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CERTIFICATION OF DEATH RECORD <br />Ar.14NST DATtOF 5 F41:1.4 <br />71 YEARS: NOEMSER2.14;1 <br />sciojAf rie000"ty NOI)tett. SiATIX AT TIN* OF DEATh uFOitgo:00usis4#1i..upa*.poorar40*Utitgq.gs <br />;19010 (or )193A 909.08440.1.08,00: ))::::-.):))) • <br />.).OrttributOg to01fiath but not iesu(bng in tnE)i,,Linderyng)causiqften hPRfl <br />.,,...„ ..„ : . <br />• \ <br />etqWE:fREOIANCy:)grATO4).: <br />NOT PREGNANT WIThIN LAST VE <br />lippAr*Or tNJV <br />.:PLAOEOF !MA <br />EOOS .4f#4IP COpig OF 12§ord:COMKATiOorcAtIE or •CLATH• <br />.*:4:)iNtEt);::)ALEfii#1DOik.ME),..4):*0 OALDIN SUITE 111 NAPERVIL14:44001$, 60540 <br />• •-• . . • . <br />• <br />s is to certify that this s a true and correot copy from the <br />record flled with the llInos Departrnent of Public He <br />7 Susan Olenek <br />Executive Director and Local egtstrar <br />Wilt Cou Health De <br />• <br />, . t, <br />r rOorr4 ///'r er—AN ALTERATION OR ERASURE VOIDS THIS CERTIFICATE N'.) <br />r <br />7--‘1 <br />