Linco/n County Coroner Oonatd J. Bender
P.O. Box 808 Coroner
Limon, CO 80828
Time of call: 30 Date: 3-29 6 Mileage:
Reporting party / Agency: LoS
Incident location: 25°28/ c.g, 24 O.A. Notified (7)/ 0
Nene: Til) Adaie Wells ._| +s:
Address: 304 ee 2 County : semen
CY? ped Innd Park i State: C0 zie: goge3
Age: 37 Sex: Female | Roce: waste Education:
Date of Birth: ig [ Place of Birth:
Occupatio: Veteran: y /7p
Marital Status : [ spouse: (maiden)
Father : [Mother :
Closest Relative:
As biy — mike Wes
Responsible party:
— a
Time Pronouced: Type of Incident:
Photographs: G/ n_| Finger arints: y 4 @ | Blood drawi_y/@ | urine argu: yD) "
Personal items removed by:
Witnessed by: ; 1
Law enforcement on scenes yy oS
Comments: 77 me of Deal as
Location:
Cause of death: Gan sho! 70 Head
Personat item list herewith:Lincoln County Coroner
NOTES:
Zime of Coll 7432
cation | South 7) Punkin Conten , & miles East, 1%
2g) oR. 24
eles MerTh
Scene North west sf house. clecensed Lyng Prone on d
with RePle in hand, Bebo Targets west about 50 Seer
Ye That shot pen was 07 greant abou
Te_docTh pF of body
ee 7
On exrmrantion Fin
denth was sont
was om agen — with pos! Pe,
gn_seere vw LES ¢ Karvel am baterce
On examinntin at funeral Pome tole ws
aban? J" above
Bt. Rar,
derterwraded Acercental shotiipn D2 cal at approx,
+B eo. old 627
Persenal items remvel Pron bey
Ren Lett hand
= Prag wedding and eugagemen? ght bans Ly
wry
wal | sTene,IF
Lincoln. County Coroner Donatd v. Bender
P.O. Box 808 Coroner
Limon, CO 80828
AUTHORIZATION FOR RELEASE
OF DECEASED
ae
To: Mourrain Memoria! cote 3-29-09
LAR. H5
Drde, Co Jos
This release authorization is to the above next of Kin or Agent for the
the next of Kin fo take charge of the body of: Jill Adair Wells
deceased. This also releases to next of Kin or Agent for next of Kin
any personal property or effacts belonging to decedent.
This authorization of release show the completion of tle examination
of the above decedent into the manner and cause of death.
sionet: eer | Bake
Coroner or Deputy Coroner