b-e-r.:- '':'" , •••ki.fz:•'-`27%.:re;;:-t'a:: ,';',' ;' -'•C.-..3 ni'''"'''';. ‘5:::::: .."-in r: ''.; lt: • 1, ?'.-- :7.-t -T- ''''.-:• T; < •• N.T 'St ;% ' '-‘,.. ::: ;>:7,='; '.. 1 ; 9---.1.ef;P111? :f.. 'I, : STODGFiliel2FiJNEFiAL:HOMEINC:500 EPARR ST HVA7Y.168;FORT-2.13RANOH,,IN 47648sa.- FH10900013 - < ;e. i -..:. C :2715.T Signatdra Of Inziana Funeral Sender Licensee.:, r.c.s>>5.,ri".. 1.-----...)...!","",--;•"..Z"-;"•::•"3t,r--5--a-f f :zit:--:ta - -:::: -....-r.-- -:- 1:27c.:License mambo:(Of licensee): ,5 ',. t,;.4'ft ''t,.,',', ANDREKLYNN VINCENT•;'BY:ELEOTRONIC'SIGNATURE;:-...,P . :1'.7-..i,t4-..--.;N:-.:•:. lire; . :i C FD21400005-- \ : ]1 -' 5 r',•-, :-<...:. ::-.).'-:-e!.: 1:', ..Wci•-‘,:zWC... g.•.c),"'L. `5".‘.2.---.!..,;;; .22_LI-' ::.,--L-,,, `2.-•Ct,,,_ 'I-NS-Si.. ..c`,9.ause2c.ffePeath..,_:(seeir.'rcd8",,s8f.54...1a-r.,test-le.:--4.2•':=3=S '' - .,-,''''1",, ' '''(..•:......1...):P"Aib-aInitiCI:ik -..,-..1 t.:28.Part I Erder,Tbe Chan Of Evenia -Disease,,inhales.Or Ca:therms:ions-That Daeclly Caused beath.:DoNOt EnteiTerrinirial EvAnts ; '' -, '', ' s !--if. . ,'n.' in*Wit.fOnsety e; F D fiStabb As Cardiac attest,Respiratory Arrest,-,Or Verefictr,tar Ratak('WIthOu t,Sizkivin5 The Etielecjit-Do Not Abtieviath.:Enter,OnI5 One Cause . - I -- f ..;, . •:-To Death ..F57.:-..'; cr .r A Lire.TAFIc/AdditinalLones If Nicaslary• -I :'z."-`-:'..:( -..S't 1.."''"' .11 ..,t.'":"..cit';: L.Q5,.St'it.^^r`z.',F''..5"..z.r-44" < -'2.'- ; . . . ' T cc ; •., ..,_,..... .,....a•; -,,,,,,, .,., . •'Ilriiint. latW Cause'(Final Disease Or Coriatkvi Relating In Death)- '. A.; RESPIRATORY FAILURE', ::.- ..... -45.to-..: : t- ,, T , , : .-..... --' , , i DAYS ,-t-.• . . . --'- '' - N.• ‘.... ..' .;7.'.7..• ".•:;-•: :'..1 .. .::::;?;!•;' ' L-2,92016 , ,' „sezfuiztai);LisibancIrticiii.cliAri-y,Cidaing To The Caltsa ListedOn .,' elinekSEntarityeuriapriying cause(DaieaSe ca tnii-y:Thimmtmtecr,,, ...„ 2':: .. j:,:•.:W Ct 5.iretif2)120,7-:.C;77?-•-:::.:•‘:,.; . ..': ::;./".-", r..7' i /.:••••::: Rj„ --1 ;1"••!„: f; '.. 3.112.1.,..frvetsf?efultnii!"Death)Last .. C... i .1",.. .."; .r: 'C 'ACUTE CEREBRAL VASCULAR ACCIDENT...7'r 7.7tt'-'-t•'- ST. T ' ."c , -5 : jzt-- .z-DAYS 5-3:....,:1-.■-:. .:-' Ja :., i ."- „ 1. • e -;.,- "ff a - ------ •a'i------1-,a1- --•-''a rt--fa.1&-afa -af..ki Net:Lf.2-„,:e.. 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