Loading...
Death Certificate - Bishop, Lois Ann_10/11/2017 .:si.+e.�ra.� sm.,Rraa...eciarenan.�.,. .,r -mti u,W,d7r- d�SFad n � ! p1 � \�j 4 'a *: `� 1 �`v (` u F 11111 , �� - 'Local No 000162 Si�n1\ EDR.No`000000592850� State:No 0 9989 . 11D si.ev yams(First Mmie last )j'EH;;- jtVk\ t1 1 nwmew a) ,:- S,7,114-?-,�7T.n.Ot Detr .t,Dratwoe,m(M r-21 ,i i � ,'I\j 1111 � ti k� �'uk'ul - • ' ...t;9 uirr�lj I LOIS ANN BISHOP <` . 1i' t el:tA BISHOP 111. _ l'FEMALE1 ' - 1.1:40.PM/�61�11i408/102017#1)t ▪ 92r/t 'Catered Re ''« 1t �Vrrilliai1� H4_1111 (M _s l ,itfl•O9/09/1924i111't&1 .PRINCETON,=INuuR----- llan 9 Ever nU SArmed Ednes? 1 0 1 1 Dean m A Hm/`� ``-- `1(11'{ / 10a5 If D e a lO O[a i n e d Samoan Oh%T an A Lfl Mai 11)111/U 4 \1* p■\,�' \ti, `'`���L�\\\\\�V(�1�\Aria-cc-04,w�C ,G�\\`\\\VU I`�zV^ ❑.Haapim F+oTUY �' DeooeKS Hama�\s®N�aseq Ha'ndLaiPMm Cnan Fa .1 \\�l, � Ay o ❑Yes t r,,,)a UnFrloen ❑'waxrn❑ErrepcY Oawrmled on Arena pia si, ,hV ,�" `," ��"� ` " l � i a_./ 1.ui.,i.ial..vr i.f1�/ 1t t ittt� l�l 1� �11�❑ �la'. -.1 //_l�l1n_ 11�I ,0 GOOD SAMARITAN HOMES ND EF ABILITATIO CE TER �1' .hU111// lil�L..a411111111fzu'�iill 11II51�/'. AtliSt;/risi1ttiU it dm 7 i� 2..Ci7 or TOm,Stag;AnOZP�Code re �,� t C��V`Sy.���U �� 13 Cant OfD7.k �l -1a Martttl Sdou At Tme OfDSm . lye J L.}. 2' O 0,--x:, v ���VV'A,���A� ��.>1 11 �{ � Q 7-ti /V� ;-wmeaO Memea Bens Tryst -Drood, r 0 IL_ t G�� 1 n ®KkweE%-NevrMartW% Umhwn`/ (�P��OAKLAND CITY;me 47660 " /� .r` - - 11�1>,�Il (in/1�1� GIBBON L �tDnl% (1 _ i .- ,/. s` 1 15 Suvrvup Spaces Name , I } i ) I% 1J 15e••last Name Before First Mariape + G 18.•.Decerres Usial Omgaion 11 1] K Bop BusvrossllM,uq GC ,1 1 \\ pit> N� \�v cbK iii U Si ll 1 �ii*I 1 t , .I�/ �N nn ... dill CLERKaTYPIST tin:S•1'1,:;70:1- MANUFACTURING'UrA•/i,15. Resaerr. State 18a Dou1a,' / 1 • ' 16105 Day Or Tam' �� 1 I / 1� f i, C F. ) ✓ t /f I I 1 DIANA .,-.( € U�o GIBSON "� �. "� PRINCETON` ,.._ t_ 1. ""\\'���\�t ��'�1 r n 18c:S7eetAmNU,>10erl r ,.,'„,;:i / 1Iii-%' v �v 11 ''-a %54111o�f Quells�, ��I�xrityl� (( I %t 1 ✓= �1. 