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Death Certificate - Wilson, Barbara A_6/23/2017 L ` r ✓9 Vr•- �.t_. • ■ . _ i tt -. s..�.- t L -.-,......es.:-.42..:_.:1, ...lj� ��� -- ' �`>''' :��\5 • 'INDIANAZSTATE UEFA-TMENT'OF HEAbTHS ����` 0 ��- ,mil I ,� �_,�� ,� 1, �,.� ` ( � � °,1 i� x / , i'0, 1,�-• I' Vi Rini I�/.�° �, �Allu r/ �i /i I[I l.` C It Local No ( l1 \ED w '� UStatl�No� f \ 1 �,�'.-, 41,72Y, 000123�� 000000582818 �" 1 '029376 *�Y j Decederts Legal Name(Eit Wide:last) / 11_,.lP�tll)0l l/' 1a�Maden Hamill fasale) ',sat �25en ,'I 'C 3 Tene Of Deaft 1 s'.;Da sO Dart lM tvey���emmay .. � a111`;l t//---s"" .,/ _i1�2 Ill .It; `I I;\th 1�1�y ������ 1 `/.i t LL`1 l//�111111 — r} i1%.(dirt-x , it'll' BARBARA`A WILSONSitr \\Ill -, el HACKER:U1fl�G./ UJII14FEMALEI 07125 P.M 11%LU0611 220 1 7.a.LtIt ' r 794. L Ma''hs -Ili d '1P�/e/.2 V1 hl�IL/.'_�/itrli,�l{{11U1111/ _.1 dill. . 05/06/1938_1111.. imT_CARMEL;.ILll11(\n x_11 ...—e/y/ '9 r?�p,Yes® O uN�'r\w\.m\' ".I*\%O E\\Dep.-rimed �C,o � ( Q_4• F aahY zl\\ �oyn ❑'''' Ks's% can�Fa v \\ v 1l ' slit. .. 31.,It:./!/ !1r.'��nilttll.���;ttll1ri4111/'.0 Iii\t�78 PHel ten- .❑//O�Jw(Stp.....*\ t1-....\�i//iJllll �/ 1 i s�. //1t�n\� /✓] 11St'Name 400.NORTH tlMAIN STREE7aSTREE NORTH�111':i11f1.�'l'�lGry9i 11111 1'1"' �11[It%l ll'�I .II�I�'Il�+i� .0 111 illll�ilv��illli� ,.0 .�C/r�Yp•ey �A\\ �'\� . ,�`��,.J \��U-SW ,1\3.,:t4Ylp�eaN \\�1 \ `4�M'C.�Sums At �N..j\... --▪�. I• /mil Nlks/! 1 / y l: �v�i( 1,�\ • p\p��\ ■1�\ .CI Mamee0 Maritsa au SagmSall®Dieted; h � FORT BRANCH9N 47648s1 r ..� ` h �� � ��CI� i GIBSONAtli_" 1llIIL��I�\I�t iI'^aowe° ititt y°d�p un l � /% il�ll� err I 155 Suvlwp Spouse s Name ,, , /�•, I// v q 15e-Last Name Babe Fen Mariaga i ';1e 1 Decedmf�s�Uue,OccWa+on ILIUM`.v:Ketl p�&f mesvlNlney�/ ' '2 `� 1 -" ���>� ;It 28:: lIt, `� ui BANK1EXECUTIVEi? t.ii iIii'1 FINANCIAL 2fL, 9 ( B.ResUe-! Store I .l."i icitW� `<;17 ��� %18�:,1�Q�tYp T_w/m/�i'{ 1 111 o ', "� ///� ll �/�///1�� t /ii� '1 .,L i•i\ - ( tt II( .