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HomeMy WebLinkAbout1447 ' l~ ~ 2~i438 _ Io.S2-! , . ' • . ~+~A~:utv STATt Oi IlLIN019 rur~t• . 'i~.[.~.T ~al~. f ~ _-.«ED ~n~ ~ MEDlCAL CERTIFlCATE OF DEATH :,t.~-hM!: ..~oo~~ ^SEIt ~DATE O~ UtAi!~ „.o....e ~ ; ~r,A2~y ~onphue ,lale'3. 3une 10, 1971 • ~ - . ~ATE Of diRTH u.o¦~~.o~...nn PiACE OF ~EATr~n R~..; w~aW. ~wc~~c.¦ ~~o~•w. ; AGE-a.s~ ~~1[Z 1 Y'FA~i_~L~V 17t1~ i 4AY l~~ •v/ ' w~~~nat 1\~f.I~ Mi~S. . O~\L `~JY15 r~M. ' O O K i c a ; so 64 ; sb. ~ ; s~. • ' e.Augus t 3, 2906 :~a ~ ~ . ,.w? ~w/ O~ 10~0 D~fi~.t7 ru~~[~ ~'~S~O[ C~11 wOt1~7~~ JInE~ ~~Siilu~~OA-NAlU[ 1~/ NOT 1~ [~tw[~. O~~[ f~R[Ct ?ti0 huM~l~) ~ C ` '(~[SlsOl:v~ V~~T~R~IVC Af1\A urw~re- u~ t~e~ • i w ?~1VY~VV ~V~Yr~J~i~1 v .~v~sa.~ ~~1tiC~J• ii~i~ VVi~ii~ ' 7f. ' 7d. ~ r~V~ ~si+n c~ ro~uo~-C~i~2Etv OF WMAi COUNTitY A!A~2Zi[J. N:VER MAQ~21[D, NAME OF $U~'+VttvG SPOUSE fM~~ocr ~~ra. ~t ~~rcl - : WiDOWfQ D,YOQCE~ ~s~cu~n ~ S ~ ± i nois ~ 4. U. S.~1. ~ ;o I~~?rried ; ~,~ernadine Kinsella ~ ,„~:;.;,ir,:r r~~N6~R uSU~~ OC.LU~AiION :?~r.D O~ BuS~t~t55 Cz ~N~USi~f ; U 5. WAR YEifRAN WAR OR DATES Oi SE~~~~CE ~1~[ilwol _ _ :-~~O-Sio2 Po2iceman ~~st. i~:unici~aZ ;;3~Yes ;»,,tJorld k'ar lt `~.L St~t[ fJ~~~T~ : C~t\, TOTM. iM~.O~ ~O~O O~flllG~ MO. ':M].Of C~11 ~?T~1L(T 1MD MYM~[¦ . ,/~ESlw01 ~ inoi s • i.: Coo'~ Chica~o ~~•~'les ' tae. 1 fi37 W ts3rd St . ~ T l~~~t ~~(~f11[ l~R~ \ M(~Tntii-MAIOfN NAMt . ~'-.."\n\1t ~•cs~ r~JC.a a~5~ t ~ ~•z ~:a Do:~ahue ~ Rri ~?~~~t r'.~cFVOV ~ ~}`„"'S. , ~ ~ ~ Ist~tl~ ~~D w0. o~ O.. C.l~ .~r ruw~.. s~~ra. l~~l , `y~,~.: ct.~~l'JS~~I~~3I •MAI?~N~a AJJY.SS ~ " ~ vE['ERANS ADA'I.. H!f`'ES. IL.~--. 6014I ` ~~:.~:athrv,z :t, owr~ 7etail C1 er'{ Recorc~s • v~ ~ . . _ _ ' ~ + ~tr~t[w u~.fir wD Gt~tN ~ _ DtA~n Y:AS IAUS[D BY: ([wr~~ owtt uNE cwa. rc~.~wa ~o• ~ ' ' 'n\ i i. ~~~[O~~i[ (AU5[ • ~ • i ~ ROCE~t ~OITRAS r Bronchogenic Carcinoma. CLERR C~,:CU1T COURT~(~~ j Unknown ~ - - ~r--^~- ~ t ~ Ouc TO O~ ~s • towscVUCwC[ M. i ` ~.w..~ :hi. AA~. ~ ; I ~ ~ : ...c ~:i[ ic ~ A Ltl ,~Tl pY'T"~7~- ~ . c.:.sc ~A ~ - 1 ~ ? ,..c 4h71~- ~ aui ro o~ ~a ~ tcascouc~cc on _ - . . .sa ..sr. ' ; ~Ci ~ P.<:' O'r+[R S~GNIFlCAhS COND~i~OP:S~ c~*~ caa~~w.r.~+c +o ou~. wr wr Rwrtn so uus~ cmw w rw~t ~ w . AUiOPSY ~ ~ES. 3 . ' ~ 1~la/MOl ~ o a!~.e: e~n......• er.~~ z Intestinal Obs~ruction ~ ~9a ~o ~~q~~~~ g ~ `JF~iA7+0~1, ~F I~NY : MA~OR Fi1VD~NGS O~ O~fRA•. iU/v i • ~ . 