't■l 1 ;�11 h <I 1)//11 4 grri.911th{ R /_4 l -Yes t7 NOS 11),NEWJERSEY STREET.. /.' , 't i%< klot'11 i1)"` s�.d�liut�:t;..tl� 1G1: aJ11 67.00 t 1 15,. , , t!li i ' eC IS Decedents Educator? .�S:".ti \\ 2 Te\ l tn ngn =i " •2\1�:.Decde"y'`a�ra\\"InK�;j\\'sl( '\ '-Ir - t:c i; . 1 \l HIGH SCHOOL GRADUATE'OR GED. 141 .� �l n COMPLETED 1 NOT:HISPANC.-.La.:1%',111 1.l./ L l�\NhiteCil ��t 1. ' IIV, ali1 ce-AtIn. j 1 T 22 Pamds Name(First most 1.551)1 -- 111•{.. rt 4y'f Id l tt m Pant Na1n(Fe*Mi .Ls.0'.K tt dirt ',), `all t` 23a.smears Last Nara Bebre estuanupe 1 0 JOHN MANFORD BISHOP. . �� r_; /1-_1Lv . EDNA C..BISHOP 1Rn <.,.'�\w7PV FINNEY21 `N, i i 24-Ir•Mne.ts Plane - - 1 24&Reltpnstip To Deceded -2410:Ma&np Aeaets'(Snael And Number,Cdy Stare:Zip Code)' 011 Gr- ll1' v 'elk Yw / o t �t c< 1 . 1111' %ltIIPt1%/U 1 �/ AI1Nll%f ! .tt 11111)11°//tUtiitte/y;l� /_,0 1 I h U 1 �L TERRI MYERS - + 1 I• -1. , DAUGHTER!4\l�� 2720:EASTrSR.64 PRINCETON,IN 47670 11•I s�)1�i,.T.-u.1C/ Q y l 4 - . ..rAAA �1, .AVIinPwaopo t , VAA�".1AAAA���&a--.. tiV r.a.�"-"�A 1 Cc i 25a Method Of Dtsposr n 1 1 25a Place Of Pspositon(Name Of Cemeter%Cmmabry:Oter Place)v';25c.Lan an Crty;Tpen•Art State 1.fi 1 ,j/�' ''%P ) W% ®eil-Csemaooi -Dalaton�-E1ean10med '%�I l/////�' 1 :•'� 1 // ��'��/9 }��}�/�.• S:� ({t�I' ('11 1 al; -Removal Fran S at 3�++ II - < 1 ki!1\ At `" _ \r 1 Uv �A.T,\ !t\\\lATjAl'��a. t�.I �� \_� i O> -onr(swat) 3:..\`_ WARNOCK CEMETERY.\ \ PRINCETON;IN.� `'\j - - - _«� � ' I 26 Was Gamer Cadzaed] y:27 Name Art Complete Address Of Renal FaaTIsy 2 sOV� \�G ',� ( l'127. Fu,aal Kane ueme H . 11 ;, ,t 1�- l ( %111 � �111;1a1 l�l��i ollll��o��!I..:1,111114 1��fli , '`Id �uiu� a 1 I ❑Yes ®No y' • _ 1 - ' COLVIN,FUNERAL'1HOMEINC,425.NMAIN!ST�, PRINCETON;IN'47670� 1 I FH830056716 tt1 /1 i_> 27o:.SMIM:ueOf Inciana Fulcra Service Licensee:`\Vi,,2,... " '�� *" \ _'3 ', .. \% '27c,License Nutter(vU«tvnee):tC 14,*A:. •;SV \) -i MARK R WALTER BY ELECTRONIC-SIGNATURE�ltl1-nV /1.1 s, It 1 / ED01013010( /ills\Y,I A'\x/1„4.n ) Q/ :� 1 �/ Causa OL Death (Sae lmtrucUOns And Esemplea) C� ✓ 1.7 1... 