�/,�._ c,` �123'<;17 it iiiF1'll�l��/" Il 1��'11 I CI,11l{�y1�t�r}\ G 1 p U�l` 7 INDIANA -� if r GIBSON.e. ' __� FORT BRA1' T I \ `. .Ylt - ��/r IQ 13c STe,AMNUmbet - 5 j% 1� �- ` �• \mil" �J/ \ `� Apt•No. ,21Ba.lip Cade \487 Wide City LmNS7" 1q /" t 7i i { I -i- 1 1 l� w // 1 t l/ I , ,t,{ ,„ 1 �/_.,,A 1. � 1 ,.rQ t / .: 1 411,, ,,. ,, t 5� 1 ttl�l � , % or �1 ®Ym ❑N� (I 400.NORTH MAIN STREETtSTREE NORTH ��,.(� �� � �'N.y 1, l,L����1 t 2 t1s 4764 �1 it -..�ulll LiiiiiN9 DecNenfs Edam , A20 {D'eeccceedent aVNbpaic Otte 1��[ 21 Deced_mfs Race {l -� •"�1. A�� liCq Af 1 \ t.:Pi1���Il 'Q'S ' -:'.r8.�p( 1 ' `N1L \ ACit (N\� -' '. .a \ Y���,�t ASSOCIATE DEGREE(AA tAS) r S NOT HISPANIC t.l1�_(/%,1lllllnelU White il111n YIN 1. n . //�{ �l//itl �r 22.Parents"magus:,MIM! Las,) / 1 , 4.:C 2 23`Parents Name(Filsl M e Last j;! IJ 23a'Palefra Wt Name Bebre&st Mar,iayel e-ll. EDWIN HACKER i.c. /_I,h-----._ %i� / ALMA HACKER.e ./dNu11b \'COde)r LANMAN\� T • iI\z a m'(N4- ': Ti r - lit' rce<nR kS % 1, 2.-281 'taTh i llltllut e(nI11i G' �114Il11 1�����ll 11,04 CHRIS.WILSON- i.• _ . �} , SUNS-N:011_dV - t. 400,NORTHiMAINSTREETtSTREETINORTH�EORT BRANCH\147648/ ( ' ?IL\:-�"' 1 ii `\:-.- I % mini -- i25wcedaiooamm.Can" \\\\.3 \\\\\v`C\\\\-'C�\\\\mil` -i `_a9`-\, -e 25a Metod Of Duulso n 4 J; - 25a Race Of psposi;orl(Name Of Cemetery Cremavey:Other Race)2 .25c Lou`on Cdy:Town,AM Sxe l - '%- �y ,,.. \7 :JD,'eaw ®crema5m(]Dawn,O ErcanGxm ∎jl'l `1{f%�i 1 1 IY ..„ �// �'✓0..▪ `I l It11rr tl 1 ��t1 ` ''- O �1 n .I a ; Q'Rmioval Framsity . 1 I( �1��1' i" �1/ \II/L II1%.rC� �LV�%..s„S' '.\C �° s �� f\ • O'oetar(spasm ..''.. Ct EVANSVILLE CREMATORY _:.. �. EVANSVILLE;IN \ 11s -�\ , s S 1 ▪ 28:War CalCaraaeE7 27. Name AMC dc,,'b'Marts p' FLaWS Fadity (v� `(mil/ rN5 11'1'7r-1' 1r- '.'7. iu`,e1ral MMaanneee License N�: )1l ® ❑INO i2=1,A. I-- ,, �J (l�11�'ltl 11k -•t.:.( liikI: l 1itl�c�ie %fitl•i�r/%� V 1C lia.Y� . �"-� STODGHILL.EUNERAL`.HOME.INC,.500 EiPARKIST HWY1168 FORTS BRANCH 1N 47648 lfic EH10900013 1, 11 .2 s lna,.Ognalure Of Indian Funeral Service llcalsee\\-\c \\\\\1 \\N\� \� p�,S.S ��inc:..J*8ae Nar.Ee(p,Xemee)"�\ 't '1\-• t ' .1 ANDREA LYNN.STODGHILL', BY ELECTRONIC'SIGNATURE'4 I R 1"l/iii FD21400005 n.