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Death Certificate - McDaniels, Karen S_4/17/2018 } t _ c Y l!_/_ ____- ^wr- _ • -Zv2vr. -r--- _ra.7k�Td,�rlwraybetic.11rr `� "a ' �a�,INDIAN S TE DE RTM N 10 HEALTH r j; � . 4C f ill L;s4„4-ii,✓�ti� , 1�� CE-AIA TEOFsDEATHI�iitt ,,l!∎ \j'∎k.PA:st', . \� ��1L,s ' t, ��i r aJl \/`"i! !/�i�Ar �'i /. 6' t .LGCaIINo 00.0265�� EDR,No 0.0 I 637<.1J9;7: �wr State.No��>_Y _ 14 t p.+•-slepaiN a(Flits•'.. ast): . }i a•ir 4 a.'Maidtn Name'prfema'e) I ;i 2sex Q 3.S tie Derr a. Date Of Dex-L(MwNDay/Yea4 i �� KSAREI1fSIMCDANIELSA.. ♦ i 1i`�� 6C�)l1 �.B.G,Y, R�'�Y�-aye ��i\ �\i k FEMALE "b5:35,),\M a. s 0:4/03/20:18 fC. 10 IDeao'Omned mFln F4HOSquF - - - - ✓ \ <1' Y `�, 1,,..,,"1+'41\1`x'-•:• ....1 a`\�'1- 'l2' p ax w �pa�n r10De dents HoomeG.O Herne/Long-tech rare Fealty.. �N.. i .jYes 0 NOMD Urwias ❑I PaS'C Z Emtero Department O,:a e,v p Dead onArrrvat p Oi(Sgpetlry)_,-'''.( a�r 4' y-ay + . .���/, s \' ''TT�s /� . . - r /11�; ✓'%.114:1.."1.--4.��tt?r ,�t'iI���� ,.> „ : �1 me NoY. aw past ern y�iv 31-I X11 ,1111 41 !.��i11 }:n;� � vi Ili � ,,i►y X0' _ 0 1 AY?..!' a..fl �� j1 1 { b < yr 1{ tr 11 A-' 11l s f• +'- s I1 -- {U4.. -- • { i {lei; Death c� g - 2..Car Or_tv•Sa And Zsp code ti' \l .�f ,°e • .� ' - M,y - 'n 4 \1 :. • 1 are sun,aat r Ot eam I 4. * . 1.{• / /a t4 1ICj r� {-/4 1 1 1 I'l8'Marrwd p`.Ma-Lrer`tsryanttl psorv«r e.: NEVJBURGH'IN.47630 i��•II. %CIS 1 l��',t�t�/ t t g�A':d WARRICKJ` ���i i'.�11 t 1 r©t.taw,ed j/pO I'n Ma,�_e fp unglom� ( •a . '` ..I„1_r '!11✓/ '41,rI I 1 rig"4.�DecedenrsUSp4OUnlpaion L V /3-'.'t "`!"7I/r i.' ``2\o'\71r>-)>- ��{\ �!{ % .�.;, /.nt 44 �\���91`SALES REF-RESENTATI E ' ��11 tr\ 1 o tJ- t F' i T l E t9 IS'1{T''cC„1 iOa•CainlY r,. vlt;'ltl P-C 'I 1 i II G o ry s 14 {Ij°!�� -T l l c t ® {s ? {{ (�G . i biS;�\\� \\4 ti 'Mir,. "-..l 1" O` CAR-M �41`.;:� 1:r`o�'`kw$t %`-4u S •/e//��tD N - .it ,'t�',�I99 b %� e� i C {]i`i�� f)f- i fy L' �l tj1 led Ao1 Np. ¢Be.Zlp Code t 11 sts}wde Cm ti,rets? ' N RQI WALL t e�S E ai / �1tR Al\t���q��� :4Q1 I/'I N.11'��'1�1V t 1 � �� / A !11 � 12b NORTH WALNUT STREET!,4 / �� � ^� { /'�' F= �" +1• ®Yes ❑�No C�/e\ ���: ,.�i\ ��.� i .�� ( � \- •� 3 ,v 62863.+ r � p✓.+� [N• ... is Edura.. .' .!`. iTici, T:SSI20 Decedent OlK Para Dr -n•y"B h1•7 tr `-. ,•• ''�` `?� \�\°• i, -s'ri p�.S SMEiCOLLEGE CREDIT1110-,......-:11;BUT NOT*A'. 1j�q �} �.� y � � �y � ,se \ A ..- R -'i c f i'a•' /i t 1'„NOTSHISPANIC 'ua '%'�t� r i', �1311fii S� it _ t{t �;1tTii .uat;s 10111 1 r4'22'Parents Name(First,IMidoIfast) .