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Death Certificate - Wallace, Samanda J_8/8/2019 r\s v3 ar v„1r.yrsF1•s•.1yY,a, ....w x- We e=r x ^•lrSf`"14! tP: -r -s•x `. .r'in r-a c c ie s C3 .M it NWE I •; 2OFKEN} # CKY r 55627- '4 s-• GISTR"A=R ©F4UITAL STATISTICS' `';--(f,"_n�jjr�//;;,--F����''�'` •••, • Y h , 'I+ `•- 1▪ �CERTIFIED COPY. ` . j +, �. _ `r.r*4`0'�1 V /month arrarr • • KENTUCKY CERTIFICATE OF DEATFI116' 1 / A '� 1 .lam / .-£ \/ .: Cai#: E201902220054 : :`-. (EaDsn LEGAL MVE(AY IA,LA l—AMi 1 J-c aJ `Z_�( • /L C.: m IF FEsamCars LAST wE PMWl P'. t SAYANDA JEAN WALUCE �, - ',} -'`- - ,_. /•%f\ PAYNE•` FEMALE L ,TiCIWL Ot NE91d wT 6 CU rN4 MS I.-, s..21AST Y --.- YV161 YEARIN1O1 w., a.DATER ORM r.ala'YCr RAM •- `-%i - ILn'.n0•/Y II 1 ®mOlr nem e7n Iv. wv.. •• I TRIGG _- ' I p i'yl T; �, RAVE R OE.Mtad.r,..r 1. //�J/\\ /- r�7\ r Leafs �7 HOSPRA❑.or. ❑mne... ❑L>_+..rllr ono: ❑wa. �+sc❑N c nL.c �.�dr: p^.^..• ❑Ct.0,.mn iic T •FAan.'MLE'nn o.. _.,—I 1 f': \ +-��. Itan o+ro5w STAT:uo IDm¢ I - �' T360WCANTON PIKE 7 .-- r ' t,f J t t:\I/` CAnIZKYa2211 " ..m IvaMrMaiD..m..uu.rca..YI. I -__ . ! ��'( S ❑Y`"°�< �Y""f �. L`B� :r. l�. '^'D•i1u11 0e. vi.v 1 YHI R EtSFECDbTR1) �C > >'°.. _ / 'L4k�v � aC`�i.CS\/�,-�// ,\Y' v. uwweW ` n,r ` `' 4o. SECRETARY ! .. ay/ G '\�f,mued4a&15aEss�_./L % ❑r. W I j3 Ads d / y FESIDE.VEate m mnx - ix arr rnn)n•. F ] t rJ SIEETAO is w r ID®F Fm€Dt, t. 6�-, , t� )O l! - n \ "E j."L 7 utTsr 'F 1 .„ .�}�/�I KENTUCKY / TRIGG - ) CADIZ ✓!\/$: f nsan CARTONPxE 42211 ❑ Yn ©'b i _` L, i 2 LEDDEMSHA!1rN 0®F.TRIl9 a loo t /x Danc•IS u, ,,_:. .............a...nero Zg I.Dm.. 4e`ZT. /D".av▪ '.J fr# \: \ r' r.,n s.moa.. ®�� �. ^°'„ A-. - \[ .r-F• — '�. ❑ of a s. r 1" Lb .Kltl A•Mic.WYe l� �J�/\) at 1 1 m_ ❑war T2.0 a\A96p 13Wrll\\ — J --c"�.•3 - � // q - r ❑ IN'n.SI .yr"wl les ; /U // tx.��/ _' Y S N ❑G I RO FAI .ar.IPe /'������`/ i A T y p ms WYm ml \ J ! - • "" •\n rt.iTERe rimy:In., Vo':{ : i aLO.ERS NYE.EW TO MST VARRAGELh(Ntfy LAC . r tit A': e o. VERNON E PAYNE SR • i� i. 'I": lv� MARTHA WARD�,� ` • t „ -i U. UFO4WISWE/ • m fiaAntnI4ProCERL£M v 4LMR➢r NAYES5151w DM1 S.. 4Cm.l ... t 0 Vim- TIMOTHY L WALLACE ' SPOUSE %/\�7/\ ,I 71e Olt CANTONvxi•nD¢I&inn ,. -e io. LEl1(a CC14�iNN(0, ✓i/u�: �, xMTEU05P IiRFL .'�I Jul\ • itLCwirN.Dy1 4ElM . Si . 1 "t ♦ I, 3a. pCarrar ❑pa,' Or 17w t''''A'�l_Th4 2...4, 4 is �l \\ - ❑ �.❑DN.tlo.aa . WRBERT VAULT COMPANY Ky Le, - Y L i n9a.YnFE CF R•CP•.MANGE t us:e ^ twit -▪ a+v UCa6E NYr4 a NYENO RARFIE WCIE.4R runty-Fearer 11 I - 4, �•f a� ' -< } v . a •> c iD11CO1rrfl il..jY` 1 F r io✓Yiva, 1 *Ye +'.A✓ - CLARISSAK:KING �/�—\//02122/2019r•. t5820 \ J'.. romtft'tr�XO'E nc r i,. - -`: 11W N.oatc E.I Fac.cy.5.'s'V*-sm w.... war waN e..J � /�.