\vim ifi\�� ;','•�f1_Slt .tL i it1 11 U 1` s Causa a OeaN ISm NntuctI ns And Eaamplm) ` f �/ i t j/ Appiaematel1! Y ▪ V, feel �/ It / s, 1 �II II:I.%fa iiradsed The Dealt I , ,l.it �y 11'5 j-- �1, �� 1�Mtercalp,Onstet l\ 7 28.Part I.--_,..=' ,tha Tye Champ Evens"Diseases Injuries:Or Catra,Wtrorls That Dvahe,Gaused Tire Death Do Not Errn�TitIM Events, 1 �' Sutl1 As Cardiac Aries,Resprxay Aired p VerEriaitar FArll,aticnyviZ nut showing-- The Etbbgy2Do Not'Abteevu•a.'Eer Oily On Calrte On s 1/ it l \TO Death\ • '-A Line.'Add Add,anal Lnes tl Necessary " �\�j .V',...-'b �\\\ �\\� \�' � tir • 1 U:'T I I se �' ' 71St J%�11iAa 1A1�AT � �fnyy1�'{A{ ' ` 1 ( L4 /J\�/II 1 Immeda,e 'ue(Fanl Dsf.--Or( la:60 ReslNVgln DeaN) nil A. ACUTE CARDIOPULMONARY ARRES i 01 �{I II \nL x_111111 \1411, MIN'ill �\ r si T i,ll l� / 1o..rotO w+cw�w.s oar :{I U �ry� \I 1 4 G U(Ur V�� �. , . �\ t , 11� �O� c\\� �` .� �!l \� ���; 1111 C1 Aar v Seyeellylat Canddnns If Any, n0 L y wc(la w�._..a.� mw� w/� 1 w/�) ��' °� IuneA n-terTieu9th ngCar 'l/V i�v°!�(iiir! l<t still - l\-2 '*l/ �7/ I•1 �E�N9 1 The Events Resu"ng In Deah)Last I .1111%/1V i t c t 0 ` I I n %lllLae % I�lldt ,. 4 Tin_ //�l .I, .✓-..111(fi 1 654„: ` I 1�11t1�,' MroNwe vaunt �� 4 ; JUNb2.3 2011x, I r 1F/�� I �. 1 (}� �1n7y 1 0E-it IL Enter O/10•5i st Ondit Mto al Ste Ma,Resti ng In The UMetyMe Cause Gnen In Pan%�IJ//��1 29'Was An Mtapsy Palam ,.. s �V�® -' ' s T ! _ Ilr;//J/11411. J k 'i7�Yea IV IiIsr A `*i: I / r•{ 1 1 %jtllt lio l it 1.t/��13� �����/!/11(S 1 i Reiu�u lir-d-0waladata TM Cmm,Ol Deaht%;”' n1o.NO*i P I PNEUMONIA U -nt ❑,Yes 431-w TObecm Use Ccmaae To Death? . A�AtiSI 21 VA��"11�CA 111(.\A�` 1G.a1 Mane«aDm). g1a.S,1- 4 ell( (s x\,` pit\�- N C" -L--,,fthl"- -- -a,1 L°k 4Utt'* 'O .It ,,,,>:� 711•a.,.� ®Names P.i(`a,eaa, �Amaery j msng l 4 w+ca\ ❑cq' ❑P,vbtWy O He ® n0 `'Ihu10 t tax r Vee tt4w ii -_ot a N t Determined i Fn-N -0 \ a11r 1: � I �11 1Qw i.MUA.v �o o•ns.lr.ue.,..o-c,y(1lA(]uavesn.w.sse.�r..e.c s..�� 0 Suede O.COIW Not Be Detertrvrod�i'l.a. /iill(�� `4..Dab O(InFey(Mah eDayfear)• ltt� 1 i 35vmse of iniuryl 7141(" 38 aeag.Wsn(ES:O as ewnHan.:Ca,smrmfSde:ReslEtfl*WtOded Area) ]yIrlltsy-At 4WA'J� l 3 o- 4 / � ,t; ,J ,u� L �//s }G UU ��.