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Death Certificate - Wheele, Royal, Arby f: --uteL ...e.:;_/iY a s r-,--.3-2-:,,--1;-1 .-. 3 S 1 7)k Z S �iT �P4 Z e 7- 7 r n e a ` H INDIANAN ATE(DEPA'7ro "a�F'HEALTHi� .--:" '4' ''. � II I�Cd�,� �V /y t '{ �11 � �� � cCERTIFIGATEOF{DEAiH��I1��'�II �' ��( S4 l , ``�666,� il 4 11 t,;} I t om\ / 4 / 4.��\ Jal. <n.LocaLNo..00L1'898 ,..�' EDR,No4 000000591704?7eOt``� ►.State.No;;CM64289a\'a. \\�_24 i Oereden's Legal Name(Fez&Meldle`,Last) �j �]�111aar�yM aen pNa�rn�ectI'(If - e I,fliSi [1 ee -line Of Death C'Date Of Dear(MOTJYDaYryear) S. i ; H9N AdN' fl /: 1p��1114� 1fl I +I ll Si11R41Ur�j�, tt`Stl U )1 r. ROYAL ARBYCWHEELER t a+1�. .T ` ` 3 MALE) .e10:41AM '4tilf .69/06/20.LZ <C:'S.\SOaJSmmrY Numoa 6a Age;.Yrs`"`taaa..i ut yr.*4 a- nth catl IldeC n`a_mAA,>ai IPi(�D�[�ae.a)ojf Be4nQIM'on',1leDa_yA'earl:',9J1inhplacet Airy and Dee:e a FOreiglCa ey) F 10�21,DDe��eath Occurred In A'HOSgtal.c` i lDa'If Des: Occurred SOmeime Other Tnan'A Hos v/rec n ] \ '.s'J1 .wZ�a\\ l�`\. L uSY�� 'V- `z�.slv H rV�ohs �areF ty \ Y h Jw ❑-Hospfa FaaL�p. OecMeri. did a p�Yes ®NoS❑UnWwxn -®'Inpaa (�Emeyexy Department Ou;pavem pDeaa on Artnali�p-( ' �.a Lars a uisa.,:litrai-el.ot aril„ anlavoaDDtx�i11 ae%` 1le.���ite.na, T ./4 R ail-le', =:k1. _11 fr WAFe3ry Name(1f Not Mstenon:Give Seeet and Number)r..,fal �t.�j•���� fr." rz•�r� U�/���� �`,�� ��l�/��� �{ „���fZ EC DEACONESStIiOSP.IT,4L111NC ar`.il'.!/. V1Ql% Itl ULL4c∎2111QtMa 10 atilliQ�fycL+Cllt�{�P +ta{1y{ � I>IA 112`Ciy O'TOw,SSSaa;PN Zry Code K i l ''+. 1] L �; g i/ y/ 'CODUy Ot nea:3,'; �•u Mebane a Tme Of Dear � ;Idly r, ��Ti H / Dp M dp Martxd ball pmated ®1:1r' , EVANSVILLE"IN,47747 ....1 At 1e71�2, � � t i ��e 1 C� I ,VANDERBURGH a��� �O�ndo.%edgp�e°�>a�p u1 �..�' I 7.! 5.%Sanv`g 5`poi.ae N\ 4\�j I r " 15aLasl Name Be'ore FrstMamage n1J 5 y 6�Oecedents Usual Ocvrpaeon il y1]'Kind Ol Busness1n]sey - 0 t .� - �s%di \\ flee �� %1� &&&, .�.y° sal 1 f tennidenee State 1 1%"County ' .lsa �. AUTOMOTIVE.A)� INDIANA /'V�f'jam. 'I I ,`',% . ' 1114---,4 `\1 It��, GIBS �,}4 � t,( �t slit a`qf 1..L �.. GIBSON eau N.\ P.OSEYNILLE GIBSON(CO� a ` rl 19c1SO IAndN mbe.' 1 a V o\ 6'v\``+ l`}, 1 j// 9.. i p� "l BdiApb NO it �Zip_COde 18f I aid. Limib4A ❑i/�U'flt��llts�- ...it / + ��t�/// /I � t��� / 4 F �py(��t (]'Yes ®sTNO� bE ' 97�19SOUTH�1. 