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Death Certificate - Banet, Lynda J_1/8/2018 e .-.VAX--../l'.--.Lr v r..C--, Lt&Y�4��:C ..-. ..US.rr t • • • • s.!.il..1.�JIiS/1..:-.s Vr�G1 .-1 `�rfw./Z•%4.r1.r ',CI - i /,1 / 1 INDIAN yfE F C`ATEOF DEArH�HE /� \lOI ��n� ' 34` '�`� \ 000000617621 \\ state,No. Ll D� Local No 000269, _EDR+No I I 1 , t 064341; : �_ r• M14De cederrsLegsName�(FStMaale)LUV.ta i T> ft la atMaldenNSme11fMW1e)1 c.2 z�SSe f3tTuneOtDeaM' 4y bete Of Deatj,(MotIVDDaa�y(/�Yea4 ..,:r 1/21 1✓B Unti j:t y/11 � y�Ill I I t 7,t 11 i% .111 ff. I :d�,lnn = 6llMilt ll t d• t�,e��c.c ROYEa 'f� t FEMALE 10:00AM� 1 22 812 01 7_ ' P 1.,01/Death Oalarad In HOSptal.:. ♦ -s0a, tiDeeM Otttinsd SamewMSe OtMrTian q' .S^ )..? •S 't`•'�`'°S2, c r : NL'.� _, / \1:r i,Q I�b°"`°F��'"' ®°Dec x�stlima e atfy 1a a ""tai '�1�T ���y ��aNNuursiMsHHan�eM1mng-term Case Facia;��4t ...1 It13iv4?l®No sgltti,n ,rf 1�rar EI•a 4rItt Therm tiY�t i nelu..81'IO.D�aa�r�1s°v,�ea41 tllflal�l�.tlllt,�l//�tilllY7l._":�' ii`l dr arse y/ i\ 11 t' 1I Fact' Name(IfNalnr aL'Give SteelndNUme_er)y��� //����G+ ,M•� t(�!�/��� r(//inn {rte/�p�❑ y���ynor' 1s�pn�^nnpK�/���n ( 20'4"NORTHS2NDAVENUEt/.a .S 9•!Cr./.rcCt'11��G%aCCC@ IUL�i,�^'Wi�l'"^/atS`tt[t�l�.,CSC:lnL�//.,6"CU'St ©�Gi'Clt'41L�S .a'41111]t✓,aCS�lllli�i�t6'C:• c0 I',\.t2` Or Tawn•SYa;ASd lip COde "'ay," 13 Can Of Deat'1 !lA �� , �� Ar Y R'A V 11 Ma,bl StY.us At 7Te Ot Death � ��i.flN f , f1U 11 1I I Iii 2/_ I 11/-/.dt'li • / ®throne,O mlea'lartseva='eahp.Divo { P.RINCETON IN .47670 I`.,I GIBSLA 0%r- 1 t t1 .L�j +Sf {NeverM rnolApiDnlifin_ T 15sSuvmna Spaces Name W -(.;s•• U -. 15a Last Name Befora art Manlage ✓ 18.Decedents Ue I Omgaton'e- 1P17;Kind Of&.a ess4ntntry sr (✓,.. ,•z ANET,`1> \��' � t�\\ .� ��\ ?`\ is ���' � ,.G1ti\� \ 0• // nr:J;tT17 w� I•1 SECRETARY/.1 . MANUFACTURING. C Y 18 Residence.State U? ��// t I G18a•Coaay U 1 G 8a:CRyOr Teen r / t i or 1 C s I e' ni Y \ I Y / I P� Ili r�, Mil ' ' 1 i ' i ♦�e INIANN 3 -�'N GIBSON ,e� l•``%. Nir PRINCETON \ \:: ti:.3 Ak& � 4 r 1&%Steet Atd NUmoer ' ,- r a \ " F a IS1BE. ApUNO.� Bract 181]Itssida Cary tJmds il .1 20 ORTH.2NDAVE�NUE Gf" ' �i r.