Death Certificate - Nettleton, Joseph Millard_11/18/1993i
� FEGISTRATION
DISiRICT NO.
(� D CM1EASED-NAME
,. Wabash
CRY, TOW N, TWP, OP ROAD DISTRICT I
�,. Mt. Carmel, IL
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GERTIfIED COPY OF A DEATH RECORD
STATE OF ILLINOIS $TATE FILE
NUMBER
MEDICAL CERTIFICATE OF DEATH
MID�LE LAST $E% DATEOFOEATH �MpnN,WV,rEM�
Millard Nettleton Z. Male 3. Nov. 13,1993
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��a, Dorothy E. Nettleton ,�Wife ,��. 109 W. Mont omer , Owensville, IN
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DFTESIGNED • �MprrH,Mr,rEM�
rze. 11-16-93
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1 HEREBY CFRTIFY THAT /he hregoing is a true ana co-rect cop'i'al tne oeetn recora ror ine oeceaenr named ar irer.. ?,
and thot thiz rcrnrd �+as. ezia6lizFed ana lilea in my oiiice in accoraance ..-irh the cro�isions of the Illinois zr�-�:es.
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i VS 201A (1961 rovisionl BUREAU OP STAT�S��Ci - ILlIN015 CE?ARTMENT OF P�,13LIC N:ALTH - jPRIN:;FIE! D