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Death Certificate - Lindauer, Sharon_7/2/2018 4.tvnaTMlrexwpwrarerenVI Irta�A whwsa7 R'2xwhwraX l V/.4ftelnLr_hwtvrea+n,Ger>l/i4rz�Y�sSiIR:V¢sYY�n S , ,. 't < `y{ I/N,DIAt[JAtSTATE DEP TMENrd,. sHEALTFI ., , ir- f \ ?,%I +§�31 . e Q ~� , } t y;�^���1 ER 'F,ICA,TEzr EA H�)4�i i i %l�iy �%!11�1 -..1 I s . L oca 0 706 EDRallo� ! + .e i 1 ` 002686 a\ • 000 000000621446. ' statB No e,2..tDeece4en�C�Legal Namee:c irssCMMddleLast)? c.y7l[;(4�' iC'1 'llj,'1 1a.'Magen Namel(I2 remote) y r" T2:Sea '4 73yrime{OfgDea�nj./y��{ Err OOf Oeerxthh1'(pMyonilDlrayfTea❑❑s)tp�� SHARFJ�liRU ERI X44 l 13' ''11 S& p' e • '- il' �:50.ry' itlllllj r/JD/215/2018 lrfi/ `''y C SHoa 9,41.DAr :5a S _i 'n. 1 Krieni S ©a Jr J FEMALE X05:5 \I s iCms He �:_. Social SeantyNianba :6a Age°Yrs eftUndertrs.= ,ec.,UMa4Maa iBd'UMert'Day IfierUndert Hairs'?ee N BiM`(MOr'vtVDayfiear-^ 818inrytace'(Clry a rd Slate a Fae�gl.4 r- ) �.1`� �� s A Hm stal- ►``'t, �► A 'y.-.� 1da7��D ed Someewhere�^g A_H_aspttalEras n , 1 A 1 1 +' n , I 'hSf@�rd `�` �`\ 0\16. 1. I�iHospce'Fatl4ty I]' Decederu's Mane �IN�asvg Hmie/Lmgterm Care Faairy ,: ,, - N 0 Yes 0 Not O�U�`++Nulavrtrt ❑'Iryatem o EmergecY DepaNnin10 atem 0 Dead m Armal. Dui wry.). % 1 �.• „o D .a lutIKS udta�l�.b•'M�nvu�v��tn�o��2ea1.� 0 e Ll. ach WIX Hm CvEtraM E4e / 0Mfl1111 A IESytll / F91 /1Hi / MFM tl� J1�1aAINDAIErHITEOSPICHOUSn 12CCityOr Towm,SmarAr Lp Cale .,,,:,...7,z,.,,::: r, d � �, 1,3 tIntY Ol Deam`11 i ��4 1GVM ta.ztAs'Al TUneQ,D `•• AI II i xJ :� ����' �j��\b��\r� O��r � �� \ y�,M MgI6lamed But SePara Orrac�■EVANSVILLE9IN,4711,10+ ''iffl+U..4 "+`:3 o' . VANDERBURGH Vr 1 d �lvndwrea�`OaNe ad uneC iI n 15 SavMLe Spouse's Name 1 . LO lSa•Last Name Beta Fast Marriage .'43 1Ti>l6"Decedents UsualOmgadon- 12'Kid Of BusnessflM stry-- ■;. \�+..',� • t\��'`t \`!' a°:1 ...4\.,1-:-' 1. `zy' `� a G ► ."� ,, uf�l.lb- 01 r:.. .tit-- ' `Yi ' G 11 .�I HOMEMAKER t' DOMESI, . - /. 5. ..di' 18.Residerce Slate ,r t I Ill �18a:COmry U ,p i18b'CCyOrTOwn 'U ",: 1 i I I L e /�'1 i 111 a1 Mifi 1, 11111 I a'.1;r 1 ! ; ' 7�`l , 1a 1 , �1 .- � INDIANA>,��. � � c��� WARRICK •, �� BOONVILL'E:._� � � �_ + l- < 1.!rstreet •N.anber }.' ,l-: 1. pi + .