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HomeMy WebLinkAbout1782 . . , . , , , . _ ~ . ~t.~lr ~ ~ ~ ~ ~ ~ ,r~T~~u s~.3S55 . ; ruM~~a ':':.,.-,-w ¢ Y, •TM «a , tEG1SIRATNON 16 TQ ~ 1TATt 0/ 11.tiNOIY I . 7R1C1 ' ( ~ MEDICAL CER'T1F(CATE OF DEATH , ~ REGtSfERED . ~ , Nay ~ 24 197~ F` ~ NUM6ER Wf S~ 0/,TE OF DEA1M MOMN~OAM~TIA~ ~ ~ DECEASED--NAME ?~~u~ ~ M~oo~s ~ , ~ • , ~ ~ ~ ~ttav 21 1974 ~ • ~•~r ~"K Ben nmio G Dudan Male ~a~MK ' i' ~ ~ pATE Of 61RTM fNOwr~,o~r,ru~1 FIACE OF DEATM ~ ' d""'' ~c u.o,wana~ c»ou~, A un Cook ~ r ~ ' ~ WhiCe a~µ~c~~"W`;se ; NW~~ ` M~~. 6-zg 1393 ~ STATE OF ILLlN01S ! 1 I 4' i IN~10! IIY MON1IAL 0~ ~1ML~ IM/TI1Y110M•NAME I/ NQt IN L~KCF~ OIVG {T1SR ANO MUMO[~ ~ CDU NjY OF COOK ~ , ~ ~.`t~j J rf0'/N~M/.0~101iD01~TIUCiMVN ~(Ytl~MOg ~ ~ ~ - CITY OF CNICAGO ~ ~r ~ C~`~ V-~• ' C6tw9o ~ Y~s ~7e.Rush ~resbvterian-St. Luke's Hos~itxl ;a', ~ *~N~ NAME O~' SU~VIVINCI SPOUSE (MAIOLN NAM[~ II Wl/y , ~ GKp/ , ~ a~ ~ NI :fe~ne~ro~aa~ ! FNlNA1 N Y ~,YIDOW~D~9W6ACE~~~w&tm ~ ~ D Loea1 °iD J~ yr ~u,~ I, Murray C. Btown, M~ ~r ~ Illinois~ U.S.A. ~o. Widowed~ i~. None ~ ~ pND 0~ 6831NlSS OI INDL15il'( ~ U,~S.uWAP,YEiERAN ~ WAR OR DATES OF SECwC~ • ,~cgi stror of Yito1 Stctisttcs of ~ i ~ '"`w . O SOGAI S tiIUTY NU ER U UAL 0 CUPATION ~ ~~,knotari~ ~ ~M ~ ~ ~ Ph sicfan ~~s~. Dentist ~~x. ~~~d. ° ' ~ ~ f232~-34-439 t~. Y the Ci~y of ~hica9o, do hereby ~ ~ ~ Cny.YyM~~ ryl?.0~ ~pAO OI/M~C1 M0. ! INi10[i i1SY ~ ITIIC~T ~ND NUN~IN y, f~~ ~ ~ RESIOENC n~n ,couMrr ~ ~IYWNOI ~ • ' ' Chica o ~14d,Y~s ~u~, R td h n csrtify that I am th~ l~eeper of W ~x,~' I, ' _ »o. Illinois ~~4~. Cook ~~~o. ~~no~~ ; fATMEE-NMAE ~M~Y ~roou wT MOTMER-MNDEN NP.ME ' W< < the record: nf bi~th~, itif~bin6s ~ m ' ~1 DUd~A ~ ~ and deaths oF the Ctt~ of Chlcaqo o ~ ~ P r (1/~tLf hND M0. 0~ Ir Ou CITY OII TOWN~ IfAIG 1~~) , , iNro T'S SIONA1Ut! sRELAQON5Nl/ ~MAIUNO AODRESS b virtue of th~ lows of th~ Statt ~j , ~ ~ ~ ' ~ Clerk = 753 Con ress Pkw~?.Chicn o I11.606 Y ~ ~ ' AN~OtIMFTC IN~N+'~L o~TM w~s unsco sr~ ~ (unM oN~Y ONL aw~t ~a uwc roe fd, (U~ ~NO ~~~D IL7'MttN OMiRl~NO OpM of Iliinois and fhf OfdI110flC~s OF zi~ 1a , ! ~ ~ 0 ; l,.~ P~1 ~ IMMCDIAii~+6 '~~11Q C1~ of Chlca9o; that' rh. 4 .