< A'I ., '4r j2P ae • 73 Parers a Name'(Fvst,Middl tasCr ' 23a"Parenis last Name Before reef Manapei i ; IIEENZA BY,ERL•.YA� .4""+ ''4 n'471.- .:!!�`\CLARABELLE BY.ERI11;I v I r--� WR GHT 1 `3".!; I 1 `" :Q' l2 'Intnnne"KSNa-;e" ) il•'� 14 ` 24a.Relavmster3p To Decedent' 24E:'Ma ,9Addressi(SYeet And NumbesTGryState!Zip Co`,d`�ej��,,�pp !fit w a �a �� t 1+q Si irr-zAula Imillii r6 tXt' ®91cerpai . !��1 �� ` E JOSEPH MCDANIs i , - A. -..e.. HUSBAND 126:NORTH+WALNUTaSTREET MOUNTtCARMEL IL 62863 Q;)%0�\\\t.+'.li\\�/i -'lit\\x11v,-At ih�i�2°R. fey!4t\ %1R�.\,/.fie s/11*=r\�/e1hE:�!/'13t\' IY t25akMeYlodOra posl]annfy<+ l] Is iis� 25D'F1 Or Dlsposicon(Name OiCZmeterypc m tory:o01herPlace) txa on sly .• t-a ' `e w II,ulttp Ct' n ()Doi.asoonf O Eno_,remmeennl ,/t J s`v-•tty°`1 t l.<• A §n r . (1re Y')!Y t ,,,7, . 1 1 Y nI Il /�,,,,d�_i1;'S{b�.i• ce<ip•R,e\`mar conState. ``i ���avii Y', tszl<-- 'tru.1?"�\. ,::-<Aiy `]s ,31t rdfr�'�\��r' �1 Q- D-fir+m(spesi,). 14•,�r,,R, COLUMBIA`NhiITEtCHURCH•GEMETERY1'''• 'P.RINCETON;_I N\ „)x `si1111t:� i ��%i �\5. Q :'Nax✓ ✓.• / 27.Nara CamplNa Address Of Funer al Faulty ,11 < 27 artist Hang ticew Number.p.a ®^Y;1o`1 ....... 11\\\Agi m Q01 qLI �i 4.1a, tt, A y C j','g'%`'\;':� �� 1;! w \ - a DOYLEIEUNERALHOME,520:SIMAIN ST, ;RINCETOMINL47670 4 w� \".. .I ER10400010:N.u�• I- .I27oj5BnapeO(mharu uwalServkELicenseT g 9 1 F .NfI�Iri J 4 BARRETil • - th:YrELECTRONICISSIIIGGNNAA'TURE yS1t�76"� ,` ED29500009j.nN, -a• �. ,a \�. Q '>Vt I y' Causer Or DeteL ecInstiuMOne•A wl Ele nples) =f A28!PartV Ea rrter 1 Ih S'1 Cr t f / t°. �I4,iGFl Thal O:a sv �F+ q°RErn.os 0 1 ���\ 42' �Ot ett A i p ashy CausetliTJ4Dea• Do Not Enlerderm'_nal.Eventa _ Si-arcard - iR lITr es Fan latwn W,;houtsnowvi'Ttia'Etal•' Do IJUt Altrvute.E er One Gauss On +,' Q 11 I 0• oBY` Ny +. "�.a \ To Death\°� A"LmS ladrAd�wma(Ym'es�ltflacessary •\}:i ter, �j-� I j \\ W' o UPC lentil erree4bI 1' ' 1; tit /:T �NA i YP LV63��'.IIHIGV 3E (�J 1 `r%�; UNKNOWN -ace li mneda a Causer C i Resu1"1 Dealh)fl'-0t END STAGE RENAL°DISEASE �I a t UNKNOWN.d.r+ 4♦t r y)' 1 I' i w P.mNaas,,Ai pR Seq�Ighlly. re rd.HOns Any ead.rg Tod rre Cap°Lntetl t� ��� .44•1. -'`ue �' ii" .•( LneA Enter7lneU Cause Dues eOr That lndla etl `I[ T -Q,.o.msa+p.��wiw��e oqq ��;`�Q/y� <� TI"i°PPyy'��s✓a�9P tl+7 .0 ' a,�) r � 1' " r-," tltl{tt� �'r 9{I �<F" iIIHIfC/G1tlt T U �'r�4;1•11 )lfC/GI�� .# \•lit8S0. l:frfr?Il \a' 'j J,r d. • d,le fo.w A�.•.."'et 5 •^•• i f}i