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Death Certificate - Akers, George Jr_1/4/1996GERTIFIED COPT OF A DEATH �'ECORD )ECEDEM'S BIRTM N0. pEGISTRATION p.� � STATE OF ILLINOIS srnre Fae DISTPICT NO. �, O NUMBER aecisfeaeo . MEDICAL CERTIFICATE OF D ATH NUMBER �� � Trqppy��M DECE0.SE0-n'nME FIRSi MIODIE L4ST SE% 0<TEOFDEATH IMO'tiH.o�v.ve�a� PEAII�NENT /NK s..F,,,»„�a,.R,,,. �. Geor e Ak Iz. a. �° ° HasM+aLO�Ptryaiwnf COU'lTVOFDEAiH 4GE{q5� UNDEP.�YEAF I UNOcF1D4V UFi[OiBiflTH�uOn.�D�tYesFi /vnOAOOt/n BIRTHDAY IvqS� u�5. O�vS NOU0.5 u�� wsrrrucnoes a. Wabash s�. 74 so. x. se. Mav 5, 192_i a ............. �. Mt Carm I eo. OIRiMPIACE ICtrvu+DSi�iEOn �.14RRIED.NEVERW � � conE[seieaur+rnv� WIDOWEO.DIVOHGE zGibson Co.. In. ea. Marriei B SOCIAlSECURITYNUM c ............. �o. D ............. RESIDcNCE IS�REE��.0 e'... _...... _ �3a.423 West / STAiE �a�.l ndiana FPTHCF-NAME FI 15. Ge( INFOFMnNT'SNAME fr 7 ............. 17a. ' 2 ............. 18.PAFT1. 3 ........ .. .. . cmnaate tene ff.w 1 ���i � ............... CONDfTION$. IF ANY WHICH GNE RISE TO 11h. POII$[ I��ENwwE.6MiE� e Ja�uemai INDUSTRY LWCRTIOta i MISPNNIC ix. sc. b E�eaxs. or mmobrauvstl�ettau.se0tl�e aea9i. Do nd�eiuuorU+a rti000 olqvq. ssKnssu�Oiaca nspvrtwYnrtest IX M8(� fBtMl. LL4 WY M! fdLLSB Pt BBfl� h11B. alRespiratory failure �UE TO.OR AS A CANSEOUENLE OF � �iRecent asviration a ............. PARTII. rn.. .sv�memnmvc�avouc+o-eiw�amsnv.wwry.iom.w.��vurt�. 5,,,,,,,,,,,,, ,1. Old stroke with a hasia 2, Enlarged N DATEOfOPERATION,IFMlY MAIORFINDING50FOPERATION P ............. 20a. �. IIOID��SMAIATTENCTHEDEGEASED IMa(rtK�w/x.ve�Rl ANDIJSTSAWNIM/Ii23iAlIVEON "'^� 1 VI� ............. _ 2ia. inTNE0E5TOFMYKNOWLEDGE.DEATHDCCURREOATTHE ..DAT jWDPLACEAN n�. Narendra Anadkat NAME OF AiTENDING PMYSIGLV! �F OTHER' �. 9URIALCREMAiION, CEMCiERY� FlEMOVRLISVE(]M za�. Burial zao.St. :UNEHAL HONE �F Zv. Colvin Funeral H FUNEHALDIREGTOR' SIGNAT 25b. � tpCnLSEGI 'SS�G�.'�TURE 26a. Vii2001Rn. 5'&9) s�E* IOmas Depam*'e^t of Pudc Mea_'T-awian ol Vrtel Rxvtls wASpE.;FA5E0EVEAwUS •RUEDFORCES�IVE5w01 IF FEN4f. WtiSTMERE 1 PPEGN�NCYN P.�Si T61EE 1101RHSi :OC. YES❑ NO❑ :ORONERORMED�LRL MOUPOFDEaTM WERNOTIFIED? (rESrq� z, c. 6:10 A n+. iE�5�5TATED. DATE jIGNED � IuouMMr.v�R� r I-. zm. Z ..J � ILLINOIS LIGENSE NUILBER rmel I1.6286 �a_ " ' IqfE:IF1NIKIVMV M15MVOLVmOIT165 o r.�tw � wnoran ox �mcu Eauaw¢n wu'ree�mnao- RTOMM ST/�iE DATE IYONiKO�v.YEMI nceton in. zaa.i2-2-95 cmoniovm s�•re n= inceton, In. 47670 or�lNH'eiU1 Wic�iO.T54LC:J6lrE::5Ex,1�0ER xsc. ,n-� DAiE F4EOBYLOG4 NEG6T�uA1�/ONi'tO/.•.r��4� 26D. /w. — � C -� IBliFDON19B3U.5.$TUl'J1y' CE9TIi1U.iE� � '• _ I �n^_�� _:T>�: , ue�ray ���r�ry Tuqr .�, :�.�_��ng is.e rroe env corrce coAY o? rnr deern recoro �vr rne a_c_a^�r non:ec a+ ir_.. _, vn_ [nY. this re<or_' ..as. esrablished anc' filee in my eefice :n acmrcvnce .�lth r'r.e em�izia�s o! +he lllimis ze_c_res. 1 DATr �=-L - % ...y S� _ SIG\ED��%��'- fi !. �.0 � q'p 1`'It Cfl"[Rel ,Illinois. OFFICIALTITLE—_� 4°"'°LT'OZ' Tn. onndl �ecv�d of ihi. dr�w i. �rrm�n�ntM Ned WItA t�e iLi:�Oic pEPA6Tn1EN'7' I1F PI�ULiI' IfF.\ISH •t � nnan.IJ. Ceumv d�r.• •nd I�r.l . r�nrnn �e. � mnnut le mu� eert�uru.en� lrnm reo�o of :ne . n.Nll,oe t���me��l.ne v wen����m.id��. �tun��.nn� moc..��f tni��aro���n ���� .�uN� Ih�rnmrm of PuCLC Ti�dN ur u�e Imv r�r���r.r er ine ruun�r ��rr. v �n u rv e :5 207A (1961 ro.ision) BURc:.0 OF 5�: ��=-:�= -:LLINOIS CcPARTAI[Ni OP o;)n� ;� ..;4! TFI - j?'+�N�;=!r' D