1' ,1 / 1 / • 1111 p �110 pli/. c Ca De r .o�<-e, ec m �ts �/ tI� /. "1 Aaavat- 3,t lII -'. SuPan1Enter - v ;Or Complications TIa10cehe Etiolo 1Dme-Dealt ri NotE Emir errnmal Events •I11 Tdervat.Onsat 1 Suds AS Cardiac at es FiENlafim_VJatvA Slv«vip Ttie EliObpy Do'NOi ADbevate!Erder ONy Qie Cane On ti >y \`,` �\ �T�DeaN�\ � O tnmeedate Causal ID O utt>en RestAirghDeam) IA"-ANOREXIA-1_ a��I11I1I�%/�I�!1s1��. rttK=l�ItIk:L _ --=-1t Knrt'!//.1 1 t U U Iwo Nat.rwa.vw 1 t;1' N ' '� 71 al`2017 / 11tt1� i1.° ultll� o s ,; / al , 1 �I 3� vii i � 0�1 \\ c \B. FAILURE:TOTHR( 'IL --...�1,��1 '1C 1�'�ll 1MONTH/if fa )• To The Qi 'LmeA E to Tti Umolyerg Cease(Disease Irpryihatdebract (i� /� liN 1 11l.j�rijr“ �wj��ow(,•∎� fl �� (n1r�, N (� The Events R m Last l 1 t 111n_ - /1 i MENT Cm11111)11 Ill\�' I fI Oq (gyp �1' YEARS d5-2.-11 T.2 lG�. l t'i 71 C �tENDSTAGE ALZHENIERS DEMENTIA� l Itll �111�. /l.�lltfn_�\yEARS1��/r J . 1� -t1. 1 Eve 1 al U �„ /ieonmPA.Ac w e'f G` Ilia -�/ l/ Y..d I, l/ a 11 1 �� \ GIR40N l'OLINTY AUDITOR. - \ i Pa:d Enter Oteer 2riYad fv.1 s ..rte b an El"Rend 1np Inn's UMMyvq tn' - uu -' :29 N..Cr op^y Pedomed] 'A /-.YOB%®NO-//ro11IL1�%l 1 T 1✓> // 111 1'}{ rG�:-■ V✓ I Q OSTEOARiHRfilS I!//'. 1./G'/ 111 ate".4.,t .a :03.1VA1`1.1 V1�1 'MaY .�i,..-7<ati aFiiMinpwa3a0le To Vha�ue 011Oeag%0Yes1-'N i' LL� 131 Did Topxco Use COtmW:e To Death•! 1 32;11 Femae\tlIc -` 11 \\\Uac 1.215\\�2.,& Mather Of Doan.Ile DUI mo,. 14Ice (C � `/n om • '" ^ '0'.winw verPal r..,-0 P.r r,.ao-.e --.aR.p. vn.pwvcouO..aoior 0 Natnalo Hande L 9'Accadern Q?�5 Inveslpaton ▪ -Yea -P�0 No rb1ren•-•_,•'‘'. -� w�^�a�rtii�i FaL vim ✓/1P0v /_114vv"�� ✓/ - i# .gi w 11 tiny-:we.P ma�4vn.,is rrvl/1 -Bootle-.CoW Nd Be DebrirvraN'/ ITt,�i #�ll.l1 l t i:34-Dab Of lryuy(Mat?vD5/Yr:) f_I,-i 135 line Of lnpay,' I t 11 / 38 Face Of lrtSy(EG:Decededa ms,--,1, Site Resrevaq Y.boded Area) ,/ 37 Uj'.s s•AI WaK!/ 1 7 / 1 / • L �1 1./I U 1 vJ {C/ 1 a r`1 Q{� tit 1 �J � '•1.1 11U`�" . I� \t G' �1tU.L -&-Ye's UGO � . `�\c 1` • 38 LecalonOflrytay Sub -* ; I 38a. Cat Or Twm>114' a�/ 36o Stree:&NUnbar^ t ,s - 3&YADt NO./ - 38dtLPCode �V - , � L T I �tlw., 1 tai P1� 11 ���� O 1 ©1 O � 1 , / l 31L� 11 nrllo oli1[ ' 111,E ,� .