~~.P ~ • 12 H n W ~,f Btonchv neumonia accompanyiny u~tificat~ on this . an to o~ u~ caniauirc~ o?~ ~ n~, ~ 4 1. sheet ls a true copy as' a r~cord ~ ~ ro ~~Con estfve Heart Failure m irMa~un au~c c.~ W~ N ~ co~uouc~c~ a~ , ~ kept by me in putsuont~ oF toid U f1ATIM0 fNt UMCLI4 : . . I. A . h ~~yAcute Mvocardial Infarction ~ laws and ordinonces. ~r ~ IART tl OTHEk SI NIFlGNi CAN ilONS~ ~~~T~ ~ ro°f"TM N0T A°'~~D ~o uuu a~~ u~ rµ~ a w~OPSY e~~9'~~ e~i~~~+°~NO a~~, ' . , ~ ~ ~Ce N0) ~ j er ~um p. . Uremia/ Mu1tiFle M oloma p ~wb, ~ ~ a ~ OATE Of O~EAATION~~ I~NC `MAlO~ HNDINGS OF OPERATION . This Cercijied CopY V_ A L 1 D x, ~ ~ ~ ~ ~ ~ ~ ~ ~ , ~p, ~ ~Q. b FNOIAtTl~Y NIX/ MVXTM~D~r~YN~I ~FIOUR O h ~ E~ 1 T N ~!y W hen OrrRina! f 3 L U E ~ h C~ w t R TENDED 1N ~N~ay~ ( ONSN~OAYr~ ~MLIIMiYLON ~ ~ ~ M- ~ OECEASED f~0?A~ , • M, ~ ~ , Q 210, S~pt. 1,1472 ioz~b.riav 21,1914 ~~d' SEAL And ~3LU~' S1 C N A' r U R E ~ 0. ~ ~ M 1 ~~~,~1~141.1CDC~ Tg~qDL,~g~gp~r,D~R~D NOTE~ 4F AN INlURY WhS INVOIVED IN THIS DEATH, , iHE GORONER MUST BE NOTffIED, ' A~?~'A tXCd ~ z~ ox r~ n~s. ~r ~~nca Arm ~~cc uvn r~ROx rr~ c~?usr~s~ ~r.~z~ j , , rr r. ~OATE IGNEO lMOMih,a~r,rw~l ~IllIN018 UCEN E NUMBER _ Z ~ oru ue ha S , ; , ~ ot ~ , ~fa 2 4 , ~z~e 4089~ , ~ ; +'1 w 42e.~ ~urt tir z V FMIUNG ADORESS-CE~FIf(ER nMar,uM Mur~u~ oe onr oR rowM , , oq 4J / , ~a \ , ~ CG = 1153 w. ~Ori R SCWA . , C ~ `SURIAI,.Cx~'k? iCEME1ElT -NAME , ~IOCAT10N omo~raw~ ~reri ~DAIE tNa~nN.o?r,raq . ~p,^,; ~..~,I . W LLd Rf~~~ 1 i AMI`~7~A I~~Qr~~A~4 iZ~d ~~IGQ~(Y . . z~ Burfa ~.4b.0ueen of Heaven ,~a~Ft. ~o•~ v , p ~,aft ~ . L,~ fUNERA~ t HUME NAMk ~T~tR ~HD YUMIM 01111. r. o. cm o~ Yo+vM j'~ Q 1+~~~, Fune a H e~Q $ N. Ashland Avenue Chica o Illinois 6062z „ ~fUNfRµ OIBECfOC'S 4UN015 IICtNSE NUMO[R j ;OChI IIEGlSTItI+R } EuN~a~ E rs aru ~ ~ ~ b9~6 ~1 7 vY F ~ ~ ~ ' ~OATf RfC'~.BY LOCAL aE TM ~ ~ ' 'Y`~"3 ~a~ ~ ~ ~ ~ • ~ ~s s~c r * CA d~ARD OF H 'A6T ~ , ~ ~ C laa~~ Clvl¢ C~n~~? Reom I 1 , ~ C~ncevn• L~wl CS+ree o 80Q02~28 ~ IIMSED ON 1968 U.s.StnNO~RO~U~ ~ VRdCO (1' 71qaoU 0~0=K~nt ot Pubile HNlth~ OnfW o~ VI41 Recora~ , , ~v1 (J ~ `"''.i.~'~ , • . , ~ ~ , . ~ ~ . . a , _~„_...........,.~_.,..r ~,~tiik.r,~:Ma .:w.M,w^.W~~~1;'~,^"