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Death Certificate - Garrett, Lawrence_9/20/1978�.. �..;� ,,,, �(�CT .\O. �.� . 6TATE OI ILLINOIB � �ru• �s-c�c a� MEDICAL CERTIFICATE OF DEATH � - :.�.S,:LU:._��: uu� w�ow[ iwu � SIX DA7E OF DE, ... � �_ :.;3idPc'.7!CV .:>�E. �rc ni;au. n..uicwn ino�+r�. nGE-i.sr ::: f �::..erc:.��: �a�eo�r/lr�sl �5` � �. ' - ' Sa. 70 i. ♦. 1wf,C� LJ�J Dllt[�ii M1Vw�I� � _ :� -. ,... .,�, ,I _ �� ` _.-qi.,�..: 9. jiJ:i _.:CIAI � �Un1iY f:UM6ER USVAI OCU '_"': � 1?. ^__ — :tt�nrr _ "_ \% �), _. i " � c ^• ' ' 1 �b. � i t` ' / l.Yi�l�.��'.�^'.�` flRli ' -.� "'"'" 7'.:.� ��-•. 1�.., . . �An: ' JEAiM \':A$ CA '-'" 1fi. iw+.[awn --- I �.�:,::,:. �: ,... ..Y �. \"E FIS[ TO 'i ♦:E CnVSf !ol • __.�• :hu ...E V�J(9. ��.Gi Ull[ USi. � �Ani ❑.-JinEn 51� Jn.-; G �?ERAi1C i0 OR A1 A ���rrei;t 1 YEAR• Vr1DFR.1 DAY I ;�/�'/1 � MOV�S � MIN. ; : s�. T � eOYITnI G1 OTNq ac ��., ':,`ah;i�} �•n �-?r,��,-, �� 4t�11 i _\_ .__._ �BY: �,��� l�,/V� � CONS( � E OI: cor+ w«+c� or: ; 1 IONS: cwort�pn cwn 10. 1 � �� � �� (lf IqT IN IITnI��GV[ ST�[[T /�MO Ml��I�1 flos �ital. �RRIED, NAME OF SVRViVING SPOVSE N wue, ervt wwia� wi+.q D �v[am n. Ler.a Cross it+nuSiRV ;U.S. wAR VETERAN� WAR OR DATES OF SERV�CE ' I7c. �O '73d. fpwu. xws. o� �o+o nnuCi w. ' iv1iDECiTY � fi�[R �vD vUr/R � P6/MO) OarP.rlcvillp :��d.V°.S '��c.l 7 � i'il i usr MOTMER-MAIDEN NAMF n+sr rioa[ ✓sr 16. !iar7'i°tY. ;�nrt't-r�,+r )NSHIP � MAILING ADD0.E55 �sn¢r �iu+o ra. u�. �. o. cin on row.., s:.*�, x�q 1�� �17Gn�17 •J. �11�� �/1fP11^.�)i�1G iv r�//� fEMTfI d+LY ONE UU1( �G LINf !M IaL RI. wwD Iql rreprir.^ i•AE I!(Twf!'� L!/(: J i . � �,�f :� , %, n .r n ,, , , .,ti .� ., �i ! 7 r%� 1% TO 41/Y GMN 1M IYT 1 NI AV I VY1T • 16. �u� n.p��yt (C�. I�Efrt+01 ��u u �. uru...�w c.�.0 to.. /1.�:•ft�.•� �`�7fY iriAT TO THE BEST OF MV KNOWLEDGE THIS DEATH OCCU0.RED AT 1t � NOTE: IF AN Ih)UnY wA51�VGLYi91N '_'"_'{ � `.�. �� �%�° TriIS DEAin. inE �GxO�Ed mUST I2i G� �nE JATE, AT TME 7lACE AND FROM THE GUSE�S) STATED BE tiOTIF1iJ. I ATTCND[D Ti:C,',�MOMTM DAY � Y(Aµ MOHTX r OAY � YU0. ♦4D LAST S�W NIM/ MOMiN M/�: Y[�4 DcCinScD Fn0.w: : �' TO ;��a nuv[ a+: ' / � 7?