| Decedent's Information | |
| Registered # | 1999-585 |
| Date Filed | 11/10/1999 |
| Decendent | JACOB B MARLEY |
| Address | 16633 N 150 E |
| City, St Zip | SUMMITVILLE, IN 46070 |
| County | MADISON COUNTY |
| Sex | M |
| Race | WHITE |
| Occupation | PRODUCTION |
| Born on | 02/29/1912 |
| in | GRANDIN, MO |
| Died on | 11/07/1999 |
| Time of Death | EARLY AM |
| Place | NURSING HOME |
| Name of Place | EMILY E. FLINN MEMORIAL HOME |
| City of Place | MARION, IN |
| County of Place | GRANT COUNTY |
| At the Age of | 87yrs 8mth 8day |
| Marital Status | MARRIED |
| Spouse | MARY F STREET |
| Father | WILLIAM MARLEY |
| Mother | ELSA MAE EVANS |
| Informant | MARY MARLEY |
| City, St | SUMMITVILLE, IN 46070 |
| Relation | WIFE |
| Funeral Home | ARMES-HUNT FUNERAL HOME |
| Address | 415 S MAIN ST |
| City, St | FAIRMOUNT, IN |
| Disposition | GARDENS OF MEMORY |
| City | HUNTINGTON COUNTY, IN |
| Method | BURIAL |
| on | 11/10/1999 |
| Certifier | RAMESH PATEL |
| Title | M.D. |
