Individual Details
Polaco Medina
(19 Oct 1969 - 28 Aug 2005)
- Name: Laco Medina [3]
- Race: Hispanic [1] [2]
- Male [2]
[1] Marriage Record, Polaco Media, Susan Heine, Doc5269.pdf
[2] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
[3] Correspondence, Doc0200.pdf
Events
| Birth | 19 Oct 1969 | Massachusetts, United States |  |  | |
| Illness | 1976 | Juvenile Diabetes | | ||
| Graduation | 1988 | Newburgh, Warrick, Indiana, United States | | ||
| Graduation | 1992 | Vincennes, Knox, Indiana, United States | | | |
| Engagement | Mar 1999 | Lebanon, Boone, Indiana, United States - Living | | ||
| Residence | May 1999 | Chandler, Warrick, Indiana, United States | | ||
| Occupation | May 1999 | Salesperson | | ||
| Marriage | 1 May 1999 | Lebanon, Boone, Indiana, United States - Living | | ||
| Signature | 1 May 1999 | Polaco Medina | | ||
| Residence | 5 Mar 2002 | Indianapolis, Marion, Indiana, United States | | ||
| Medical | 1 Jul 2002 | Surgery on toe and foot | | ||
| Illness | Apr 2005 | Diabetes type 1 complications | | ||
| Residence (family) | Bef 28 Aug 2005 | 225 Lakeshore Dr, Lebanon, Boone, Indiana, United States - Living | | ||
| Occupation | Bef 28 Aug 2005 | Auto Repair, Retail - Lebanon, Boone, Indiana, United States | | ||
| Death | 28 Aug 2005 | 12 Midnight, of complications from Diabetes - I.U. Med Center, 1040 E. Michigan, Indianapolis, Marion, Indiana, United States | | | |
| Marital Status | 28 Aug 2005 | Married, Spouse: Susan Heine | | ||
| Burial | 1 Sep 2005 | Sec: 224, Lot: 1456 - Crown Hill Cemetery, Marion County, Indiana, United States | | | |
| Marital Status | 30 Jun 2019 | Single, Never Married | | ||
| Reference No | ID1477 | ||||
| Membership | Member of Knights of Columbus - Chandler, Pike, Indiana, United States | | |||
| Occupation | Walmart employee - Carmel, Hamilton, Indiana, United States | | |||
| Occupation | Walmart - Evansville, Vanderburgh, Indiana, United States | | |||
| Residence | Texas, United States | | |||
| Education | graduate - Vincennes University, Vincennes, Knox, Indiana, United States | | | ||
| FSFT# | LHQ1-SKH | ||||
| Parents | Manuel Medina and Vera. Williams | | |
Families
Notes
Birth
- Born 19 Oct 1969 [2] [3]- Born: Shirley, Mass. [1] [2]
- Age 29 [1]
- Born: Mass. [3]
[1] Marriage Record, Polaco Medina, Susan Heine, Doc5269.pdf
[2] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
[3] Obituary
Graduation
Graduated from Vincennes UniversityDeath
Indiana State Department of Health/Certificate of DeathLocal No. 006327 - State No. 106327
Name: Polaco Medina, Male
Date of Death: 28 Aug 205, 12:00am
Place of death: Indina University Hospital, Indianapolis, Marion County
Cause of Death: Diabetes Mellitis due to Coranary Artery Disease due to End State Renal Disease
Other significant Conditions: History of Cerebrel Vascular Accident
Age at last Birthday: 35
Birth: 19 Oct 1969, Sirley, Massachuetts
Married
Spouse: Susan Heine
Occupation: Auto Repair, Retail
Residence: 225 Lakeshore Drive, Lebanon, Bone County, Indiana, 46052
Citizen of What Country: U.S. A - Mexican-American - Race: Hispanic
Education: 2 years of college
Fahter: Manuel Medina
Mother: Vera Williams
Informant: Susan Medina, 225 Lakeshore Dr., Lebanon, IN 46052 - Wife
Burial: 1 Sept 2005, Crown Hill Cemetery, Indianapolis, IN
Funeral Home: Leppert Mortuary, Nora Chapel [1]
[1] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
Burial
- Crown Hill Cemetery- Burial: 1 Sept 2005, Crown Hill Cemetery, Indianapolis, IN [1]
[1] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
Education
- Highest Grade Completed: 17 [1]- 2 Yrs of college [2]
[1] Marriage Record, Polaco Media, Susan Heine, Doc5269.pdf
[2] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
Parents
- Father: Manuel Medina, Born Lampasas, TX [1] [2]- Mother: Vera W. Medina, Born Owensboro, KY [1]
- Mother: Vera Williams [2]
