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Death Certificate - Lemmons, Peggy J_2/28/2019 -'+'e A ✓-te:.- rs .-�-it r - 1 '^` ' ` ^ � `' r.� (7:1_4 _„- ; , st,_ ,) • -' s�,� � lCERTIFICATE{ORIDEATElit -I • �_ '' I :11,,�`.rr —j - kF �/ice .��/j� INDIANA�S�TA7E DEP�• MENT�OF�HEALTH ��i V `' CI l= 4s4�i rT ii <� GCERT�{{IFICATE4. DEAn-- \\ � ' J `..- �\ � Local No EDR7Nob'' Il411 \�/ '' ` /L�8�\ 00.0.029 00000069.5S115'a1t � n,. safe une 009.00 Ore / ,1:CaeMm't Legal Nart<(Fvst Ntddle•Lazt),Y �� to^Marten Namel(It4mde) ( ^2.Bea 1' 4/3'T.Of D¢Y.n. '4-0aeaDean M ipecef.€21114;.1 lira N1nY�� �1 MI�FIIIr hli �4 11yv��llllllly�rcITI r�41 ,PEGG !LEMMONS i} 0,`,1�1C11RInhf%'cC\\�YIIG% C,\Vp}'F.EM L�.% 222V0222201M41l y t�t5Aseciai SeaviHNumea:•Ba.Ape=Yrs-la•eb,UMer 1Yea lee-Under.,Mott'6C.^Unaert Darr •6e•Under.VHcer•+].�Dt of GirtnUlMonth/Daayflear)6,18•Fer t aacee.(Cna ale Saufor F.For�/eirgnColny)�. ((11: . ee t'�'Yi Irla, a ��11C eke`+�c1i/J ILni\v��aui,Th TnanAHtspg \�U1r11✓iLs,- 0' I .. ��U U iss�l�l1 ✓. �t � 'F 1� �. 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GIBSONAYII� {iiii{i��revi ;ed� rigrlManea p;urkwn� t rl 15!S4rvMng Spouse's Na„�e{r !r,Th.\ r/ "UII !/ p • 15a lastName Before Fun Manage/ \ v '16`Derede ua,1IOcojpton �)E�1] ICutdUfSusiness4rquvi CC U'.Wn r� ar.ta An\1��il i� lyYG aPU r.%� a �� FAGTORYtt'WORKED Rw:. '..., MANUFACTURING. iiirk Ali B.l Rendence State I�teaeCaurey ' d j:6o Cry Or4rown' I• U 1\1 ItIt \ INDIAN W\ GIBSONz .FORT BRANCH` .' S(\. ArH NumOee 1) -.. �� v ' v L 11 �aM Apt Nov 116e.2242 der r j16:+1ruge Ciy Intt? .. 1106;wEsTIWILLIAMS,STREET �_��J �.`� lIf7lOG/c �.�11i � JJ� �/t?(���''!!,, 11�����}}�I1L ®'.Yes(p1ND„ : A& J `•�11147648%. ;'E �iz.... ill \,e •. - "ceoOA_\t�•V:Ac`Cna1��\:m.eoar<aemOfwtpaJcalgm��v �j'-`lti"�<21VDeceCem'sRax� {+' !` • �y‘ J p HIGHiSCHOOL GRADUATE,y'OR:GEip�� L''�ea %%S,iillll�� �\' �� �` Oita_ vllll (L%!/{I: It y COMPETEnitil:1t1d11V�liill NORHISPANIC..fk4 "SS NN'1'il�l�,White iIII� .i'k ('f, 2!PaeNS Name lFust Mkdle;,lart) �L!-4 45+ U' '23rPar is Name'(Fust;Middleal I ,tasU iL L' 'Parents las:Nane Bebre FestM .. \ CARLtntfTNER11,-, ._.2 �_.iln., /kUGIELLE ess(St.COTNER ��ater MCINTIRE\ �_.it w' 242,INamaKS Names '// (rv,/ •24a;Rtlatmslip.i Dereoent 2<b.Ma&rtg Maesz(Suet Arid Nianber;CY Sa'e;LD Coate)'- n tt+ r.' ,i1licri�lilllui0�`�i-1''' 11 ^' Ie ` fauna f�Yli-;7-`nitluui7/illllntipd�11 r,R,��1,t,' \ BRETT;LEMMONS. e, a SONS- ���e1z✓�'402 NORTN;WEST STREET, FORT BRANCH;,IN 47648'. -E1-Vti` t A�h>\\min\\\\n ik sisrt--\ Jr.\\\\�ilM�\ s PwDIaatcosi501;&2tri�tl�\\ fats\\-!baa't?\��(t`L\\���\'\ _an-Stt Q 25a MteTodOf oitpoosrnon'/J�HO•°rv��lliti '25tPlace Of Usposibon(Nane OreteryCrema:ay;OCar Pace)i"2XLoca:on:C•ty.TwmArq/SSttralll :// r' -- v/f ®ILam' aljjp ceremitmn aDmwon E Ergotmmm!, O `114�!/ l fit/% O �/// ��f1I1{1rta IL%�.'u 11 1' l/ ,¢-E''p+RemwalFramSe���11Gf! i^�t l�'JKC�\\1LJIcnR\\1�L'1lG'+E\-,t � _O\,2e w4,,a-eaten DURHAM,GEMETERYa .. 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O 01`I' ,J -' a��G 'r1a y 1.1 / � tiulil/ _� l/ tl�Jil��ti� ' �tfl�/\\�\14j1�O t ii Sate Fam 53395 A'I7ENilON ESTATE.Ttte Sowl S..-5,Y rs being requesed by..tvs save agertty,m ceder tb purwe respotsstbdry Distlowre rs vpMl3ry and 4 ere wA be no penay.or re'usal'-'--A a�❑{11IA13 It15 ���OIGW=DOGUMET-7 AMULTIpOO ou BACKGR UNiuco,spg limi7 SECUNGirYS'PAPER'AJ THE GREATSEALLOFItTTHESTAITEOFI DDD:1VON BACKTHAT�1pf11 Ip�-/�N_(WARNING:,WRtt51FROMrORANGE:TOYELLOW.WHENRUBBEDSORIGINALDOCUMENT HASH'MDDENVOID'ONIFRONLTHAT:APPEARS WHEfFHOT000PIED. �(tC �C YUI 1!65%%ry' �..a"-Z."±).i- �;"j `( rrApT L- ';-;STATE OF,ANDIANA � =-�a''_�vim=-). ,c— 'v J• : v-=