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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�
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iae. 7920 Ridgef Leld Rd. �ay, Crystal Lake �a� Yes 14d McHenry iqe ,I11. �
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] E FNTHER NAME '�w.. .�oo�. u.. MOTHER-M1IA/DENNAME ��w.. .�eo�. .. �
J �5, Frank Ellis �s. Susie Wolfe '
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r �70, Don31d Laitd �7p.cY�rec�o ���,310 S. State St., Elgin, I11. �60120
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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
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OVNIIL.CRCN�TION, �.[M[T[pYORCR[411TONV� LOC�TI(�M C��vpw�Ow• •�n�• O�TC I�Ow�r�,o��,v[�w�
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p4,, Burial yan. Hazleton - I.O.O.S. 44cHazleton, Indiana Zad 10/7/1982
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2sa. Laird Funeral Home, 310 S. State St., :lgin, I11. 60120 I
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