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Death Certificate - Hardiman, Flora Z_1/10/2001Tro� eJrmt n �ENY�NENTIN[ Sw f✓w�✓OnKron. /eV�u�,eiMY�iirv' M�MlaN Iw /NSTp(XTlO/4 Tff�'IED COPY OF A DEATH STIITE OF ILLINqS fiEGISTR�TIp1 ��. O OISiRICT NO. REGISTERED �O MEDIGAL CERTIFICATE OF DEATH NUMBEN DEGE0.5EO-NAMf nws� .�oeu u�� SEx !T� � y�wn[. [.I lvmi Black VNOEN vn� nLt n����• �.�......ace�..::i..... ��...�o...�.�..o�r�.. w�oowio.oivowcmn.�u1.1 - ..,.�.��..�.���o.�.,>.� .�o......�..�.0 B'" """""" e. Indi na e. U:S.A. �o. Married ii. Sherman SOC1l115[LVRIi�NVMp[R VSVALOCCU�ITION KINOOiBV51NE550NINOUSTRf V.S.W�NVCTCR�N WINOMD�TCSOISCNVICC I�at�n01 c ............... ,2. None ,3a.At Home ,3b. Domestic ,3�. No ,3a. ncs�ocr�cc�v.v.•o+w... ...e�.no.o..o.00n..m wsmccrtr counr• sT�r[ o. �.e. �.�s,.ei ° �" ���""" R.R.�1 ,an. Princeton ,a�. No ,aa. Gibson ,a�. Inciian� E ................ ta. � FPiMER - NAMf •'^s• °�ooi� i��� MOTnER -MA/OFNNAMF ��wv +me�� u�. ,5. Herbert Walden ,s. Annie INlONM�XT'j SIGNI�T �/// pCLl�T10X5M1Y M�ILING I�DDPE35 It��[[��nvnO.Ow�.�.O�C���O�tO�n.�t��a.i�r� C'L� ' � n,. noHus. n�R.R �1 Princeton, Indiana 47670 �B, DE�THWASC/USEDBY: �awruowi.ONEc��acr�•u.or ��e�.�b�,. o�t�� r.uMOOO�..00u�. PARTI. wwcm cuoz[ . .............. - � �a) 2 � � � � � � � � � � CONOITIONS, �F 1NY, pU[ TO.OR �5 � COMSEOUEMC[ wwitN GIVE xiSE TO /� � 3••••••••••••• IMME�IRTEC>YSE 41 //. � ST4TING TNE UNDEN� ID) '"vvi�[ic�/ .... . ... . .. . . . inHC uus[ usr. OUC TO.OR w5 � CONSEOVEMCC .............. l. � !��'L� Z �� PARTII. OTNERS�GNIFiCANTCOND1T10fS:cn.unwscvn+�wr�wrooc.r..mwvr.cuaomc�vscan�.�.�.�riP1 ♦�iOR♦ •••".••••••'^^•` I�o•wol �N � na.�....a 4............ ' 19a. 79b.�� $ •• D�T[OfO�CA1T10N.IfAN• M�lOAi1NOIMG50fOICRATION 5 .............. � N .............. 20a. 20b. P..... IATTEMDLDTME 1 O .� �wl 1�0 �. •�I w[����v[Ow. � 1�/Pffn �.�t��l MOVROIOC�iM ....... O[CCASEO fROY: /j / —7 •• I /. ' o / � 2�d. //' �O � n�n.p�• [ • D�� �[ �w e •�r��� �. 7� � ............... 21a. 3 ,/ , 21b. / / // ilc. /� ............. .o.+�.mor....e.�� .�occo..m.�...a.� o.P.,e.wy..c�.woou�,o..auoanwv..ao. � oerzsieyeo wo....o...... / ! �%/� '/ �IZd.AGn�TYFE � '1'tb. `i �/ ( M�uEANDI.oOR£55 fC[FTIIICP I�^[ewruep ' ILUnORIICCnSCnU�BC11 ZZ�. Earnest Lowenstein M.D. 4 °? 3 y.? � REMOV�I 24b. NAME 26a. �,... a. NOTE: IF I�N INNNY W15INVOLVE� IN TMIS DEATN TNE COHONEF MUSi BE NOTIFIE0. ION c��� ow�oww st��• D1TC I�en��.o��.�[��1 R,R, Princeton, Indi c3a. 1-23-79 u.. o. �e.. n... u. n[���0�• • wl�ll�nOt�l�<[x�[n���l• zx. 7�2 9 f� D1TE . LOC�I NCGISTRIR I�On�r�. y�. ���wl — aen. a,,.� .�- 6-� y� f vnzuumcv.umi miwrsvePartmento�rue�:cneaim-�wme�vim�ncw�m � `--"'---••••-.•."'-----"--'—"^ . . _ . _ _`` " ' " I XEREBYCER77F}'77i1 T �he forgaing it a trut and conett ropy of tht denth. r� rordfar th'e dueaent named a� item 1 and �hat this recard wat vtablished and filed in my offue in actordance with d+e provisianx of the /1(inoit sianuu relating ro the regisvatinn of binh, sti!lbi�ihs and dmths. � DA� ' - SIGNED " / � ' _.�'[ _ Mt, Caanel , IIliaois. OFFICIAL TITI.E Reeictrar Rc aipal �uW afth"n dmh v i�7 ��Qh ihe L1L`10I5 DEPAR7T�27f OF PlfBi�C HEAL7}l u Spc{Lel1 Ca�tY clda od hd rtgimrt ee mba�1 m mke radfiwm 6� mpie dt_`c ai�al �S ite wam �a awiee ea roe muf�em d. ems �a M�ne Dc� otPvstic xak6 u bo� rtpmea me m�r det man be c�+6de e.iam': ia.0 aao ma W[a atme f.a Nam �md v.SSAmIDFlA3ilm+tOFFlfaI�CF�AL7f4Bmmd5�un. . himdh�ldAeSmeo[Nmdt