075WEST eTI�_ 1 �f� Ai I1€✓.'._ ati 4M1il /i' I �1� C�CI'47r3 -t jgl ;. /`C 1.9_ Depedenrs ESUratan -:'t �'>� '20.Decedent O'Hspare Ong ':v 21 Deceden[ Rare - -� ‘b - @� RIGHSCHOOOGRADUA OR GED -B Itl I \. y 6 ` -, S t rt \ jp� ?' �,!°y A IA ', COmatETED`1lltl r�"li1itlisU�dall3tt L- NOTtHISPANICIa Wt."' t t►o/711 White. t l e Pre4_I I'S 114 th ice` ,.1 i . /i 1 �� w. f ,22AParenta Name(Fast'Mddie last) 1a 49 7., - cr, I - i 23WParents Name(Fust?MdN;tasU/ 17 -iN 23:Paren.SLazt Name Before FUst Maniaget 0. 10,-;,,, LLOYDIWHEELER * III l �r ,�ii- RUBY WHEELER., rn P_ �e SIMMONSj\� .fF 9r.' B I-<si rorma r Name - } •y1. r- L}L 24a'RNx ansM1p�io DeceeeN zaelMa�,q Adaess(Sireetad �!CitJ Sa.e!.lip Gode!� ' 1� c�t� l��� 1 < Ire- inunr���r,:; i1a��rr� jtl� fist 1 a co t AUSTIN ROYALAWHEELER�a3r SONS, 110599 STATBROAD 57RELBERFELO, INL47613 - 4 1 a2ll•1.�� L'1�1Q/�5. 4tYsY33aY#vv�a��?J'1£1s �Zi&?` �z�placea..laipddmnl"'ti?T11Ga s,.-c Y1 11i1�.'S�tlr�i43•'rA:1``'A'4`T11R>i a cc 1125x;.Mtethod Of gspoai dread / 0/ 25eipace 01 Dsposison(Name Ofcemetery - tetygt er Places)' s25c.locate()=City?Twm And State r'r-� - - S Di ❑anal ®cremaxo ❑Deraoon O Emwnbmeml J I Y Qt' l . '/,�(� ' k- I1 ,� 111 .i� 1 Lpt lf^',c\,4 �t1� ��1 Q 0 e�el��e Y v�\ia4 4Q`ftll I ���CS \���\l /� �I ° %1S�y ��\I� ��,R�\�/��, �` O IOome<(speo.».. - '°��'4-;�`._ ,. EVANSVILLECREMAT,ORY.-_,S,..�\�',///•!1f(`� EVANSVILLE`IN Syp�C;.?t>tt��•.1.111'"., 1 0 11M Was Corone.Cdvaned t fa NileN1COmplate Adddre/�/.ss OO11tts1Fun'el aa6y ntt1� 1' lt1i }'[jl ✓f�/�11 t�ti 27a�Fuie,-aa!liiivtrcense Numnbbec I C�un NO ��[F,,?.. 671 f7J�O�..{� ��['�%��sl,�tp X Yis 1]4r 11'll --L��ti,,c+glauU4 l;C(/^ CC.CC 11 ...air'� TiZcR.F."MiL`YIEUNERALUNOIdEs100.r1;.ST I_UklalAkSTREETt /I IE. I M-,r„N?0300007<tls m F z74EVF)aam 0l eldeD,FMwal same l censea tvy��`� 7., an -I GREGORY CIBETZ fBYELECTRON SIGNATURE ,�~!R :�1�14i� [`�1. i1 1,�``� 0141_ b•Zi _. Stt� is 11/)1E�Af i �intttli� ntiralfla�Cause Ot924-h (See instruct And E`amples) I c I rl p• 7 ut edly Caused The�/tDVn�t�•wdttIl/J.i.,� i i11n4 tr r Atervay°z`e 26.Part L irdileThe Chan Or Events DleearVe Mures ib Comprr it ov The] igsme iorgy The c4'Ab Do Not Enter Ormnal Caus 'r s Interva h 1S.LtaASCa rdladlaiii,ReapfNery`esLSOr Veit.