�nb� ' ��. � -72 - . ,,a. SIw�ATURE � � '\ ' DATE SIGNE IMO�r�, wr, vuei , ILLINOIS :ICENSE NVMOEA i il� i' �_ �. , . -- �,: �: � �.(,���':-1 ; �:i� ���:�-��'���. � !��� /�-�,:�z�. -��y�L dtAiLIKG AvJ2[S�CCRTIFI:R TRFR /�ND NUM![F OR N. i. D. CIiY 04 i0M'N ST .E ��� , �i z 3 �A��-�,�- i�a`. ��� � G�Z8 � 3 ' J•:ATiON, :CEMETERY OR CREMATORY-NAMi ; LOCATION Cirv OR iown Stwi[ ; DAiE t°�.^,^, �•v, vuV { .._..�JVAL tv.arq . .—_�._ -...,;-- �z�b''n••mao ^pne�arp �2ac. a•I@`]SV111°� IYl(�Sa?78 :zm._–._/c t�%\�i�11 IivMc :�M/�C STSFFi NJO NUMB[A OR L t. �. CITY OR lOM!1 ST�iE Si• �1.�,/ � -- ,s--- � =-� r �i =one "�1 � S 1�ain Owe�sville, I�dS ana �� �5 i ��'V�ZAL :71nC�i�/T�$ $��iN1�1�JiiE „ � .{UN[M101¢[QL551LUN044C[n$F•JMB[i 7� � / 7'S.% �,�1 �`/• � J�\,':'�,:%.�h.• � 25c. l �'�%�'� � IOCA� nEG:'. 'n'Y51 VAT' � C � DATE REC'0.�v � REG157eUR�-^'- -•• ��� �' 7•.. . J !.� ' 26b. II Z .r V$ ZfiQ=1968} ILlIN0�5 DEV�0. /aFNT Of Wl4C XFAITM -/URFAV Oi SiATISTIC2 . (lASED ON 11N U. i ST/J:J�JIJ'C(4C1itC�:i: ILDa- _ . _ _-_ —_ . _ _"--- _- __' _ ' _ __' _. "_- _ I NFREBY Cfit;�l7�!' THAT the foregoing is a[rur and correc[ copy o( the dealh rec rd for �he dettder.t r,c:a�c at Sc�rr, t, and [ha:.his reco:d ums ese . r.'. :: i er.�' f:led in my oJJice in accordance wioh [he provisions of the Ilir.ois Vitd Stati :ies Act. �.�rF ���e.��.a i -�0 1978 S�c,ve _ . / " HELEN A. GRO ING �t,�, r qT i•�'..• _���P.e, ,/[linois. OFFICIAI. TITf E C ( __� o �- Thrndcin�:: n ..�s l�nth isp.nnanrndy J'!.d wil� the /!././A'p!S UF.Pi1R7'AIF.�\'T OF PW7l.1C 1/6�ALTH'a[ Spnng(e:d (::,cnty rlyd�� MR(o�++( rcgis:ra:s c.. . „ m ..Jac.:cr,iftaation.s Jmm capir<uj theonginr�! rxo�d T'he //linoie� smtutrs pn.ridr thni tAr or.-..fica:irn uj u dre:h r�cunl .. .=• :Gl. :7••uid� nr :h� loc:d nq:inm� o: .hr .:m.nty e/oA shall be mnddoed a.a pnma facie evidenr.• of tA� i.�.:• ['.err."n stnted 6y ef.�. � � .n. . Y� ?Dll2 !1'ir.a. RUHEAU OF STATI57'If.� -!LL/�YOIS OF.1'ARTNEA'TOF PUOI.lC. f1EALTH - SPRIKCFiF.LD e'-?5