Death Certificate - Hill, Alonzo_9/21/1992.0
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DECEDENT'S BIRTX N0. REGISTRATION
DISTRICT NO.
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NUMBER
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� STATE OF ILLINOIS sTnre Fae
NUMBER
MEDICAL CERTIFICATE OF DEATH
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RESIOENCE �SrnEEru+DnUMaErp
E.......__... �3,. 115 North Lincoln Street
STATE ZIPCOOE fUGE ry
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DEATH i.uonrn. wr, r�.w�
gust 15, 1992
'M.Onv.vEMl
Administration Medical Center
NAMEOFSURVMNGSPOUSE I�OEnrawE6w�FE1
ae. De1T_a Louise RUMBLE
Oakland
Hill � is.
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�a. JOV Hanley ,�o.Med/Recs ,��A Medical Center, Ma:
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Yqck, a Pean Iail�ve. list oNy one cause an eaN ine.
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PlACE AN� DUE TO THE CAUSE�S� STATED.
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for Colvin Fui
IL
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�YESMi
Brewster
, IL 62959
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DRTESIGNED �WniH.n�v.rFwnl
ezo.Au st 1�. 1992
ILLINOIS LIGENSE NUMBE R
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DATE (uONtN.D�v.vEMl
z� Aug 18,1992
sr.re nv
9iana 47670 ,
OR'S M1lYqISIILENSE NUYOEP
3'R=010418
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yppp (pev. � 16noia OcparNrent al PuEtic N9alR�-0IVisian d Yal RamQa o W+i969u.isr4vp�noc[t+i�nUiFl�
. 1 Ht`R£BY C6RTlFY THAT rht Jorrgolnt fi a true cnd tonrct eoDY of rhe�death record Jai fh� deetdtnt named at (�rm 1, and lhat rhf� �
:ccorC ��ai u�abllrhed and /lfed fn my oJJlce !n acco�dance wllh !he prorlr�onr oJ rhelll(no(t �(rof RecordiAcf. , "'
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DAYE -�� -�, �� �� /! 70� � _— SiGN6D �
q T MARION ,l11/noG OFFlCIAL TITLB CITY CLEAK _
Thr o�lbfnal rtcord o/!h!t d�arh It p��munen((y /!!ed wlrh fhe ILLINOIS DEPARTMfiNT OF PUBLIC HSALTNa� Sp�lnsfteld. County
r!uki end local rea(tl�an are aurhnrtred to make certl�Ica�fonr /�om topfet oJ �he afgfna! �rcord. Thr Illlnolr rm�unr provlde rhaf fha
curlflrallon oJ a dcarh record 6y ;h� +?epartmen! o/Pu61tt Heallh, lotaf �r;fitrar o� counry cle�k rha!( Ds prlma Jaclt rrldrnes fn alf cou�r+
and plaari o/ tht /aeu �hen(n rrar � • . .
VH�:O10 /19681 OfFIfG �l '/1i`.OS •. �S DEP4RTM�NT tlF o��n� iC HEALTH • SPRINOFIEID 6])LI