Loading...
Death Certificate - Hulfachor, Homer E_9/21/1987C'�ertif� c� C'o�zJ of a Dea REG�SiEPED NUMBER )rn r �M� � HIIY�MlMT�NS y r,,.. o,,.� rae•�r.s.'n..c.w' rr...eem� ro. ,�sr�vc.,aa 93 O �3 Homer aa. W�llt2 �,,...a.,..... o. .o.e e,., A............ " �b. Mt. Carmel � i :'.: °:� e�ev:.:�.1.e. �. 8 ............... 8 iYiO . • /pC111 \[ .,,.... o ............... R R #1 �ecorc� zr�rc or �wrwu MEDICAL GERTIFICATE OF DEATH E. Hulfachor 61MOIID[fC[X �U�o���l���l VX:[111�.1�1� U.S.A. s,.87 sb� s wv��lw MOVITAL0I�OTM[111M\tITUT10M- ��. Wabash General I unacnorwn�rcwn*er w�oo.co.orvowc g. U.S.A. io. Marrie< UlVALOCCVt�TION RINOOI�USIN[�• �arme; .�• n,••;cu � �:. ...e...._.. e. .o.e o,..,,�, .e. z_n io�. �.u.n IMOV{TI�• .,.,..�.. � i .,,.... i ' ovo rH .i.e,.:�°I''••' Jul 31 1987 �.e..e . •.n cov •. or ou-� i 1900 �� Wabash �... •,'°,+,�„' °...,............�. �e. In atient „�.,�.c vou�� w.�e....... �..�.—n �...�,.... i,...a.o..�.o. taa. . . '._' ' _"_. . E ............. . .noeu uv MOTNER -MAIOfNN/NE •��� ��oou � u�r fATHER-NAME "•" - �s. Oscar D. Hulfachor �s. Mar � mroeu�HT�` ucnerun eu�nor.s�n uuu�c�owcss �v..�...o.e.e.._.o..o..o.+o.+.......n.� / � � - / i�c.Wife »_. R.R.kI Patoka Indiana 17a. •?��Yi1.C" �K/= 1B. OE�TM wA4CPU5ED BY: I• . ONE < ^ UI.I01.• o I[II PAflTI. ��vm�nrcc�vsc � �a� RESPIRATORY FAILURE 2............ cwoi*�ws.�r.wv. ooe.o.oe.s.cor.seov�nceo. • w�ic„ crvc ��sF *o DAYS �""""""'" ivuEOUiEUVSEIJ ,�,RDS WITH PNEUMONIA . STATiNG i11! UNDEN� �b� •••..••••••••• LYIXOC\{¢ELIST. OVCTO.OPIS�CON]COU[MC[OI PNEUMOCONIOSIS AND FIBROSIS �a .� . a v�RV�fD�oC�Y�to�ru�rr��r�l�l •VTO1�V �.���.�w�W�� Pl1RT11. OTNEFSIGNIFlUNTCONOITIOKa:va�a+��^^�^^"°'D°1m�rt i.ao.m de�,�, .��• i. ?;LTABOLIC �CIDQSIS 2, uynpTgHCT�r; �o__G%0 �o�. 1 � .............. i 5 ...... o�rcororcw�non.v�nr �uoenr�m.csoro.cn�non � ........ 1. Y ............. 20a. 200. i o....e ...n �ovw o• oc.�.. � •rsrnemr�c ••• •• •••.o . _....� �+ o.. ......... o«<.,�o � 'd, `° %�- - V � — 3 � � ... . ... - c{o- � o. jl '•� zi�` y 0 7ta�� .. 1fa. c..,00�..o...�.�... n....o. o..cvcnro n.o .. ........ .. o.., ..�.... •....o•� � .o ....n. ... ..o...oc.. o..,. acc�. • -� Q �._ Y.� ... ........... I i . 72D �J � " � rv�uc�no�ooAUao.ccer�.,•� -,J ,2�_ Narendra Anadkat 1123 Ch .....� r�� ����un�u� IN�]ICI�N If OTXCP TN�M CCPTII 9�MOV �L I��tC�r�l 2a,. Burial �ur.cn+� �or.c a=:. Colvin- I11NLR1l j�14CCtC �� 25b. LOC�LPC 1 76a. � � �zac. uaK �.,.� eral -Home N1TVR� �� p�TVPE L(• �ll ILLIMO1� L1L [M3[ M V ��C ; h9t.• Carmel III zza. 36-61635 p• •�n�l _ MOiE:Ii�NINNRYM1�51MVOlVEO1MiMISOE�iM TXE CORW FR YUST !E NOiI[1[0. �LO<AilOrv [�r.o��o�w •r��[ D��C .�a�r�o� • � Hill Cemeterv I�^ Ilinoff �.. o..e P � � 47670 (� zs�.. � o;; •GO , ,. �,�.... _ ' 0% o.rc «co. • �oc�� mu�w.�/o.e.• % ����� � iee. �" -OI o�ViGlRemrdf u• oo�nna�.s�..o..on.�i.a•- I HEREBY CERTIFY THAT the forego�ng is a true and correct copy of the death record that was established and filed in my office in accordance with the provisions of the Illinois Vital F.ecords Act. D A T E ..�._., L y � q 8 7 S I G N E D Q. �c . Lr/��-�-/---� AT Mt. Carmel, Illinois Wabash County Clerk