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Death Certificate - Blackford, Marilyn Elaine_10/21/19824EGISTAATIW �Q DiSTRICT fq. p RE615fERED �G' NUABEF � STnTE Of ILlINpS � s��rz n�a wuu�u MEDICAL CERTIFICATE OF DEATH � ' wYrv��m OECE/�gD-N4MF ��*+� .�eou �.n 5C% D4TEOfDE4TM wo+�..n.�,.e �ENM1VEAi INA � r �°;^�..'°��°°: , N�aril n Ela�ine Blackford zFemale a.July 10,,'1982 .,.�..�.,; M1��l4eulbr M1p«w[.^�t[.�✓C�.�����[�• I�IGIMORpEX[M �GE-„ ♦ VXDEPIV[AR UM1DCPIOAY D�TCOIlIFTNI�o..E��.�a��ICOJMTYOfOE��M • c.11+•�c�r�l ���IVw�I IMTPVCT/OHS � ' �\ uo�y wou �n. • az. N'hite ao. Amer. '�,�,43 -" se. • • s�. �' ust 193 �•. N�acon` c�i . in�w. r� . o� �o�v o�si��[� wuu�cw NOLPI�T,AL ON OirICP IHSTITUTIDM - M1� [ I�r n v[ si�[[� rn�. o- �uS:...o.c.�� CO� A ,b Decatur ,��;�St.-Ma`ry's Hospital"��.� p,��.~..,.."�..'..�� ....... > . � �e.-Zn �atient u:�=;0ylIPy4 w�r*Oi�w CIT�3CNO�MM�TCOVNTR♦ Y�RPICp.X[VEFMIRRIED. �MCD�SVRVIVIMGSOOVSEI���v[nn��a.�r��e[I .f. a D • �I � 4 ♦ ��. WIpONCD�.DIVORC[ON[c��n � � � . ♦ B� � e. Illinois s. USA;G _,o_; Married . ,,. Rex V. Slackford�: iOCI�LiCCVRITYXU�BCN llSV�LOCCV�I�TIOM LJRINOO�BlINC95DPIXOVSTRY Vf,WFRVCTCR�X �Y�RORO1TCyOfSEPVICE �z. ,,,Housewife ` ' �������� �' c ............... ,ae�ousekeepir� ,x.' No ,ra: - - - - - wcsmcr.a. .r,..•.o. �—' nsmcurr cov�rr sr�rc ' .......o.u.�a. c�...� .e.oedr:ic��o. i.a,�m o. ' Dalton City No .' , � E ................ 1<a. BOX 157 ,on. ,<<. ,,,. N,acon iae� Ill. FATHER-N4ME '���* ��eo« <•�� MOTMER-MAIOfNNAME ^�+ ��oo�e uax ,s. Charles L. Yonker ,6. Verna Hooper �nrowr�r�rs smn.rvne wounonz�i. •�u�e �oowess .u..«..+e+o.e.....o_��..o..o. .......:i.� »a. Rex V. Blackford nc.Husb, n�. Box 157 Dalton-Ci ;I11:619: lE. DEATM W�S CAUSEO BY: �i . or+e � .(e�. (b).. o �C�) 1............ PART 1. w�coure vsc _ . �J 2 . . .. . . . . . . . . . lel �iA/ i cd:wiiws, ir ulv, ove ro, on �s � consco�c«ce or 3........ wN�Cw GrvE n6E TO IvYED14F CRIAE 41 SiATIMG TME UHDEF� IbI ••••••.••.•••• tY1NGC4AEL4ST. OUE TO, OP �S � COMSCOUENCE Of .............. �C) PARTII. OTMERSiGNIF1UMCONDIT10fS:m�uno.ncoai.�rrr�.cmeuowrt.ror.¢u.coroc�uxav«i.r.m���� �y0osr •�.• m c.� I. � 1 eam .�.�. . � �n�. ..e a .............. 19a. NO 190. rj D�T[OfO�EN�T�OM,�f�wv •pn�lr/pInG50�0oEnwT�OM N .............. pa. P .............. ��rrcnacor�c ............... �ecusco rnor 21a. az�. 620 A. Putnam aEUOV�t Is.eb..l 2aa Burial •VAER�LMOMC zsa. Seitz ��.�R.� o,a i56. IOC�I EGI P 26a. � ' � .. e /�, � i: 27b. /y/ �d�'" � 27c ..-7. e..e ..o ...�. ..o oo. .e i..� c �...e e...i.q aaua, I11. 62550 CCRTIIICR I���[0����r��l .w�iow�-N4MF �oc�r�on Ll Cemeterv ze�. ' M�YE •.�a[l�nonv�• �ral Home. lol S. .�., i.o.,..o....�..i / G/ti z,d. 2�2o P. M`�i Itlii��[O. D�TESIGNED I�OnT�.E� 2zb. /�R � a�v.ois uccnsc wo.ecn � z2a. 3E -a�sE��� NOTEIF�NIHqRYM.�51NVOlVEDINTMISUE�TM �, TME CORWEX MUSI BE NDTFIEO. e�e.e.re.. n.�o o�r[ i-o.�..o.r..u�l�, tlorville I11. za�7uly 13.198 �,,.o.,o.. ,.... .. � t St., Assumption, Z11. 62510 , ,�....�o,..�.o, 9.�,.0,.�,�.....�.... y zx. F-6 40 � _ o�h wccn. er �ou� ueeisrn.R p.o.�.. u......� ' _ __ 266. ' _ _ . _�� .-.. to}P,LWicH th-OffireofVilnlRecords V�e�seo �vnvz.st..o.mcun•�urq State of Illinois ) I, WILLIAM M. TANGNEY, COUNTY CLERK within and for said �� ) County and State aforesaid and keeper.of the records County of Macon ) hereby certify that this is a true photo copy of the ' record on file in this office. IN TESTIMONY WHEREOF, I �_i have hereunto subscribed my hand, affixed the OfF]CIAL � _ SEAL of said County, at my office, in DECATUR, ILLItdOIS � this � day of JULY, A.D, 1982. ' � � _ i NOT V�LID UNLESS SEAL OF MACON COUNTY AFFIXED. �_ _ . _ � . - .. , Z�J:;C��:_ � ���.. ' I MACON COUNTY CLERK h r . � i , �i ' �