¢Wes`r FlbMabon 4Hthan SMwvg�7tie`EtlologylDo Ndl'AObrev`ute Errter ONy:Orle Cause��,UL 2 Mtn \• \7o Dees A Lyle AtlC Atldtwnal Lnee i Neva L j �,f�`l, '1 [ (t(1jiIpp���/�y�e`1t({�.�����y�/ 15,1�t�{ ���t "s ���lll O `*E`�100LiS-rforam t4? l�d��111t '✓ t� r��illllVr'✓�!/dtlUill/�l1 ti s• T. V ,tt 1 7 I Immediate+Cause(Final Disease On Corddan Resulting Death)ri'y A.' :EXSANGUINATITIIOO�N�r}��� I LL i t.HOUR r.�i.3 '4 (PC iJ • �O�_, /S4 1/i C:st'1�GIIt e-,,,Vr .°.`etr°r!.%%//JJ1 '77 abi 5 jr 4 v�. G SequerwlN Lrst CondNms4}IfArcy�eaLVg TO The Cause Listed On B TRAUMATIC'AMPUTATION OFLEFT LE `1£ . - ' 'Z`\ �....ti_1ny� T oprteAiEnterThe Und' Cause Disease Or �����/�,,Lwurie y/T O^0t' J Underlying pause >\ ' Linitiated I/ LILUWF!!©Ulilf{Z'!/1.J. �t uA, itt16t..�.. y�`r�'J' L 1 G' [�;�T��� 1Th'e`E(v�e�n`ts�R;esuktng`bi Deffih)Last 1t1`✓ 1 C BLUNT.FORCE.TRAU.MA•.TO THE HEAD AND CHES e itt Fl � Dfi 11)T II511 C 7 � .2I �ali � j a.eN...m..�o ;c �-� `\I . \\ ��\ °k.9:21" � l►1a 1r �°'�il '��s°' \ --3,;,.,_ ,i1 t ( , : a,,,,s_ '� \�". �a D.�OPERATOR OF MOTORCYCLE NRi1CH COLLIDED HEAD-ON WITH SETMI±sue-\� t1?`Y��I --e��� 'r II PPff-ZT Ot.Lie}1r,,S�+�g`.K¢,t1{1Cdn.{d1i:{oCo�n�s{�fy�jmaL}tnLiL�q`i.'�LrysTOroD�'e%a���YtLi{L,B7tnL�1 1NNa1F''R'eys's//�Jjngg1,Uu_nd�Myv{g1s,CauLLS��.inrLPanl Ioiii sa ve fu YLF) es. ouuL`_�lLl11111 a C I`yl Et iafilV9�b�l XLYy�S`e"^I N !/6CWLlU�4.1r�dKC/.�Lp�rl � 30154elwopsy FVdWArlable TOemecal,xaoeam7L,�quit- �! 3fiOd Taoave Ux Cambub TO Dxth2< \1 3201,FemN " i]L'1QVAtIL�� .a 11tJU¢ LlV�dife p• es.p1NO ' ��/ea� 3\ 's� -Sal x��\1� -t'.1:1i Ale�� 133VMami Cf Oeaa � �.g\1 C:11 1.E z es ID Pr :` 0;UnknwE p „.,...�.,e.r....o tTO.a. t p• .,s mv.P.+vc..¢a,.a6:2 NnC--Hary ee\> \- ) L ❑res ❑.Pmaaory®'NO []unwlwmy xv</.tlLltna�l�ji'h ee�F� �t�w�ip�ryq� . . :p��::0l�cam Not Be'4 D4egem°.unee��tyl�i,YJ��t]t{I Jarl38 v.I/13Ltsa1/�.Yi.n1LN ❑_ran�a••.e�n•wya osnr r�,ew.wen 34 Dare Of Inez),(MmJVDayfYea) JJ?• a 35-Terse Ol lotil' U Jagypace011nhy IEG:Decedents ome?Cdnstruuon Site'ResaurartW,00ed Area)' raw At Work?C/aM `d c � SA;th tart /k__410 •/r ti� b YeS ® r �, - 09/06/2017s� r. 09:09. t S� ROADWAYs�1}e - M- .t.•--...1/4.1•20 ... 