[1] Marriage Record, Polaco Medina, Susan Heine, Doc5269.pdf
[2] Death Certificate, Polaco Medina, ID1477, Doc5270.pdf
Endnotes
1. Email, Email from ID0186 to ID0001 - Dated 5 March 2002 "Myron Robbins Families" - Acc000372/Doc0315.txt - No scan.
2. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
3. US Social Security Administration, "Social Security Death Index", database, Social Security Death Index, database on-line, www.ancestry.com , accessed 8 June 2013. Entry for Polaco Medina, Original Data: U.S. Social Security Administration. Acc002773.
4. Find a Grave Memorial, Polaco Medina, ID1477, Crown Hill Cemetery, Memorial# 45985126 - https://www.findagrave.com/memorial/45985126/med.
5. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
6. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
7. Obituary, http://www.lifestorynet.com/memories/7287/ [Acc000469].
8. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
9. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
10. Newspaper Article, Susan E. Heine and Polaco Medina. Our Home Town, by Barbara Hiatt, www.sheridanNews.net, 1 March 1999.
11. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
12. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
13. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
14. Email, from ID0186 to ID0001 - Dated 5 March 2002 "Myron Robbins Families" - Acc000372/Doc0315.txt.
15. Newspaper Article, Susan Heine and Polako Mediana, Marriage, 1 May 1999. Our Home Town, by Barbara Hiatt, www.sheridanNews.net, 1 June 1999.
16. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
17. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
18. Email, from ID0186 to ID0001 - Dated 5 March 2002 "Myron Robbins Families" - Acc000372/Doc0315.txt.
19. Email, from ID0031, 30 July 2002. Subject: Happenings. Doc1669.pdf.
20. Email, Email from ID0031, 25 Aug 2005, 645pm.
21. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
22. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
23. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
24. Email, Emails from ID0186, 28, 29 Aug 2005 concerning the death of Polaco Medina. Acc000462/Doc0200.txt.
25. Web Page, "Life Story: Polaco Medina" http://www.lifestorynet.com/memories/7287/.
26. US Social Security Administration, "Social Security Death Index", database, Social Security Death Index, database on-line, www.ancestry.com , accessed 8 June 2013. Entry for Polaco Medina, Original Data: U.S. Social Security Administration. Acc002773.
27. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
28. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
29. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
30. Find a Grave Memorial, Polaco Medina, ID1477, Crown Hill Cemetery, Memorial# 45985126 - https://www.findagrave.com/memorial/45985126/med.
31. Email, Emails from ID0186, 28, 29 Aug 2005 concerning the death of Polaco Medina. Acc000462/Doc0200.txt.
32. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.
33. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
34. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
35. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
36. Obituary, "Medina, Polaco", 30 Aug 2005, Indystar.com. Acc000468/Ph8527.jpg.
37. Obituary, http://www.lifestorynet.com/memories/7287/ [Acc000469].
38. Newspaper Article, Susan Heine and Polako Mediana, Marriage, 1 May 1999. Our Home Town, by Barbara Hiatt, www.sheridanNews.net, 1 June 1999.
39. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
40. Polaco Medina, ID1477 and Susan Heine, ID0034, Marriage Record #013591. "Indiana, Marriage Certificates, 1917-2005" [database on-line]. Original data: Indiana State Board of Health. Marriage Certificates, 1958–2005. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Series Number: 89-204; Year: 1999 May; Certificate Range: 012500 - 014999. www.ancestry.com, accessed 24 July 2019. Doc5269.pdf.
41. Death Certificate, Polaco Medina, ID1477, 28 Aug 2005. "Indiana, Death Certificates, 1899-2011" [database on-line]. Original data: Indiana State Board of Health. Death Certificates, 1900–2011. Microfilm. Indiana Archives and Records Administration, Indianapolis, Indiana. Indiana Archives and Records Administration; Indianapolis, IN, USA; Death Certificates; Year: 2005; Roll: 36. www.ancestry.com, accessed 24 July 2019. Doc5270.pdf.