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Death Certificate - Doerner, Freddie C_8/7/2017 Y+ura�fnY.�tw....,. _w.Y.....r R"si!1hswYar ] . ` �• w. n �1\S��I�1.�c3w, �. :;��j.�>,,,:„. 1 � 'z'INDIANxsTATEaDEPA- TMENT OF�HEAL-TH \,,'„-. (\-,,,%- Q(\� ° 1�„�--Th. II' c .z1 F( 1H I�t),,e' II Alf 1;rv.-f 1111�•I ■� , }I/7lµ� ll 1 11� it ;e. • LLocal No;000;146 " EDR,NaA00000588580 \!_s Ie:No 35673' , .:1!Demdens Legal Noma(Frst Nalrhe lui)-'- tT i'v v� ta..Mal en Name`N M.Se)I V�" I,2'Sex '�;3:Tan d Dealt/ ,e3Dab d DeSR'(MUtMtY \J ,yA1R111 ENnn. X11 j11j/�1, �11� 1/ {)1� 1 l.r.i l�'d' , l G. Ez FREDDIEC.DOERNER, t .Und 1 a 91. 2MALE. 12'SB•AM 4tdSwa 7/162017 1 G. l 178-�� Maw >t " io\wt\111 1 ,\1A11/! ^+ 11�(1"t`08/03/.19381i111 iSOMERVILLE-1N�!1> Alln, .9‘� I9 C-vern US AmteaE cn? io 11DbT OmrnOlnA Hdepbl� L<l n toastt Dealt Owned Sartaetwe T_1an A HOSpae, 1 t :.'61,4..4'��li rr'.vv�Yi�ei i ,1.13,1 .011.,1 �p��oif��al��_ 7wlo�A')����i�11ti�\�//)Sct il\1y.%!�1n{\t\�1� ,t 9c{� a/JU{1 It I.. . ; 526 S7 OUTH,JEF RSON'STREET,a`•i�-11. 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( C 11j l y'gnyv• at • om °v'v-. State Faun 53395. ATI-ENT- - ESTATE:The Social Sec ahy%u being requested by No state apenry n order tp pupae Disclosure u volt May!if', yM De;m�panty fa mast_,Maj� . /�. 1I " ��4'•MIL 4 ORIGINAL DOCUMENL HAS MULTIICOLORED BA�ICKGROUNDtOH SPECUL WHITE SECURITY 11PLAPERµD THE GREAT SEAU OF THE STATE rF INDIANAUON♦BACK THAT ri . , ,,,WA RN IN G_.TURNS FROM ORANGE TO YELLOW WHEN.RUBBED:ORIGINAL DOCUMENT HAS A HIDDEN VOID ON FRONT THAT APPEARS WHEN PHOTOCOPIED/._.'1':r%. IRILl&.'