�1�1i11!iltIma 1i l i as'Den Haw ENy Ocamed(�� -▪ 1 V V 1-A ��` .} VAVIYt.' a 11T owe5mlquy:S�atM��VIr'C��.1 W 1. i tilt.:% .r?. ,�L�`i ) ..-2 str eP il� -'' 'tc. //�1 •L�%/ llt.-1"/�110\\��1iM\\�,.-e..rl. r.- n•Singe Of Penon Cgairq Gad,Of Odadt;11111///_t}llil11G//_IflLIxy R' lit :a I i2-Ceadw(Cte&OYy Ore)IG Ijt�L`G///Itilt h"3:�rr1 I I 4 MICHELLE•GEE SNYDERt(BY-ELECTRONIC,SIGNATURE(il t`,1 � 11, '>S1- 1F.®CendARMalcin:1W O.Caw,er�41111 -,HeethO3mr•%U1�1111 " 3`Name•Addax And Zip Code Ol Penn Certty"ecCwse d Dea:Rn - ��\a U" ��v 1-m.,L;xn,.Ntmtr -Y 145�Dae eteied\\�t /�7' . - % .t" 1..Z. l,l�v//.•Qn -`1-;a\1�//�n `�i/o 1.}1\ 1.r l';`c*, ��.>''n �1 b L MICHELLE.LEE SNYDER PO BOX 948 328:N.2 ND ST SUITES102.VINCENNES)IN 47591)111111M .- 02001984/0111n �. dl(ln 08/152017 I ie.Addxw,Fu aSemuPm aC -�'.i(°o v I4 u t 1 p 111t�1�j ua•Aaa uytvI t� 1)111 l� 1)11• I r Lt. Sputumd Lntrel Heath ORar 11 10 M i p w 1 ��-yj l-49�ForReclatr.rON9 -Dab Fiad'(MmNDaylria).•° \Z V I L, �I ILEA OINK tTU p� ....- 2. 1 A., /4 ' 17 BRUCE BRINK'JR VIA ELECTRONIC SIGNATURE�111411rt� (In. 1�.: '� n�/?11111�n��111fAUG:16.2017�//:1 n.. .'��11(L.1 1 ;:-.....,i,� r �.t ( ! 1 1 %.11I.lilt l///TillUAMENDMENTTO CERTIFICATE op DEATH(ENTRYORORLGINAL)Il tI UI. r.,,Il111111 1111 II /f 1U.'VI 1'tUJtLIl I 1 < ' VAV�i A\\Il �U ♦ '�-`, tv ' 1 ltd L if Ua n 1 I �� �� U��1 �1 e to . a6 la i 8/30!{2-- °I.6"<s-oat= o , s � ' X111 , rr v 1v KIJ� / / lf%�1_ 11I��Sa'e FOmj�95- ATTENTION ESTATE lte Social,SaeNy#istberg% {itllil�v tstate nlirn`'y�iieW1°. a`plt�Ponsioaay�✓till /% itnn/here;a bernU%fa rota- %ti:, n le w WARNING ORIGINAL DOCUMENT HAS A MULTICOLORED BACKGROUND ON SPECIAL•WHTTE SECURITY PAPER AND,THE GREAT:SEAL OF THE STATE OE INDIANA ON BACK THAT 11 If TURNS FROM ORANGE TO:YELLOW.WHEN RUBBED.ORIGINAL DOCUMENT HAS A'HIDDEN VOID ON FRONT THAT-APPEARS WHEN PHOTOCOPIED 5 dr.i` �/4: 1A Mt: "'v'�:..alµm<�--\:r '1 l'-tV`1l1 A:/-'C'/' 1 I_:-Z'•'-3 . a T1.- 1 • I " I rF-�J3t 1.r kr Z-1.0n ,