Death Certificate - Priest, Randa A_6/27/2019 Fax Send Image-- • • . .. . . . • . ,
• , . .
•
. . . • . - • - •
Page 1
Date & Time _ . . • - : .
Model Name : APR-08-2019 10:32AM MON
: SF-760 Series
Machine Serial Number : Z6SMB8KC9B002PV
No Name/Number' -
, tar--t. Time Time Mode , rPagF, -, Result
• , , _
. •
-. .
411 18665596187 .. . .
04-08 10:31AM 00 48" ECM 001/001 OK
po - ok -15- - 1Cl -coo G 1-- --02_0 .
_ 5.313bb
Nikttn-1-;en: Jolene, . .
INDIANA STATE DEPARTMENT OF HEALTH .
CERTIFICATE OF DEATh ,
0a- 5 tt.3 •lerk r. 4
Lsiezi go_
4 1 1 ...,.......v.e(-1 In's I
. I Linda A. Priest Wood Femalo i 08:05 AM lAily 8,2010
... --rs.Zi44...... , cons..
166 i 444 I`-' ,.... 1.....,
in..)44,,14.....o ne..e,;444,4444o4,441 cow.;
, . ,,-4,.....4.44,,,.......a............., .1
105 wovd Stitt •
4 Gibson .. gretilt‘..bek
: Richard Prins: Homernaitet 2 7 20ty
,.......r.,.... .1.....
I .
ID.onl-ndi i • l
•
. . .
, • Inciana .. • . Gibson ' - I Pstoka . • .
. ..•,.. ... .
I'"S'' , ..• - xT. ,
7.1-. lictsWoo0$Weet -
•
. , ...1.i.„1-,4, . 1 SCSninfraW•f4", . -r-- -
P GtaSON COUNTY
itney 12 No White '
•
• - I st"4-'iri4-44.4444".‘-^ 7"41InS R tattICi
Nan=M.W000- - - EIZitiett Woia0 .- • 1 Emits
.
-
4,••-`ri-nic-
. Ilcnard Priest - 1-41w..fiend 1105 Wood Street.Patoka,In 476S6'
- - I . a c444riteene...
'.., - 4-4-14.41944•Ps. - .
‘.....'' 6-0--cr-a— HazIsion tarnmunty Cemetery - Ha:demi IN.
0..-....4, . • --
--. .-""'"'"'-""- ''"" --"1-tch-'6""'Colvin Funeral Homo,Inc PH83005671 • .••2..
•• oft. Xiii ' 425 North Main Seem,Pnncetan,IN A7670-
.
1" 4.77:14-.s2 k 6Y6C1/>& - ,...a.nt.-.-.- }
F001013010 .
And l .
• C aw 0.Pee Pm.so—alin asps/
. I D Fall.Law rta 1.2izisl-awala• 'la Ca Caraaalcri-Ita1MarDI Cal vs Mel avreceicazyme en . Nstracera
• se.:e4.4.4..4.4.man.,.e.c.v.ate momnyaean.e.44 re ce.o..c4.4.4.itee.... ....oecetee 0. 4,.,.L c•-•
I A Lal aal waste Us!laamory, •
Inia lawa.re Data*CI anca ta Pasac a Ova L „.-..S.40-awtiwil---C67...,...... • ,
naawaaflneawfaaw W/es 4....fre re mrcie•um c., & p 1 Ig I'L4tV/I,I. , ....„.,„-
1. ' .'ti S •
Um,.LW:a Laloraa CS al Owau•cri.".7,str•te.
T"."`"' >^',€•'/YF!'' . . - • ' 9 5 etAci•-e. c.Q.-ez_.,
& _
't. Al ST....... r."'er' V 11Gem. ,,......,...,
. 1•••p.......c.4 cr..— I.a...peer:44.u:or.“-xv gnk14.115.1•,•••r;a arm••;•=1. I Wee Calt•Ire c as Cara sass
awl a an 1 ma sta. i wawa . 3 awa
• I i a ra M., I
. II'La.anw.na.• 1 3a Ca&...• • !maw ..wow
I cc
•
La)....a.-....,,e7rCesn . i
0,•••• ••2nt...0,..••• n-f as
.
1 di.Wvert raTIS•Lamaet.
'IX C.."0.1:7:•W°"'S.Qreir I
..,ra-rt.1/44.1•4 AML.; Ilir•C01",Cane CO rya
pr.Gerry M Hip tool 328 N.2nd Street,Vincennes,IN 47591- i...—-.. 1,i.....4.
I I n 27,4s-4 I 7-/2-10
, ........—, I
-- I ,Ccus-GcC.4,42,41-rt Pa . 8.azie,./dt. 4:2010
• .
.