1 T 3B:Lnaa,enalr;Lzy:Si to t),,-a 1 i t'�/�Gtyorr'TOens 1 i IL3s�'Steeteta'N.be i B twri t? 'y,'$3acrAp•No -- 38i1 apedm• L r £C 1' A f0 itliiitc4,-- b�' S4TATES„ROAD ORTH•O BOONV�LEgj ✓��iptt`'lr//Pttttil,J-•ij(1 &r • c • INDIANA -. ]? RURAL VANDERBURGHs. NEW:HARMONY`AO�ADL 111 e&ri e1.47r720 + j 1 I ,.antic 1`dl2.tomnea ��Rr{A :. �S% le,‘I .2 I tEi ..`e.... pe....a.••., pm. t•sy•y `s ` a W� "JaO.�I�flTr'an/Wccta:i�sv.s l�^�N_�Y'� 7� i. �F'e DRIVER OF MOTORCYCLE WHICH COLLIDED HEAD-ON WITH SEMI 1 t F a f 1 t E r/�a. 1/.A. AU �MILILTC/�1:1110 TIY ft 1.11 1`P. 71 <VGOaa=e OlPenanCer:dyvgCause OfDeaasp 1111Vflp Ittre auo� 1 r STEVEN WYNNiLOCKY EAR;'BY4ELECTRONICISIGNATURE%��`UBI`/QCS��ix- 110,Certlyng pewee e9C;� 1C/ snr- / 6'1 IpsAeraMr- ?44%L,cs1•um Catmera, p•0ats0ataed £4..e3:Name A�dtressA�Lp AOae Of Perm Cem^yag Causee Deaase'� 1 li��,,._ T T4a�1.ireise Number 45 Dab Cat Sad i �l�'.,4t /.�llt '�t�t 1 s'Its ti.. . ( ,r\�-j j/ �t��"o if`ryf'r . �afTl1 L STEVENIWYNN:LOCKYEARt,20kS..MORTON:AV.ENUEAEVANSVILILE,IN_4 nsi ' . XUMf. --.41,.o}I1 III 09/20/20:1.71 7 g46 aaaa,al Funeral SeMfe Pro derr r ' li•fi/ 1141 <i • yi %4 4 1,.- w � 547. Alas:.e��[t ri-egt�ae42 �h���- a ��i���1ss��� ea�zp���1\yy1��/,1r0��55.11'.4.' ..i.tier a��I-.t.�`�1.�... ROY.�AtW 1EELER� "fir 1 r ztsi fenvis c.° a l iiuusya; LI lwa- . tiP Y>�`,J ai(7��� ,,,,5 i1 ire Fir'ReglsVarOnly �DaleF?gato Dayfslaayy �.v't�[�, (C. ROBERTIKENNETH SREAR; MA:ELECTRONIC SIGNATURE 1 t 4'► N1,513rx.1tL 711C/�" Mil a US e22 2O17h��l 'o tlidt r Lt -reiK1111W eff}MIIJtGj7 IflU J�LsAMENDMENNiTYJCERTIFICATE,O�FOEATH•(EN"nmoR ORIGINAL) {t][] ���JtJ der Q�KJ ,LL�`+r. a$i(a__L.Inc,4 ' V ' ..` ,,,�`..�s .y gz...e.,- .-Itait‘0.7 •Sa:e Form 53395 VATTENTION',ESTATE The Sdual Sewriy a a bevg repressed Dycilai sate agerry'tn dNe`r to pursue responsibaty Dtscbzwe rs vMmuryltEiherewti be'rw pe`na yja iettsal/ vatcc 1111th"/!/,11.11..R•,.IALUtlUr7/.,lU1alfrei ,(DGIIE.Ogrif16LJli,! R'h.v...inf% aillle�lidl'ilhNJllMUf I4 ii4Ugt It.!n1 Lt5\11 AR is 1I N G•ORIGINAL DOCUMENT HAS'A MULTICOLORED BACK GROUND ON SPECIAL WHITE SECURITY.PAPER'ANDyTHE`GREALSEAL OFTHE S ATEOO.LNDIAJJA ON BACK THAT . u ,.„ \7 TURNS FROM ORANGE.TO YELLOW WHENN•RUBBED-ORIGINAL DOCUMENT HAS A HIDDENNOID ON FRONT.THAT•APPEARS WHEN PHOTOCOPIED. I___..J_