- �`ryt` -'� ci 'lad 4P No LIV/� pj I. te` CHLUnds. IU i } 2 s ` `} s 1 7 'r4, v s 33II1 }RF,' ❑Yes el No b � ��1� t it � 111 � 1 � �t������,s/'�'1It " D d ` �� �/' 1 ,.C.� 1 1 52 , 7ap mngn 11 1. � ..`F f. ` a,� �1�"-11.- /.�+'►"x } 4760.1. I ii11 ice_ ml sedenes U�� Ir*r..Ra� 1.9 Decan ace. n a �'A Decedent DlH etc Ongn 1 Q(x2"' 21'Daxdenrs Race Ab HIGH SCHOORGARPDU,T ORIGED®r �~yam-1 }0'''''.- T� ' ..W 1'rset�• `-- - ...A.-4-� N.- ���,`�� G COMP. ETEDH `. YIIb .NOT1 HISPANICigb -' 1 t.e .". American Indian or AlaskalNative4'. !;t 1 4/1 I I t CA •22YParent' ham (Fesl'11.MBI last vie f (rut /•{}1 r� 23•Pam:s lame.(FesCWMdleltast)- 44�1u1 'Q,--3 :at':Last Name Before Drat_Marriage I ", a4 F 'N.‘",- ����a.. • \A' J•�a.`.s fie. ly_i •_IlU ��' 4 d aa.\°�+. .. ., t-i EVERET=Tc'IRVIN WILLIAMS :e "`' A�\��� >/,s rs/ MABEL WILLI.4MS. <�.k �=�"� BARNET( i t .>` - ! 249Moma Y Name? ! l Y 1 lT:r1 1245 Relalionsfip1Td Decedent 24blMa ng Addy {Street And Nansesay St to-Lp Code) rl 1 M 1C lr� Fly 4 4l�zl 1I „1 `r-` naiE e 52 L Ric � �a LM 4moi. x% ' , ' 1�G21L,NIX3l3> "-" +r 2„ DAUGHTER 521d3MOSS.ROAD;EBOONVIL•LEaINl4760.1 .. N' »�. 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KOEHLERIEUNERAL HOME.ING304,E MAINtSTREET,.BOONVILLE, 114(47601B FHA+1700001`x.'1 �V 27b�Stgnatre Of_u,i anaFinaal Senn"ucrosee .- S- �� _ :«-. 12] •clxaaa[Amber(Of licensee);�� : \�`1�` ` tEVAN(GaTHAYER BY+ELECTRONIC!SIGNATURE� r, ni ue �tlk % FD204000599 y�1111 71�aQrli11/11A �, Cause Of Oeatll See Instructions And Eta des F�/� y 19n{r/�1A 11®a �9s1t1��Coipl I Y!/ nr1'Y•ft'i 9[+aJF/tnomV 1iU1�j 1✓/r-1 ",t20 Part I En1a�TM,Ctiartl Of Events'?Dseases Iryates;OryCOras wi rn-That Dcer a EI1a Iwd�Tire Death� O Not EKa.Tertwul Events w %S Irtt'�al Q•�1 1♦Burh'AS Cardiac Amest!Respaa ay Arres FS Vekiiiiite E3nllalm 1Mltsait SM.vng•The`EUdogyl Do Nalklarevna[eTErter On On Caine On ('�\ Math {I • `/a Lade At AtltlJmalLnestl Necessa ��/ \\\>- < ....7.....1 �� ' � ��o ��n1,��Ana >� yf R::+I/CUR* T ~%4'1`LIer `I cMmedmle Car (F fUSease OrC«M:Um'rtesspd�'vng ln�p❑gY'(4 A' `GRIGHT�INTERTROCHANTERIGFRACTURE 1 �olVll�� /� � O.DAYS�� %`111 %\ a yG�\\mil/ ' 1 ✓ '41 �.eIBr.I° 11 tc: i %a'1 %'� .4'k .� r may' B. FALL•FROM STANDING POSITION 'h . \ `\ \ i -. �• ,a� $re rtvly LlstCaMdims C Arry Leade To Tjr In itTli Listed On \pt sa {p�tlla-laa=resq� t7,{j� 1 yy/�� �. {� y 111}1 iet, rf "TheE EMert UMn irisel(Disease Or�Ir1 - ,..ln' I , MEW �1 y ll'9G1/ _�o`Il l�h �'1 /f!