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Death Certificate - Rigg, Mary E_1/18/2018 4� 2 , r.�l\� T• '.: `�:'`�.2 ; OF DEATH I! za `P•r'LH , rr-�fl .'G .--� . iir: ` ,. * i 1� G2. ,,t� jj4NA�ERTEF CEATE O`F DEATHVEA'1 �S- -�ll .7.... - — ' )--tbj�I '' .. d�laLooal No�OOOOt1'2 EDRcNot000000620:1'_49■\�� State;No 0011,60 �� /;,1!Decedenes Legal Name:(Fr9•.Midde;Las9Y (/ le:rMaiden Nama'Qf lanak) 2.'Sex 3cTtme IXDeath Y d:Dab OfDeath(Maevv.yn'ea4') Iltili=-Mi4 i 111%. t yi p�t1��'° ;fw -, A�711It1 / \(1 Hf'�Ut�'1��1 NLrpf �,``ln,I , MARY,ELIZABETH,RIGGfO/t-I1 _.,,—1 t'iIC� LYNCHN. l: l a� L';EM LEII Sn4415tAM 1111�/<01/08/,20 8C 4tJU'j / .I. J �LJ�'- j 1 y�� Iti 4�\�` �\ 1, � \ �,A F❑HOSpce Far3y ❑' Deaeaa'a Hamel®NivanG Ha'wllaig-krtn Can:;; i r Off ®*o1N❑U ro:1 w,° o,m—Ya nYuk-tto diit ,o gi- 5— ��` �iS_.3kk',,- t n% r � 1rtFa�tyNama PrNaI ssano,LGi„es0eeanaNan.9er)�- U�� G�'sd. �/�� r/�/�� `'fU/�'11,n�U��❑n�L ��y�,pti,U�t1l��}�yy�'''n �(C�WATERS OF!P.RINCETON)ITHEVaIfIe�.G�CU'll��/�cCr;ll� laaiI �� Atir�+t��HL/// 'llilllfl��tllllll+�.✓�i11111�Y11111 agAII 1 �p2`ctty O'TOan,s�b nm z,p Code - r-< r 13-cany,IX Derv" \ 1A subsMTne Of Death, " s•111 �1�� \\— 11 \ l5 • \��' �� v —4ea moth'\�\�a\,,`iL∎S) /I,ljl(IY ,1 n ? <-•""..... \�/� :rt • ,00 / \ ;l married la Maenad 9n Separated ❑ {t`I PRINCETON.I N?�47670/'.�J iii 7 L l►/-A GI BSON�II(r" 11 /: .2®°"°01°e'artieif"-❑Dome,.*'A 1 Q I ts..Sanwig SPorea's Na�,e ^_ ) / U 1 15a'last Name Before Felt Marriage r h•1 v 1e. Decade ce Dual Doaprcn „Sip�17�Kad a BusirossNdostryr t , i "t".-1e1.1111.1 1 � G 1�� /1 /1 STERILE SUPPLtY MEDICAL 1 L✓ te:,Residence--lt� Vote U t her 1`{ �18acCOUay U u' e/18�C.�{C�a�y11,IX1 TJw/mid ill ._ { CY-,i' I,i w.. t t 1 i "J � eC� � ►! l�l 1• _< ✓<Cl�LLItlLV 1- Ip/ ' n O O IA INDIANA._ .: .- _ GIBSON �� P.RINCETON� �i, y 1 r.al e5.,strea Me Mrnber :Jw ��,+ v 1.I \yled Apt NO`.S tee`Zrp Cork 1&.%Irtde Oily LmHSl/ 4� 11020.VINE!$TREET'.:)`sflL11�� / I�� !_ '+c�CW / ' I ®r ❑N�■ a n< a y 47620 rZG^e IUD 1 td '1s. De«ae,rs Eaurexna(v: "zo.toemaen�fHac>r�odvrl�l ' _S HI GH)SCHOOL`GRADUATE;OR G Dp�r IIIln��%f!t / ��`,•�j r R� (r, l/' �G 'ny'�i F,� CON-PLETEDbflM e:21f1{11i1�121tiCU6`a NOTIHISPANIC.: I✓ 111 ane( t,M C.