�n¢n.ml • _ t • .' / c 1 / DATE ROQII®CEO(mcarrIII .': Ti ACTJL en Feest„eo TINE R DE. :"�� \ 32 A4_E00/D.00 1 lA mann CCMAcrez, 0 -1 i 02NBl2019 ' 1030:- ) _" ? d'. \/ }-n ❑ •D ro } �' /con inn (a n sr // ,En~YeAsfl tr1".mrrd:...- LEi.Iru.usm.."'e,, \� 11J -�, ..t`^.e.>)I 'e.e�o..n313.013 < :•` .•^ 'nK saAlt CNEEMiAi� . .YALIGINNT NEO%.ASYOF TIE LUIS i-� 2%-d" ��_//'� " HY • •'4 I t.s ' i i.:r.r trl OtE TOfOR ASA W"�DLSiF':�1``J�(\' '"` �\ ONf11f1 0' .lr ^1 ? i S .1W�mb t -r .. . ACNRpKs A rivir.Famr. OVYVFYD8EA5f 4TTh C \i' ti� _ TEETOIDrt.s Ars+.�un c.Fx oFF\\. _// ti. -t q.ETOlonwSACI •••-i CEOFk� t - Y __ ;IAL \`. R U 4L Fer yyF..mtl.i[..Avv mn.rG �YYG M •-•-•—.--, • c- L WMQRtt..M - - E `� t1 ..I I ! �7 \[ :' / ❑Suter ❑PNry to oes T - ,�, -•, t 1IE P (�`E - T l 3' '? r ❑suw. ❑twlm mDm.m:�e 4 AUIRsr FEnwEm , tm rovCm L-amrxare w.r- F002.E. \ s'T :vf - F .. 'ErYi rom.srE-.Fne C•AaFRaATm... l ) ❑ P c:e•• /- ''m' vnma �r •'. P'P°etC - . .-- uma - : ^'❑ v.. . r 'i -:•� lie' 0D DATE RYW( 0ticR II.ILV2! OCI"A C PLACE LEMlY I 'CmY : 9.F mwercenrce IIJIAY.9EDFv: IN\ ts-i ',A i.E- p• Es 5al Iov YUFrvDmwED - • � .▪ / \/��/ wTw Cr a L NAB" I.IS.. e r.nn..Dn.Tu.:s.-Si • ..'s 4 • v o ffmwErtus c rtR • ��� y >"•# T N+a •- .. s..:..e .I.e.... \• A. i .� o2n7/L019 ,„ •it _ aRwvE SCOTT R GRANAM•YD �� \v ua .Affnn •,t 1 eF.�.:ew F�.M Ic A--• ..Ff n.... w rr w /� 25831 PHYSICIAN i <\ j AYE ramsA• a.CE FUSON COCO wLH Cr.CEAMI(IFII I scab'GAANAY✓' -//' :'• 1 A'I1/'. Q '] 1 t • FAnYPRACTICf CARE lm G330Y AVE,FPEDOHI.1(Y 31f1V +"' ? �� Y,I 5� ir1U V'O Q 4OI9 Y '�> • s Tea111WSaa..nAE-•< ,,L, -t ,>. _1�`•'-, ▪ 1� k.-4,— '( noAmFuDourv,,i $ �� - : �, Y" ��- �. - - ovzereol9 �/ Al s:. ` , -- , •�� 1� V O \�0. O n ,31 O�< 0 gI�ON COUNTY AUDIT e '• �F t 1} 6 TH' Thisis to certif. that this is a true and correct copy of the cemficat of bmh death mama e..or dnorce of the Person therein named, �^„Jof and that the on inal certificate is'reeicoered at the Aentuck Office o\>ital ti i tic?under the file number shown. G 1. h-C1 V >c ,fy �' 1 1 d DATE.ISSUED 02/28/2019 �▪ ���'\. vv, i v �- i s FIXUIVS NJ I-A W / I. -}t `,'% r lREtvSED:"12°?1 - _ s -.� :.1--:-r s/.._`v? State R: 1�r-..r. '- -. •i\• -• . - .Y - 'lit: • DOCUMENT CONTAINS A_WATER MARK -HOLDUP TO LIGHT TO VIEW 'via< G a-.- ^.: :�. i^'>,.i'r.:r-?^ '; ^;� .�_'___,:<. . ... c...;_ �.-.c--.7i•.. . •F;; _';;;;.T-Kam_-qi•: - -