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Death Certificate - Hardiman, Luella M_11/9/1978. . . . ira,t�oN .. . ;:6�CT NJ. ' };4Tf9[D • .�, v0[S �, , f �wt LUELLA IMp�K AGC, ' �TAT[ O/ ILLINOIO , iiuriii � ME�CAL CERTIFICATE OF DEATH� ►.�:::^I �._ �egro Is�. yi ,—,�.. r��,. �./+.. o. .a.o a,�.,« �,,...,, �...... lJ. ��t�lit�rme� ,_ � �' � O,R��i�AC u�.t� w iqufi� GTI2[N Of N �-� , I�entucky ` a USA M. HARDIMAN zFemale � 6-2f3-1975 1 YEAR• UNDER 1 DAV OATE Of OIRTH wow� w�. �w� GLACf Of DEhTM :°"•,,,"°"„ "�" , 5-15-1878 ,�. Wabash � -- s `l_ � : - � I��allousewife � +u..:�.E tr.n : cw�.rr --• tndilna ;�„Gibson � / : ...�.�-.\4M[ li�li M�D%[ '�dward Stanley _ ��--- �--- V .... ::•.�>.T'S SiGN/ATUN/F -/ )/. - � ` "� ..iJ�tidj� .9 11 �/"^' ' � . . •:,� ��=' I. DFATM wAS UUSED BY: • _"" "I �.�. ir.wlp�Tl CwuY ' .......I .. �. (0 ... i , ow ro a w� •��uwmn on � `I: i, ,S II ,�MV . �� ut� id (el .. _� .'.•:�r�i"��:oi: Du1 f0 OR IJ A CWHWIKI WI • .\,:`ULS1 WT. � n tl � MOYIi/.l M OIMI� IM1ilIUilpN�lllMl 11/ NJT IM 4TMI�.GYI 1i�111 ND �V����1 . � �,� Wabash General Fiospital ' • � MARRIfD NEV1R MARNI[0, NAME Of SVRVIVIN(� SFOVSE V� wO�, �rv1 r.upn w�w11 WIOOWEd Iv00.CjD1+•tarq ,o, T�arried ,,, James Hardiman � I(IND 0! �USINESS OR INDUST0.1' �U.S. WAR VETERAN� WAq OR DATE3 / SEAVIC[ , � plf/NOI �unt �u�. No �iaa. �<n.. ro.x �+.r. w.wo o-�,.rc. w. � ws�ni urr � li�ll( �MD MUM�U ' ��� Princeton ;,;��'N°o� ;��� R R 3 Uff MOTHFR—MAIDlN NAME lutr M�oa� usf „ Elizabeth Jackson 117 � MAIIING ADDREA �suur u�o w. o� �. r. o. Un p rw.r, s-�n. i teY „� R R 3 Princeton,Indiana 47670 ll OM� ONE 4YY rn uM� /GI pt nA u,o k17 ;.,�iw'iw'e:iii � O � � R iARi 11. OTN[R SIGNIRCANT CONDITIONS: ca.a*w aa�n�wrue n oum wtt �pr �wm q uur Fa � r.rr � p no wrar .. ,... �. �� e.+-. m.. �.� 11�1/ ' \.>I��] �� 01� ��i��f (�vL : p 0��' ' too. � � hoe. ' •••• JATE OF 07EMTION, �f ANY,AIAlOR FINDINGS OF 07ERATION ...""' '70D. • •'••_� 1 Ci+TI:Y THAT 70 iHE BiSi OF MY KNO'NIEDGE iHIS CEATM OCCUFFED AT µ„ NOTE: If AN IHlU4Y W�S��vp_VE'v Ik JV TNE DATE, AT TNE FLACE AND F0.0M THE CAUSE�S) S7ATED 1• 3O, A TMI$ DFATN 7MF CGFGhEa MUST BE NOTIfIEd. ... � .'.'�iJ �n )'�''M. WV . rl/.� MO��M � Mv � 1W � e�o ulT 1�w MIyww///��� MONM Dw� . YI� . i ..:AOEJ IRO � TO ■ wv� w� �_ , i // . ...... ��� / L/, U) 71D. � � �71t. z, _ � . __ ' •,1,�g: /� , DATE SIGNED u�o�*w, u�. �wl ���r101S UCENSE NUMBER 1 .'> ':>' i� �ii�'� n' ��. �i " 1 �xzc J%'� Z _'7l ��:�. 23426 � i ..,.\o .���NESS-�FRiIFlfR ' mlli uro rur�a o� �. I. 0. [rt� 0� iOwN � �TI Lr (,' 1123 Chestnut Mt.Clrmel Illinois 62£i63 l, a1t. CNi.MA1WN� �IIM�IINY UN CHIAIAI p � iUN o�. o� ro..w ��•n , D� [ ���^��. >-•..�w+ C��JVAI ar�arn . Uuri31 ���� Sand Hill �:.�.Princeton,Indiana RR 3 ;z.e._7-1-1975 ..__� F�nE�UL MOME NM4E tuur Iu.o rww��� a �. �. u crtv o+ rmvw ���rt .i�r _�; _. Co�vin & Son NJprtuary, „ Prince'ton,Indiana 47670: � � ' VS IDa�1 -` : runn.0 dncron i � , . , Agent �,<<. 5618 � DATE REC'q BY �/ /� � :26D. �%` OI N�LK MU4TM —�V�fIW OI fTAniTCf ��A�ftG OF - i. r i � M �/. i fTiv.J+�O�i�+:t�::wTi)' - .\ .� lDO. . ..... . . .. 1 1! I.!: E81' CEFTIf'Y' TIIAT tAr /ore�oinR it o true and correct topr af the death rerord for thr dre� d�nt naned at itew 1, nnd J�al ihia .. •� �� ,d unr nsm6li.M1rd and �fed tn my oJfice in aarnrdance wiN �Ae proviaion� oJ the /I/inoia l'itd Statietie� Ae4 . „ � �, f ituPnv�.�l�W g . - 191R SICNFD �.(JlprJ W. �.Yu�+vr...,,rn - • ' }iELEN A, GRONNIN� � �'�• ��mP�. � I!linoie. OFPICIAl. T1TLE �COwt.(,(� G' (�-,,•.-� � : 1` oot MMy , �°iJ'�`� .•inl r�cnrd��f rhi� Awrh ixv�m�an.nrlr f7•d uitA tAe,ILLlNOIS pF.PAFTMF.NT OF PUflUC NEALTN aYSpnn�hdd Cowry drA� endlomf ' •�� wtM.n.rd M mmF� rertlfieauan� fmm mplrs oJ tAeon�inol rocord The IUlnot� atamte+ pm�ddr .AW �Ae errtifiraeo� of e draA nmd . ' . ...puion�nt ol P�blie H�'dtA or tA� bcd rr�lstmr or N� counrr dtnt ddf A� aonddend e� pdmo Jade widrnd oJ1A� Joa� 4w�i� rt��d a.�: , • �. � n NOet/ BUREAU OF JTA77SflC3 - ILLlNOIJ DSPAR7]16NTOP PUBWC H6ALTN - SPWNL Ff6LD 6t706 �� ' : .•`