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Death Certificate - Marchal, Annabelle M_8/3/2010I / Y N O 2 O u a u : O r O Q r O i G CERT�ED COPY OF DEATH RECORD City of Mt. Carmel, [L Iyp m Pnnl in PERMANfMWR $e�FUnMlpi/K(pis, HwpIW. m P�yttbni NaaSDaoF M WSTRUC�IONS A......... _ _. 8.. _. _...... C.... _ ... _ .. D.__.__.... E._._._...... REGISiEftEO Wabasl cm. rowu. nw, STFTE OF ILLINOIS MEDICAL CERTIFICATE OF DEATH t ........:...... wFOwu.vrs wv.� r�cwmam Z�"�"��"�"�"�"- +�� ChristineLawson J.. ....... 1B. PMiI F�•y vyynes. �p�, .. ewve�an�61u i'�• M�ih/ua. LiLml� ............... .._...._..... 'mve�..w la) Paucrea � CONDRqAS.IF�.W WETO.ORtiSqppN5EO11EHCEOF YMCH GNE WSE TO (p) INAEONiE UUSE �a) STATWGR¢UNpEPLVWG WEiO.OF/SNCONSEWENCEOF LWSELISi. (�) � .............. VMTb. 00.rm�a�m�mmptlpbCe�euivrub�eb�n 5--�����������- 1. Carcinoma of the breast 2. CAD N...........••. OAiEOiOPEMTqN.IFMT V.ApFFWMNG50FOGEMipM P.._...__.... � mo "�'�'�'��"� 1(pq��OmNOi�PTTENOTMEDECEA5E0 OUr�MW�.rEwp ............... ANDIA$ru.wnu»�eRUrv�or+ �/�!(Gi zs : FUNEW ]b / � ���CW1.a.:(�..� v wr OR �+- r-�'ll'1-!%G�%fi✓� �1 Chestnut Street ML Carmel 62863 AT � ft iOflV-NA4� LOf,�iION aivCn�bww Cemeterv " zk. M[ Carmel r.�r..u..�.srn an as o. Home 527 Mulherry St. Mt. Cartnel, IL � � i[_ `�f��� ;"8�-z.�. STATE FI! E NUMBE0. KO�' 034-012100 os..a..���,� ,�„. �S- �1- u N I HEREBl' CERTIFY THAT the foreeoing is a�we and correct copy of the death record for the decedent named herein and tha[ this record was established and filed in my office in accordance �vith the provisions of the Illinois statutes relatin¢ to the re¢istration of births. stillbirths, and deaths. Date [sE�.� Signed n���1J.� � (�[�o.��, y REGISTRAR �- � Bv ���„ � o � C,� r��� .� �,.., DEPUTY REGISTRAR� ;