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Death Certificate - Cowling Jr, Donald Leo_1/7/2019 pow �rrriml II. ,I=.vii tr t- INDIANAISTATE%DEP TM It ;; _ ____ -_._ ' -!'. ,! '_ ,G/. ti(». - �CEFICATE OF DEAT Y� 1' i _Ai / , 't 1_ . i :eJ /ilWiftV1 �111 / fr :sir, /t. t. .` e:'�'sLocahNo 000128:c� ` .EDR No 000000_ '7 :$' t .-„ stat'Nor0.3/�7F7 14k, T Decu�.�My'N'�ti L��W��aIN i UMid�de, _,1 111!""I! ��^1(�•>f�r-r� r+1e�uM�l lafa�n/Nam!'eeian,Offm�Xeerecol];�:L-- 'ne�'•'i ISe/�?,(O,rl 3,TT��I atDeat fly ! l�Of DeaviLiithtDay i IVONALDe -``WLIN��17 ��a.'ar`.^1..4., \\a..; !e MALE `'ss.06 15,AM: � 08/10 0i5 DONAL•e LEO COWLING rs 1II .r /� \ �- \ >, '\ AHosplal/ I 'II II; /II II,['//�W�{�,., yiA� tJi�\"�'s�\\1 sa :-kigi//\ \! 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IMin;a NOT.HISPANIa- i:n>.%:ir:� ?I ems, Whitee.,Q.�+/.n `., /1``,i'S n- `r� i, ..`6\l > 9- 22!FaMa Name(Eeat Mtldh Iut),t'IZ/1 ' -I /E '1I�J •rv[l c/ Ki-" t23`-Moters Name(Funs.Midge LasQ. (V/ e }I `:pa.Mothers Maiden lastNane.r 1 I.�• iIDOC � .+�11tv1T�~i.Tll��II \ SHIRLEYrtaCOWL �it• {�,/�`� .`>``� / I'` ` `�;\/' , , ��I [ t �T, ? i _ c.;il G% t✓ ., ERVIN /1 ri i �4ai I /•111 ';I ri l:it+K'• a rn4 -'iY r -i C>-t� rada:Redaacestip To. 'i I y-��* it ;Pt; a.h.\eang�i 12�-And Nurnht!.›. r:i'?y'r 1\7T'��`. ,�V,.' IS 'x\\rJ R i�rt: i KATHY COWLING111:I�t1'S 4j,.ii lli;l/ SPOUSE t Y%11 A210.EAST(OHIOISTREET PRINCETOWIN 47670.II /1111G i=:/ 1 0 It C : S±.C\\R�.V`�.'\\� v.%\\\�hti C\\\`S€C`,`.'h�'Stt ,- Fzs�wu'Ob711 s•5ar...Skt`zto ---triC\-, Y.4, :.Qr..t\�:i.:\l2`4EZ .14. \yy/fgcSc:<� O_ meIrro Of ®aemason Oro aIo'❑:+IIWt;11 SbyPlaacce`Of a%�mn(Name-' c,� Err:O'm ) 25 Coy 1. y,1. , `;' I}"Yf- 1 .y I �i"'1' \ — s ❑Removal Fran Sin' 'y \ s-✓/< � ylt`\!�\ #w,\.\\�n\? i y \ ,� `.�7'�.y,�h i FC TI :Yi-' t / // 1,IY/ 1 li'rl' / R 'TI I Y / n- / [ / / / 26 oma.(u serrC acted?lKail 'Nameli BROWNS CEMETERYt1 SI /. i t111 /: rl✓ BROWNS ILI z!,.'1 r ✓� /If, 114-Alll ) D i 'Was Gamer Calacted�/ \S� 2T, And Ganges Address Of Fin\aa Faci�Lyt�`.ly - `.. .. �, •. r X cc*l,avue Mots I— . i J<r�/�I�I 1i ii,''_ 1'f r��1itZ�t!'t1i.tltr.l it 'f11i I /' i .., : I I s ...i\ •'` . m !.®\+Yaes &.ir 1.C/ G I, »1 I .I4` N ��� !,UI i�/ ,r,/.0 I" ii Gct� a.Lill COLVIN FUN RA YOME IP.0 25 N MAIN ST PRIIJCCTON, IN iti, I et iQN /� F Lr:rf >/ I m r :21b)Sipnetue a Indana Ftr l Service licensee .fl itr'r Ttct tl\� O 27c:'Jeff se Nunbef(CI ) \:,s`\��xy\\\�\ t RIC,HHARuD:DEAMHICKROD .BYIELECTRONIC SIGNATURE I .J ziiIh.riifirI 1'tf FD01012153 tIF' lire /� !111T�./IikU/11T A n\-•y,��\ '=b-4.-y"=^m�•s `,C+-�\. ��=use Ol Death-(Beef`wcit Anal Q1P17.1 /�1;`t ``JCe Oc7-"r. n• , i Wma731M,d ±J Pad I.En:s The Chun a Evens D Iryo$ar F r Bator attons=That OaehUe Causes The Deati Do Not Ercer Tenrimal '' _• ...O,P 1\ 14, In.ervatsOrnet m S SANK As Cardac Arrest;RespiataY A'est,Or Veetriotlar FihNWiwn Wko,n SI:WaglTT�he EIZIO Oo Nov AberrOiatteet Enter ONy One Case dtiyA >%tl e4 �C To Dean, 4II ieteAdd Adainal Lines If Necessary. \ts � ` / .cal \``1.1\�,+yur�i 1104.1. 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