—.4 L- M age iiC1 22!Parents Name(Frst.Middle;'sup r 1 r 4' �- 23 Parents Name lFrst;Middk;Lesg' Name Bebn Fell Manage FLOYDIJAMES LYNCH ,4;-%s-)w-/t ^� � t.. L LUGINDAILYNCH .04 < tlk NMA. \ ee s; _ 24•nrrmen[a Name/ ! T- r2ea'RelaSmeliPTO Demden 24b`Madutg eana�lstreetAM NUnbe;City e! p </ �� l VJ w iKARL/V 1 u� .�;Y � fall II 20 I 1 1NCETON �1 1 011 "4 M ` `r to� KARLA SUCL'ISU RN "`ti`3�� NURSE 1020.VINEISTREEINCETON I .,n� Q 3 naav� �. `N•`cll>n\Ana\cur'aW 2-35�P «Da Zvi ` ;'-A° �2018�.�r-N ... 25. Menge ot ospoecien_g .a Gtotcr 11® 1250:Place Of CrI eon(Name 0l Cemetery;Cm:Tory:Other Place)G:2x,LOma:uyvp'. �A a�stye�T ' U . UIs HV I Bat❑fcnnniamal❑Daumt]'Eaomanem) U U +l� )r/ U7 U U ' iI1/ 10 , O ir CEFFIemwa� I � 18 ✓�� , . 111 In :i .,/.�/1�, O :❑Aae(spa;hn- TK\.. OWENSVILLE CEMETERY�� OWENSVIlLE� ` `41. 1` • 25.N'as Caoie Cavaaed? 2T Name And Complete Address Of Fatal Fealty U -.uiaaON.000NT r.✓, Pa Fataal Home License Number) U 1u I ` Ai, 1L' 10111 [111 d/ Itll inniI rQ� h0tee 1110.11 �g_ W I ❑�esY i®-NO �� e HOLD % �1 .N.:' w�`��g�aC � tHOLDERS,FUNERALL,HOME,.3'19;SOUTHIMAIN STREET�OWENSVILLE,%IN•47665 � F.H11700008i'E81J� Fl`,27b sgnaa.ealnaa naantralSeam1;anaee:,�tltvaW S ':L\\ �v !27c.uaee.NUme(au�ee):. �y�. -ice G BRANDIIMACERBYSELEGTRON,SIGNATURE "tA.d.�nt�ea %21 n.. G F,D214000651T hllllr rn. V t v /�g n 11 v caul. a Deaf see IRnt,d11&All lea v v ug 1{ Q I8. IJ 1v►11 nQ� �t111��11uU1 ,.QDire� Caused t� uNot Enter.im mtV .{ �I'•I{ 4 j ADProunse�] t LL Suth'M ardtec rb stxRosp& tay M Diseases;'Or.V tnLar Fa.Cation to t Showing h nre a Calagy The of Al nate E rater Only One C us / / Toaedt Ornet Surh 0.s CarQmcAnesl Respra(ory Arias Or Veistrinilar Fg...% n,YJdhout --.a The Etiology.tpo Not Abbreviate Enter Only One Cause 2n v � \\ To Death $'ALne 1A Ad tW.l flag Nat airilad��i' g �. ��' �" v r4 l \\ O I matt �n lrr��udat� 'c% 'I % IMO ID SCArreu / * / 6.2 Y6 1 homed etaCayse(FvW DUease Or Cdrtd2mn Res,Gting In Death) la AGFNEUMONW is'AU �� 1 I'Sacra_ q ✓. �M U yPn�'bylaw nbwu M . /. 11 / 11 a i \I� VIM��`r'/Ow. 1� N the„). �.�� t` 0. b�. SequerWaPy LM Cond4vH Any.Leading TO The Ca,ae Listed B.' RIGHT•HIP.FRACTURE h 6 N�EEKS { o.e p.w. 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II ul ✓vuuutl.�•u O.YnU om rTI • ANEM A'Cl{{, It 1tik �I1 GC/L titutu UIr��t�dWllll �� +P mF nA.,-mirdaq AVaiat TOCaoplebTrc a iDeath 4 1 411 6•P ■ Iutl�id.elaJtr<>6. u tree an4ulr��tvetuu�❑eYas9aNd� i .�151NadTa,.aoUse camaaeToOnty. 