1' 3 . •r ~ . . Iw.~nT~.,U~~.~t~tl ~ IM~Mf.~.l~~~,~(~~I ~~~T ~ wir/ 1~C•AIr.U~r,~f~41 , I1GU/ ~J~ ?C~~~~ ? _ ' ~iJM, TO :CS:` •v.c o+: ~ ^ June ~ ~ I971 ~tb. Junr.~0, i 7L j~~~ J ~ ! 1: 30P M ~ ~ ~ ; i': .•::1F'}" T/fAT TO THF. Sf.sT OPbYANOWLElX:F. Tt!!5 Uf'ATHOCCL/RRED NOTE~ IF AN tNiURY WAS ~NYOIVtD iN jtt15 JtA7H, ~ _ ~..ti ::ll: DATt:. AT TNF. TIVF. AND PI.A 'F., AND FItUM TfIB CAUti/i(S) S'TATF.D iHE CORONER MUii BE NOTii~~p. ~ - - " :,vt~A' VRE -T:~:'u~~D ~ u ~.T1Z • • , OATE SIGN[D Irc+~t~. o~~,~l~v~ , :itfNv~~ UCEtvSf NU1~IBii ; ~n5. 3une 11, 1971 ;n~~~~~ s ~ ;,Z~~'l~ ~ : , ~ ~.v A~~~~-LE 1~HFR {iR[[T ~o FV`~~E~ 01 • r ~ r~ o. ro.¦ sr.tc nr t ~ VETERA'VS AD~i., HSti: S, lU.:, 6C~ i ; ~ ~ a C:i",YA(iUN, C[MEiERYOkC~tMATQRY-f~iAMt" ;1~AIION t~no~toww uuc •DATE I~o.r...n~+,ru+l ivicu.. t N:~ i :~?~in~. ~~.o_[~~~-~ SF' uLC~e woR7'/'{ ;24d_VVA/t'-/y-~7l ~ ~:~;KA~ nUM[ fvAME srn« ~wo wo.u~ ow r. o. un o~ ruw~ s+•Tt n~ -~S ~-w. I ;-~~o ~ ~ t~? D f~~ A•~J ( 8 y 3 S.~22~ c ~ N~ fl ?F c N i c ~r 6 0,/,~ 6 0 6~ l - ---f - ~'.cR:,: J~R~ C R'S ` tVA':~RE , FUNEt~I ~~~fCiOA'S «uN0~5 tKENSE NuMBf~ ~ b.~ '~Ci~~t~~ ~ ; O ._`e„~cf- •i~'S~~.r+, i;~ ,~ATERi A~Y.{~jCA.} TR/Ut(woa*w.o~r..u.? c~,~ 'iC/ ~ ~~t•. J~t~ 1 l:`~~~~ ~ ; ~ , ~ ~JN~~ 5 DfPAiin/tN' O? ~UduC MU:in^6;i~EAV O~ Y~7At iKO~US ~sAS( ~ ~ T - . ~ Fn(tEST PARK, 1~ LItiU1S *r~;~ - ~ ~ '-~',~'y • 4 ~ . . ~ . - - F~- - -.._c~ • "'TC!;I{Y CF;;::"IFY THAT th~ Jo~epoinp ii o true and to~~ce! tapy oJ !hs d~aeA r~eo~d /or tA~ di ds~,.wsmed~.A~ithn;? .r.::~t c1.i. r~•c~rd u~aa ~staLli.hcd and /iled in ~xy ofJits in aotos+danee vnth ths pr i~ion~ t 1![ •(I~t ~'1litfud td _ ~~t,;~itr.a..o» o/ Lirtht, s(il:biylAa a?uf daath~. ~ ~i~YL/ ~ . _ ~ . i I i9ll ' = ~ G• SIGIVED ` ~s: ~CQ~~.R~u{ST,~q oF vr~~.i~ -~~~~s _ FORFST PARK, iLLINOtS ~ Itltnoi~. OFFICI E - .in~t r~:.~a c! ~A:~ d~~tA 1~ ~rm~n~nt11 Al~d ~rllA tlr 1L[.1NOI~ DT.PART!dENT OY PUBLIC HEAL?}l ~t 5v~n~A~. Qalwtr dMfY s~Ne~~ " a : to m~~• c~rt~fic•Uur.~ /r~m e~Ilu o( lA~ or~ilnd n~ord. i1N 1?I~nols ~l~wi~~ Prov1~1~ tA~t ~M nrtlf4eat{M ~f ~ dialll NAtd th• _~,.rc ~r .....,_~~~iu1tl. ur tM krc.~ reiu~r~r ~r U~o countr ek~Y al+~fl E~ Yrim~ f~cN ~rtdrna le ~II eour4 ~ni pl~cq ot tM ~saN 1h~nln ~t~t+d. ; ~ u?~~w;Mcr~T OF ?U~IIC HEAITM-~w~~~ 01 S~~~i~nu 1• w A~tAMII~ ~f t)w 8l~t+d 11U~~1~ _ ~ IC ~ ~ . . ~ ~