•6"4-41,11.e, ; / i � grp•re., pN it �. ,� l �.1, dC 47670, 'TV- Jn �� S 19-Decedenrs Eaura.at�7{�, \ m}Deoedarc Of Hepatic Onpn } V'sa •21�Decedatts Race �� Y `0 r r SOME 1.9EGE CREDIT BBJT 'U! +p r \11 n (I� �y/I1 \ � 11 I7 ti ▪ DEGREE' Nil, ii ilti .. Ufllll NOT HISPANIC / I t�/� wh'Iterl1111]I %11111 .Wig i V: i . (�/ ` r,w 22 Parent's Name(FnLMdecLasq +� (/- 'ft ,_ I ' , rr 4 23rPants Nane(Piny Mkdle?asr` ) + ...cr. t {23a!Parenrslast Herne Bemre Ant Mamas.]0 <C`L"'� "i 'R`�� \ '' 'T\\ i ,\ �`tY.t COLLINS .m .O fl 7 LOUIS CONWAYROYE:SR 1 G RUBYaROYE�\/t \� `�\, (1 J24•I:Axnam's Name' sR ttJJ����&'(�,f ,{24eiRtlatonsNpis Decad�e, T� 2at)M'afrqA�tl0.'�ess)(StxtArA Nurtas;C,y!S+dx`lip Caae) �p�� A `�, 1 I�, HUSBAND Itlp1l�, ui 2NDTAVENUE INCETON ii 19 l�? JERRY BANETa\ /.4�b.� . HUSBAND 2041NORTHI2ND,AVENUE,.P.RINCETON�INt47670 Ra 0 SFr1�?a ' 'Stitt .nVA.L aw"t3+PaSRu�\�T/1fl�O��TJlt\\L'S\YlJ'ss.Pbne`adiposicon�'+�� 1 � i{b�1�`t"y3�Las..D i 25a HSeMOd Ot DispostnlrMCptili(-1,0���ll 2 PIace Of Oisposl5on(Name Of Cemetery,Crematory:Oie'Place)/f2542L SIN < I&'ow1AM State l ,r e' e 0 0$1111 l0 CrtmY.vtfp` 015ktn1p'1EntaMmeN ;- i e,i„ \\,4,..,..._ ��f16 \�I© ��❑:Remaal From ` 92 -' I• • E"oa`,ar`isp gy . ST JOSEP. METERYYY P.RIN4 a 28:Nhs CanwCon acted? a`7 ' 27 Name Ar,d Complete Addtesa Of FUmral Faoiy 'II - 127a. Funeral Hare License Nuottert �4 t T e �; ��, ►�� �/�sOOho `� i ���ir... i t 1! 1 / 1ii� ](II}�+cy/� Yes ®.N s.., 1 t. 1 ^ �L �1� i11 Kam' -1!l + I EVl11GiC\ ILLLUGCCCCCC���i�.�r.-,t1 G7 COLVINIFUNERAL HOME INCz4251N MAINtST, PRINCETOWINL47s70 F,H83001 ;.s o, 275e5gnahre Of Inch•,EL eral Seneca Licensee \ ]t\�1". `�1 A`l <\ a• \y t27c•ucensa Nanter'(o Ucaseee): ��jj vMARK R WALTER BYELECTRONIG.SIGNATURE t 7�i I 7' :cll e �J' FD010130:10' 'll„"///1111 �itly�/lllll(I`3. C r,' 4% Cause Ot Death Sea Instruction,And Ere es R t ! 0 y�Last I Enter he Choi Of Eve1tl/cr seci%� nUttLo9Sr EluiC/ dUY�!>Nt�l n�nebTerm1/ �,I {`,. ����l t APplMnate4q 0 - 2 .Part lEnter The Chan Of Eventfs-DiseasVentnenes OrCOmptcatiocn Thatrgalio CausedtThe DeattuDo Not Er4e Tetngal EveMS ,1 /'S / Inten'at4Onset ,V a � '�Sixh As CarQac Artest,,Respuatay,ANesLTOr Ventriallar FlOnitatan 4sh:NOid Sho`winq Tha Etlobp'ylpoNol Abbreviste�Eilter`ONy One Cause On �� ,- �\ TO Dea'�h \ALine Add Additbilel lees It Neceasay 9•d yi'" j r ��Y}, � • Cc -W1 tw'• 11,�.,r 11 L�!'.rXrjt1tt i, tTfft �1�li 1111 ' '- dO 1L4 -I 1 .J; !1 pm.Lnmedate Cause(FSaIDisease Or Caddoo Resulting In Death) 1 IA./LEW BBODY.DEMEN1A /r 1 I � 1I, /.F o.q X 1.'1 u rah 0�� S\Al , �'-� rt � �. ._ \1_.�� '''e: ' L Li I.). I Li e A airy List Catderns Ad Ary Leadag Tot Cause Llsted O�B. PARIDNSONS 1 T {{{}},,Lie A En.er The Underyag Cause(Disease OrIniry//Th`at livtiate`dd. tea ..