32 11. la,\ L4�\\\� a\ 1�6` .ea.. 33y otota \\mil .� [(�� M\ 'c?/0:\�\v/xl?a vre-I `1'' ❑re vet.ere • nw4++,TA.at..- p;wmv,.aun•a-._e eo-t.MI ®Naeaal p'Hanwwlp *laPetang tmesagax' r,;, Yn ❑,P ali ❑N ®!!drawn 1✓:,,e- .Virarg R�lr TTRLS� l�itl \jLi?;:ii, T7 = -�1>/ Sca'AL 'A �<� 1r� 1 L%k�1111 LAy(Mor aynea.n,. ” ❑ru e.wAjur; - !aom*at we._o. Plans u......sms+e —TMti;o,� ❑S,eoee❑' CaJd rat; ,at friary' IrWOCk?" Ulft 3a'IDora Of lryay(MontvDayfYw) . �� 35! Of lr�rry in Place IX1.yay(EG;,Decede is Horne;Colua,caon SEe'Reslaaa4'V'bodM�mu�)�}��- 3T.Irju)•AlMMtV �t) �` t i�)a �_ �. � 1ST\\\� •••• •'• °�jC`\.,�,❑° o'A 38!Lorx;an Ol lr(ay;Sob Sea:CM1yd Tam 350�SaeetB Number 'V ♦'�' M.A.pl NO!, ?Ba.Zq Coen (I tl l�ttl` a qId`% t i\mt 01 'rho 111 Weim l�° c i39-Deta;Ee H«.Irr,ryy Ocar�ee `� • av�p� ��v ��T1,! 10Ito..Train_7 O I`wat.f inc t �ll,h` ri,�lllllK / Ij IFh1l/11 ,>ti' 1J.�d�J//1J1111��11,�1;re2111111°/..\�.\ 0? �' �/ 120r-n aths oiU aafm rn,'"-!tS a -Of Perum CeRyng Caine aoeaty3fl /f..11lllfly*�//,)flU%1L!///U fl �t'✓��pg .+ " laztDencw"(Cneat orgy Dne)T// ❑ U/ [I,l},'tl f� t, r� BRUCErCARLTOMBRINKSR'4BYd ELECTRONIC,SIGNATUREaCtI!l�L%6':�1 aces®cti&-7 -- -P ltlLO �JJIr H�eaaors : lUl E��•435NemaAeansAndaveaeeOfPanonC zrUynoCarseOf Dea.No- � 2' �, �—N m Lim„... ore ot"; as.:DateCeroxe ��. ; S.111Wli 1i� 1 H ?. 1f1i2 �li I '-+li 11,�aa21llUUl%G i..edI Tort"; �� M� BRUCE CARLTON BRINK JR 410 NORTKMAINISTREET tBRINCETON,IN_47670 020006104MM 111111.01/A1/20 1 ee AESSmtl Fu err seen®FrtMden k - \ 1 v • - II y� v U v so t n •At a:� r/- r/ 'n'U 0.\-2.W amt-2. \:� •.-i`\`t. .,,\ ... _ ..4:141..-∎` a .ate 4\ �� °1){(1��• ri yore �r r .rno�-arT IS�I� a ? IIIM A>� (� •9 iF«Reg ay..o t -Date FlottiMalwo Vera llY b� l)Ulll ECi BRUCEBRINK VIAIELECTRONIC.SIGNATURE� 1'v� a.�i�1111 IVhIUQ �i ��JP'Ni1di20]8 W4fj 1Ut° mit,,t,==z&actitteravantIAMENDMENTATOCERTIFICAlE O&DEATH IENTRY.OR ORIGINAL)LtIUU%UJI111/!/&2111111�/�"L'N' ]llllt � Q ^ � :` ` ' " `�ly i `vp ' ��/ �/ `=lti\ -/1�'�~ \wt, � a� u�.`te: ll,rs �a1®y -21 It a�3 g� ��a s�� o��o��/L, .� �. ,o�� o tal1Ij4/nL'"t AT%3ORIGNAL DOCUMENT I_ MULrCALOR�EDBACKGROUDONDSPE CIAL=.WNR SECU�NTY PAP�ER/ANOi1 Lir -ESA-' arrea�EO INDIANA1tONBACKTFUT\ �ii Il WNRNING.tTURNS FROM ORANGE•TO.YELLOW.WHEN RI186ED.IORIGINALADOCUMEM:HAS A'NIDDEN.VOID ON FRONTTHAT.APPEARS.WHEN PHOTOCOPIED.La`-^t Uki , 1