` O^ '+xLlre LC\ 0\��l'... ^. \\\.ems\\w� : b,.�j''i'1.4 \�_ - `^.�4���r '�j.��� s Par II Erpelr[OpeterSo 5pntDaMramf Ca-dn Wino to DeYN BW Na Resutnp In The UMMyirq Cause'Civen Pnt i 12 7,Wa nM�psY�mree7 .a li (y1��� S. T �' � 11f111 t,111•• ,es%n-. 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Llae-. ;;jrs� ) M C :i%,FFELL WHIL 'HER`` 4ri'I• 1 er./ 1\�"�1\'• ��i'?:+14,73�.e;Sur wi�4[I ' ri ,l.,sig a:aegoePescaeess'y¢ig Cause Of E th3A71r/ Aitltresra utr upi�w'� i®n�, �E111�pi•42;earn'eer°�tcnerka3>:O'n'1� p��ai P41i1g"y3' - �STEVEN1WYNNIL'OCKYEAR'CBY:ELECT.RONIC.SIGNATURE 6l�t6•.�1ith- Il•4O caiaingB aalla/itE tIFECdle ,o�r 8� tse(43Zgressa Code Gf Gertfyip Copse IX Dear.: >▪ Y. . u tat O 44't<ene Naha e4_SrDe..Cereed STEVENIWY LOCKYEAR 9201eS.,MORTON!AVENUE$E▪VANSVIL'LE,IN 47,7,13, I 1 1�„ .i�nll&llllii/!�1 tOfr161/2018 ) LW'adl.5tnal unemi Sante Prv+ider' [1'P(3- , 1 ✓ `ai y/Si �/. ,11 N!L•F.4.7,�t,Aw..&H''4< '+1 V -4 i s�.�tai w`��``� �. . ��V t' �a� l ��. d D�'tic 4.._A 1- kJ_ ryl. ter{ -i1 <9. For Registrar ONy 'DaMF"aedgOA lway�y )9 GROBER air slET I �,ECTR �>JLQ ryp t?JiA('�; ���y I JA 18 ,. ROBERT.KENNETH SPEARAVWIE� LECTRONIC SIGNAT,URE�L'll �� t� 'hi�lll+ l#USM+'�!!�1®�JAN;:192018� 1���Y i 1i C'aAO�rall IUI1V%2!iL811111rfOtf�lTIRAMENDMENT2L CERTE1CATE OFDEATH(END OR ORIGINALIQ(1inure Ia�jllnsarro BB{1POGC.-ith ,eramB 0 Ily is��,.. .$4,,.. �'.,-•4. -'i ``.-... '1.ei. ,,,..,.._` ` v\fir ♦ \'� may` e A`y ` ♦ . R r. ,r fi4= :1{l`� "tom` �o.i ' t ,'= '4. - ti' �`'" 1 e-M1 1 �% � A, 111I��� ' T . 4 . .... , L i"'SI3te Form 533953 TATTEN TON E STATE.Tire SoaialSeaaity tl rs being requested q'Ws state ageraym«clef c pursue responii ryTDISdOStMD s vokn and 9iere 11791 be no �ryJorrefel� �/ H111T��7�p ur(Y.i ga-i.4- M.Cn -l1 e.n a._fl triyete, ,rt Cd a*a L..bnn rrn.4n'ss en et ii=s LrsiCt _C5 M - unto a 1 t �s1 ORIGINAL'-DOCUMENT CHAS A MULTI COLOREDBACKGROUN�ONSPECIAL,WHITE SECURITX_PPER�ANDTHE,GREATSEAL OF,THE.STATE;Of,LINDWJAON BACK. 11J 4%i(,IIWARI!NINGCeTURNS FROMORAN^GETO YELCOWWHEN RUBBEDT ORIGINAL?DOCUMENT-HAS A HIDDEN VOIDONFRONTTHATAPPEARSWHEN PH BT..a PIED�,rlltkP _s I/ ..--._.._a . -•°' - _ - 2 13 -yo2 - coo Ay5 ss - o2c FILED JUL 2 2018 GtesoN COUNT AUDITOR