� irla�"]° c°�°"`{cop r`,,,�, 0, e`t{}The'Eve ts ResuF h Deat )1.551 ftv I''' 11 s I//C �PERSISTANTtATRIAL•FIBRRLAT/ G%1��II���II�1 tt1h MIL 0 < {{{{{{4`t i'S �r �� a) P %�s`�l\1 .1\�' (/t MnN...c.w�o a,yt11�{{��� 1�,`ypyr�. ,j `' ll ma \W�i.�a t j ♦ a,\ DS.' i1 s� O..L ♦°t.ie /9� r1.. - 'ma e•{c Pan IL�EinterlOTer Sand to CNan ss Contcnttanom Deus L1BuuttL}Not ReRjReeesll�ttnng In TeeUna ar tengg181C1,anee//GGi�vveentInnL{Pat-l?///J,J,1l� I29e oo�y�rr+ ✓YL..Ir0 Ye>!/L L'�vN llsnl s• .rs Flt :tSll rl'IlL �/L i nfr aisllLyd'CVY�y':SnIIUCfC/LCCIII�rU l-V in)aere a in.c4c1aLZ�%i d t inn Yes ItOTNO-YC ▪ 31 bid Toeaoo Use Caend.•To Deat91. 56 32:IIFemale •.• I nperner Ol Dean. \`ti <s?r first.. +l" kiZ y', -��.o�nth1t\ lc.kw�� \���,-Un:��lAs?eewit D�\ t >rt orn�, `\ � _ {i / IOC, '.��t Yi`i5. 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Zip Code \ <'"l �I;4` <. 1 %%� 1 G �ell I jty?711.t' �1'; �t "l •'. . .��•Ihn 41 lin S 35 I39:SCesnSe�Hqavlrluryy0my��m�ed � /I\/ \��*\� •}\'`••Y ode:If t tip: t .,�w- s\ {w 0 ti •:0,1.. t.s.r4flasllil{ I�1.2'�iA�i1 11J `L> try, -5 a ,�. t / 1't. •. .,�T`Imo. t iTa.pm •, . 11 L1sGjLll nil .... , I %,41.,s., store Of Person Cemtyna cause of... .lttrOr`//Anun n 1 °- Ta2CCe2sa ctteaC i O �J�Y' 0 r'/ RUCHI BHATIAl,4`BY:ELECTRONICISIGNATURE �iA;L ..•' -.r G®rcehMroPro 1_14 ,n p Oisrer g @�ySg it lSW" Y /~ ��, i p i , 71�\�� l(1`�i...ay,�lll r�i11:.5 f t, RUCHI BHATIA r13801ABMEMEA.DE.AVE rSTE:2000, EVANSVILLE N�`477.-14�II •1�i 01074796A 01/03120.18 i� 48 AddOaalFuneral SenorProvider .r.-e i. 4•`- O " ' S'y 4,s a/ 'V 9" \l•"Y: er•a +7 nwd•�1 1 l' 4-'Ij, • 48 Sip._ „cnd LOCI Hea�`ROtto,,.. ill Ati �� np / owl ,*1 e, �tttfl..RnIn'tnrgyyi, «0 t ea �•. (j BRUCEE BRINK RN``IAPELECTRONI NATUREG21 11✓� I ll� fslsOY, .1 111111 0111Q��+ 1nul( • 'II 3U0.18 t�� I 0 1xw445E.'sall nfsr H-? n? yyayri t, '1saBQAMENDMENTATOCERTFICATE OFOEATH(EHTRY■OR ORIGINAL)'ainl ediI1t f7�4311 IJ�•3 ,ttcSIMII, stiff ��`� I� �`' r� \ C � � � i � +tea` a 4� >■i'� -3 \�i \ I4V. \ . \Zt .\jam t �, �� ,' fly O�`�,' +t .0``'�� `I������������ `s ,,,,� �tl �..'s 4 .���f�{ S„.••••Statencmy5 .—Fr rlOe ESTATE ThSoaal4Se�...0°+ gam oU71-i n:.a rr• •ntos is.t I nuus iv (n ratltLlair�i ictunti,w,e. ' .WA• NI NG LTURNS FROOM ORANGE TO.YELLOW'W/tN RUEBED7ORICC NAI NDOCIJM .HAS A HIDDEN-VOID ON FRDONT.THAT.APTPEARS YMEN HOTOCOPIE wUww.c T