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Death Certificate - Drogich, Charles R_4/25/2018 i; ,rJ ,-� . I i CERTIFICATE OF DEATH C.' iP . r J; J t ' . J ti� ,-. a_- : 0-„:._ ' ':R 'al w -'> 1 SINDIAN gSTAT )DEPART EM NT OFIHEAL'fli i ri. S'' v »�E7C� °. 4 � /Ik1<c,: t3 � %\1RT,I bEe L';fATF -R�M\ ✓,x. .241 I ': �I r ry 1 c a. ►_Coca*Nod000263 •. EDRINen0000006;1i6802�� State No. De 2905!. .\ J %'1?O tMenl•n LepN Name'lFisiNiOEIe`lest)rrt - I , r ( `ta!Maken Namek(Itlemab) 2'Sex Tined DeaYi>' `1 -1YDXedDeYJ,"(MOnpWayf/� �r IS Si fitil1s, err ' ' 1, 11 Ill air i lk` ` J i t ope - �/to w ? CHARLES R1DROGICH. r•' `.- '1�iC .' '� t t ` 111"r/.:MALIE X08:40 A fS�61222/20;17 ��79 1 AHc P.1 �BII[I ."'�'_B[if,r _�Q nestee 9/1946 i I VINCENNES,.IN l. 9.e Ever el USASmed Faxes]t5 00.11Deall Owned In A Hmpiral:�`\}1 . ' tOa.If Deal,OCVned Sarwetere Oar T.haannA Hospdaa(ala t,4Q . '&... � yt 1� )1 ?. ��\ agtHpopwF�acra ®MproAOerr amisSk. Nursing Harm/Long-term CUe FmtY \�;- Ir+ :p ®NO`IDun i g121491n,p�rerl encYDerl wiGCCS:S5 i igtiamat 1pn� tt?y/�tt��.A Te-„Ajar s!� j r .lr mL. i/1rr1M,LY a ne Steel umYLydaLOlYVaDJne7l�aAaul� -1�`1 G Ett!1Fao*�y Name{(ItNq lns d+^or�Giva SaM aM Number)' /�' p+r ,e (x36791EAST;501SOUTH`C1flIITOM 4tflL�/ 111.1 MillI6 gfl fl AISM� MMIIM I I (^'12-Canyd.TO.m;StY ,'And Lp COae_.. :�`\jam 1'.�, q. �....-, '� .. 13 Canty d Dee' 7, .A, „r`��t143 Mamd Ste imTined Deari ,,∎∎,?&ti, P.RINCETONccIN,147670 +'.°i. ,i > f% I11 -'�!ia”//: .1 GIBSON. ( 1� li t` GDi.:^"c °�Otree�mdM��H:RN-;>rC4 ' r 4 j,155Surming"top a.s NaMe l rr ,N4 C ��C-1414s 4i I 15aleri Name BNa\e`Fen Marhape! 14t .18 Decedents Ustal Omgaam 9 Gn,1Cind d an:iessnraiety- . JUDY DROGICH - -� •a_1}�•'...: G BA '- ft.3 .^�� A,1l COAL.MINER.A,t. 1i,MINING.Ft\ti A(F.__ tCO p669.P'Revoerce-S'Ya p, (.1Ba Cairo 11 .[J s ) Gp8b88bb'7C1idtyyisr Twin r 'I' ikr y� 1 =s1�� -1��1 + °�\L`�`'++ad i,`�� %."i1;1, '.llf1 /JI• "A ill .,- t' .. INDIANAs '• � �+ -ti\'°� _GIBSON!-.� '1_,�'� PRINCETON®� ���Z ',1.. a ���`��c%XJ4%.„1 , �%%N A 4, a rV,.`.\ [ i18c:S„ee AM Number ( "., �1N , y 1111 .(1It43'�r ; 4' ,��/�•, tC�BG ApL'NO. 18e LF Cade 181•InsMe ciy laLlst ,c } %✓��I� G � �k111 s� 14� �11 1 r�� f / 1 ; ❑Ye ❑ 1(C 3679.EAST 50 SOUTH:£ �- t A 1 Y/ ' ”. "Vca. i �.1 �A c 1 "°'( .�( 1 Sy L.S >✓.!� ti a!.J-� t .t r >� I ':•rre t 1 I re 4_ i'l .-1 �c. 476Z0„i nv„ H :, /1h.119`Deredent Edlciajo ��ak 20iDeceden,Of Hispav*Ongirl WS S21SDecMm[s Race rL SOME COLLEGE CREDThalriNOT �� tU-�"•w+�� lit a` tT i v il42,1.... -� $4` e.-'✓y �� jrDEGREEan'AeCreARif W.valt A1% NOTiHISPANICik1 e• I t r°'_elm White 11 �,S l s,`',-Jm , "A g■i 1 t 1 �."A[7f. 'Pret ^N.ame(Fes•VWCI fa Ulsi ��7 z .� ✓ 4.,02 '" - - 23:Pmm.s Name(F.nt'MxIEa;Laspi,e l .�y'-4 y s 23al.Paren Lee.tName Before First Marape'•Z *-s: *' \ S °'� _-s' S `1u\`.l�abti`=e,, ''t�4 Y�\'i � �` � i*a'k•I ., '✓ i••.._. _,1 -J' '�kic•rt .. % iii.s� .:\��G DORISIMAXINE;DROGICH. . ` 1 p' \l- `` \k- THOMAS.DROGICH JR . . � ±^ � �' � - �. i+ RUSSELL r. �- U {`24x4 Ia`aman s`,Name 4 ..,r, kp 1� 24a3Relatonthp.oDecederd 247'Main°Address'(Street AMNtnber:City StaIe?Zip Code) .1 1 t�,y�e- 1 a1E 'e✓ 11 l /J *latiVi y ', s�-� kinill;�egp j �fl I r / W iJUD'ADROGIC :.- '%?_ '1 i ,W EE& -36791 EAST€50;SOUT PRINCETON, INr"47670 •�ii.Fl441� . ex.b.KENN. d Ot \:�cS�1�-�� AOt Di (��•5. 25`Plau d yfOd,eamac s P ltd..„,t i ce`+ ix�t Sa' epodd Disprs�m 9�g*b Njry�11&` 2501PIxc d Disposr:on(Na zGemetery`Crenebry:Other Flarap. 25clmaam^Gy.TwfoThna Stitt � - ktr -w. 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