Death Certificate - Cooper, Blanche E_12/10/1982BTAT! OP ILLIIlp9 �°�� ���� REGI9TRIITION ��u��• DI$TFICT NO, REGi9TERF0 9 MEDICAL CERTIFICATE OF DEATH � NUMOER '�S�j � � hwerinm�n OECEASEO-NAME ��w�� .noou uv SE% OAT O /T i�o.+�•.o�.,ruw� HPMANENT INR ! s.,,.,„,�a"«,��. � Alanche E. Coope.r z Female 3 Oct:ober 3, 1982 � � MopifN�O/MYlkiw� �A ONIGINOMD[D<[MT �wC— �� ♦ � � M�MDOW lar i . .11��[<� � • on� I�w�l VNOCN 1 YC�1R VND[N 1 OI�Y OI�TC O� EIPTN I�n..o��. ��wwl COUNTY 017C11'Y IN3IRULI/ONS ! a, Whice ' M 4b, American 50 �80 5bo• •• 5c,��• � 8 Oct.1 10, 1901 �o Kane� cv. .o ., o. .o.o oi...�c. ��..��. �oanr�� on orHCn �Hemunon - .... � � , ai...r..n .o... . ' ' .o..�..::i � o.aM�.°:.. 7�i..::,..� : .. .. .e. �.. . � �,..,. �..�< ,. A. . . . . . . . . . . . . . . �.... �., �p, Elgl.n ��. Olivette Nursing Flome �d Inpatient srw• o�oiurHp..m�. crtixcno�w�wrcounrnv rn�nwi[o,H�vcnrnwnnim, ��re[orsvev�viHCf�oosc�..�o.....���..�..� �.,w. w... ...i wioow[o. orvoecm u..cv.l . I •ceuw �� �B•�• ••• e. Indiana y. USA �o Widowed �� None ` 60CII1LO[CVRITVNVMOCR VlVALOCCV�/�TION NINOOlOUAIY[�]ONINOVITRY V.1.W1NVLiLN�N WIIROND/1TCtOI![RVIC[ � � , Iva��wol �z. ��a. House wife ��y OWn Ilome 13c No �3d None � C•.....•••.•... ncmo�wc[...�: ..o.�....• c�....o...�...o..o.00n..ic�. in::oocrcv couH+r sr�n � � D ............... . o. I iae. 7920 Ridgef Leld Rd. �ay, Crystal Lake �a� Yes 14d McHenry iqe ,I11. � � ............... _ � ] E FNTHER NAME '�w.. .�oo�. u.. MOTHER-M1IA/DENNAME ��w.. .�eo�. .. � J �5, Frank Ellis �s. Susie Wolfe ' � INIONM�Nt'l91GNI1TUR[ NH�TIONlXI� M�IIING�DDREO! I��w����wOw�)�Oww.r.O..[i�vDw�Own •�[.e��l . r �70, Don31d Laitd �7p.cY�rec�o ���,310 S. State St., Elgin, I11. �60120 � 18. DERTM W^il9 CAUSEO BV; �• r ONE uo• +�e�, �b�, o �C� � .i o� I VARTI. Mm� cc ue[ � �o.. �a. �...Io .a a...u. , .... . .... 1 .............. � o . lel . w�.�7�(/�{�-o�rY , c7rres � � �%''11M1 a2 ............. ; I � COnomoxs. ir �Hr. ou[.o: ow en co�scoucNC[ I � Q WNICN OIV! FRE TO •' : // // .l (�(� ��p p�/� / I � 3•••••••••••••• IMMEDIITE C1USE I�I ��V��` �v� `.i�,�Lr I V'�! �� e,� r�.. 3 e..,�ee�..s I I 9TI�TINO TN! UNDEN� (�1I � ............... � � j LYIHpGUf! LGST, p4C TO.On w! w CONlCOU[NCC O a • % � i<i A�.ioSc�e-cof<;c, �n.2a�t,�nL�� Qowi-f-�'c �/��tQve !� � y �ARTII. OTHERSIGNIFICMNTCONOITI N$:corm�now�cw vnwa�ooa�mwnp; -��� mcrv�[orv[wmnw�il.l ����OO�v '•�••••••'^W fe^' m L -y- • �// .,C e...... .. i..,,. � W 0 .............. � S-I Ll� C� .((J�.' %l�ti�G�2��G�1;-T`�� �LQ'In"�!(^"!Z.✓/ 11a. N� 19b..o ..�.,,.. � O T[O�O�CR��ION,�I11 Y MAIOR'IINOING90fOPFN/�TION I z 5............ I � � N ............. 20a. 20b. ` P...... ..... inrr[NO�orwv wo....o.......� wo�... ...i w:�...�o �i.o....o....e.n Houno�ocern . o[c[eec INOM: i I ro �y •� . ........... �o°'....����e.� �S� . /y KL' „s�e..,... C.�.. 3:����L".e.Z:°,,,BG . 3 �9 �L s�d. o : �n/7- M. , o ��I�I�����o. 1)�T[31GM[D IMOwrn.o�r. I .�' � c� �Lfiw�_ �zb. J � �/ � �,L 42e.sian�iue[ . N�M[AND�OORESfOIC[RT11'I[R I����Ow�niwi� ILLIMOIlLIC[NS[NUAIBCR � pp�. Moshe Zamir 317 Raymond St. , Elcrin, I1. 60120 Zpd 36-52799I I �� N/iM[OI/�TTCNDING�MYlICIIINIIOTM[RTH/iNCLRt111EM I�v�lOw�n�x�� I � 1 NOTE:IiANINlU11Vw/�SINVOLVEOINTNI60EATN � �� � � TXE CONp1EN MUST 0E N09FlE0. I OVNIIL.CRCN�TION, �.[M[T[pYORCR[411TONV� LOC�TI(�M C��vpw�Ow• •�n�• O�TC I�Ow�r�,o��,v[�w� PCMOV�II���Cirvl �` � I p4,, Burial yan. Hazleton - I.O.O.S. 44cHazleton, Indiana Zad 10/7/1982 IUN[pwIMOM[ N/.M[ ��w�[r�nOwVrn�[wOw1�rD Ci�vOw�oww �rw�[ ai• 2sa. Laird Funeral Home, 310 S. State St., :lgin, I11. 60120 I •VNLN�Lp�`` 1 R'0]IOM/1T Rf� �o ••• ♦ux[nwLOin�C�On���l�na��l�CaX�awv 25b. � ( l� '�.IA�Y _ % • it,L- _ �u. 6481 yFi ^ �. �% of Public Heelth -Oflirn ol ��� �r wc�� ..omrw.. wo.... Io.., ....� t:ober 5, 1982 I m��m on nn v.a. nn�oneo cunnc�ru I - "1 T Q 0 } V � � L O U v c � � � L } , � Y� N Ol • '�� C N r �n . U L� � `1� l�% � O o `� � E co �Z L C � ' i- N 'O . �o - c L •- i- `�- - � `o — � w `o °' U U w � �- � +- m m �4� d � � L � � W } � C _ � � � � � � �