� J v u11 0 �(r' . Rl�/ ��1� ����' ) x ,t„"\\\� ..,,, .. ��� cam_°_�-s>iri <A�VA- S . -' >.. ,V� �. �. 4 :".%•• 38 LoraronplR,vy Stab 1): 38a C,ty Or Taws t� 380'Sreet d Nan rtv u V 1p \� 38c.ApeNO/ 38d.`ZRCOe \�. `t , ' f'lloli-g4, n lc---- � l�l °... 1 y'I.i �UiMI !U11 11�I� • , 4i l � ,r( ,1” �1:1,i 1l c. I � 39 Desate How L xy 9'1;-` it \� C - ��' : 1 .,.`�'i 7 'S 40 It T a.✓/(nip/Ulna, LJw ...0 }l.. I'.' K i AI°` I Y. ;+,.1. .- - /�If� l l�k1��-"."'\' %(.11 -"/�„Ii n;:.tin\\\'/ifati-.f. Vii.:\ ) r/ 41 VSputwe Of PersanCerttynC Cause aD*ettu14th///{t(mkt-a/ yk gyI`N Ip�M. 11 7 y` 42:Cats:tens:1c Only Orie).////_I[I t��AIltl•,,L Y ` 11 (. MISTYG HOKE`BYELECTRONICSIGNATUR E ihIl �� j 1litit- ▪ 1UU1 D cliedynnePna !11,1i®catewllth. OHeathMeraMilt4 w L"tense Nanba 65 Doll im ..1 (� a1.NameAadressAMapeoaepPel 3O11cendyelgearbepDesd.�1 . �\-•4� ��b ��t \. U � � l ��jl'liit ii'' . I ii,G�t ,--t ire,-, /�� p f p0. ��\�'S1. t ��and Sit MISTY G HOKE' 203&•PRINCEST, P.RINCETON;IN476701i. %I"Ills-t_ -16:1iL>_� 1�11n-D.:dt61n� Il(1n06/:1-3201 ▪ EVANSVILL CREMATORY\1lri t I\ l!' Cr'1 T'/° I U % u U Ult• t47 •Alms: L �/ ll i �/ U ��i t2■143'St•,ate Nt Haan,Dls«r:`,. or-,;,....„---. ...?„....1-\?/�i\d`,�.\`>,W.�/ f'�'�`yfi\\\v :4 r Raul strar Only Dora F11Wl(MoratiF„,q \\� �-. BRUCE BRINK UR VIAIELECTRONIC SIGNATURE .,.. sip%,Il�S1n IlU1"' . R�/15111� lli�'JUN.14 2 i7�� . ,111i�. � <4 L1L;y 4 it ii I•- 't II "%J_ft1:11,///�I n 1IlAM ENDMENTITO CERTIFICATE OF DEATH(ENTRY:ORORIGINAL)il]11LIL%/ii�l�ll i�i�ll�/��Il11iUtit XI i..,4./11111i)11 • - v -O ilk Ci,�`• r�� � i �, �1 a GMs 0. I 3r<yoai�1oto do (a ga3 r© w 01���01 11�,i, 3, t��� � �1 17, �SSwe Farm 53395 ATTENTION ESTATE The Socmt Searcy p o ..-rep,ested this Nate agency m Oder to pusue rmpalsddly..Disiiosre Is vWmlary end rtrele al be no penalty far refusal. Si i '., // Hsu -ii _IMENTHA/ireD11 ICOL REDSA L GROUND NSI!SC IIIUk.G C1111111t flD 11(11', EI3OFTHl(IlO INDWLlINB: 'e ?ii /t tom. __ • ��IWARNING:NRNISFROA ORANGE TO YELLOWWLENRUBBED.'O GNTDON U ASHI DENVOIDONFRONT.TF TAP PEARSWHENEPHOTOCOPIED— BSA //Al