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Death Certificate - Ostapa, Mildred_8/17/1981':O. $TAT[ OF ILLINOIS N�murn�[ RGCI^TRn(lon � G.� O °' ° DISTIiICTNO. V ��JE7�� � aecireaeo MEDICAL CERTIFICATE OF DEATH r:Urn[�EP L`IiCGn5C0 �'.IME ri.ar m�on�o � ��.. SY% DPTF.UFOC�TM . �Mnr^�.o^..`�..�u� , rtzt,�r.eD o:rrnrn .,. rrr��Li. 3, JuLV z�� , i�s:� �.^ . ,„,p�ic.rvo�u crr+rnW. o—i+u �cnu vr.-r� vnv oni�ormrn�iw�� ��.,....qcovrvrvc.o�.nrn , ,. , . � . , , ��.-"'' --� 1—� APRII, 3Ur 1914 �, Coott' ,C^ , hHITF n� IRI �Ii „ 67 �,i, �—��— 5� s n.�+—�.i,�ooii���c�M1U.�mv .msvrtn�onon¢oiusrir�norv-....�,n.. . �.r.i.�s.,�r� � . �:'iL.��.I ci� . � .. . . o.��. �i� �.m.� ... �. ��� ChICagO �� UNIVERSIT'i Or ILL'INOIS FiO�SPITAL ��, INPA'T]:tiNT . -nn:ovnwn� u..o.�w crtiz[rvo�•vmnrcoownrv un�nu[o.rvuu:n.«.+„wmo. rvnm[m'smrvrvwcsvoo.[�,�.�acv.�..���.��w�.n :'., ��..�<<..�,..,�.i �v��,....�.....�..,»«�;..�:���.i . . 3. i���tn�n �.v.s.n. ,,. ��nr.ri7rD ��cnsTrrr:r osTnrn :iOClnl'+" „�_riou�>;�a;;:rn��; _ �,_�,. n2 xoz� . ,,,_ i�o .—L,�,�. __'t.,,� w�.���.-«,....�....—,.- — �. ..... o,...�.,�,,...,,..o ����o«�.. «.��.: 1 ,. ., .. �51 FIALNUT LAN� ini,. ELK GROVE, �nc.NO i��i, COOK ia,,,ZLLINOIS erx r.•naic •���-• ������ �••, n�OIUCH.A�A/OGNh'�LIE •�".•• M�uu�v i.U1�L.jc•nJ � �' �,. [JILLIEI�'�i GREliNFTSLD �c. ANNA (�:1�-aS0I,1� O�RF.ENFICLD rvroia.�wrvTV�te� �[ / n[�nnvNSpVim1 p m�i�mc noor.cs5 n.��«..no..o,o�,�....n..u..o��.o..r..�..,..n�.i �;;(�>:� ��,_/_ Q�,,�� ��r,. ���ORDSLn�. 1740 W TAYLOR ST. ,CHGO. ,IL 6067.2 ;g`� �� OCATH'.Yn5C�U5EU0V�. I� .ONG. •I:�I.Ibl.n �1�11 i'F.RrI' �MVCOUrocno�:c (�1 ]3roncho �neumon:i:i _ �S'� t------ CUNplil(ll,^.. t[ I�NV. DU[ iO.I��. n.. n CUII..1:f)VI.rvC1:01' nHre� r.rvr, mr.r. ra � ' in�nrtomrc cnus[ le Vr' � srnur�cu�cumou�. ��l UlffUtiC Histiocytic Lymplioma .� � lI'N4C4WE L45i. O'JC i0.0�� /�9 n CU�+'vl'OVL�+C[ Oi' �i�� 1c) O �oiti0 �� �i Dl���� I�J� rvR ��w ��� �uir��.r. [�u ' {�iIRTII. OTHCFSIGYIFICIINTCONDITIONS:c' c0•:���u'nn�c• wCU�mwC�ve6arvcvin ��p1 •ViOVSV '��'�^F^" �ror�+ol o°e� ~ �e.l is:�. Yes i�n.:,.,Ycs .. onn:o�o�•er�nno�.ir�en •enim�nHmueaorover�nrrorv I �o;� zoi,. �L— � �„�,� ,,,,: �,.,,.,.�....,,,� ,.,e....o...�,..� ..�.'JtCw.,., �..o,,....,.�..,,�—l.,o�„�,„���,. .�iA1 25, I981, .., ,,,,--zii� TUT,Y 24,1981 n� `7ULY^ 24,1981_--- �z �i 12:SOn:,', — r. , ,� J �y , /� — , � — �, , , < < � • � r�,, .��, �„��_ �;-G✓:!'1cq r i'U�Y%^•�ci %%I .%-. z �� Julv 24 I)81 _ ��nmiai�unuour.. or %�nnnw n..�.�i�...�,.n u.4��ois�c�.r:�.nwnn:u �� 27�, Jam'e.s_P! Srebro �i.D. 1740 W. Taylor Ch�o,Il 60612 Z�� T-1127G __ N<V.0 O�' /�fT1N0111� I'�IVi�Clpll IY OTHCIV THPN CCIITIFILII Itv�[ (�i� ✓i�i���l NOif: IF ilN INJU�IV WflG INVOLVCOIM1 1111'i I1L�liH J7. !CI:i NETH RO$i:N M. D. 1�e mcoicn� cxnr.�iricA �+us. uc rvn�iFico. uonin�.c�.[rnnrron. c[��r.Tirr.m�u¢n.n.oi�v_N�,:1E �ocnr�on ar.o�..a..+ i..r� owrc i,.m...�.o.. •�....i'. ��,. o �,. � �:,., ,. �,,. � �n�. ^r�,mai-io,1 2an. �o� �l'. •or . 2nc. ' �� 'f"I znd. isl a?'7��• 5 f'll.`�1.�� L 0��1:' N/�MC f����.�.��rvt�r��rnn�.i�O��i�,�f� c��aO���Owrv i�nr�. I �.T. Os'Lana 3>26 i�1. Cirrro ".ve. Chic:igo I11. 60G!.11 �, zsa. _ .�...�o�..�,o,.,,���,,,,,.,.�.,,.,,,,.o,,. rurvone� oiR[cj D icrn.vn� �O � � 31 / � C �• -n" / 751�. V 'U'i'?�Q4+� / • '�d�GLf.ti _ 25c. � 77 `...r �.vcn�i.n:c:rvn�rani�. nrw¢ � ' 'i� CHICAGO OLPT. OF HGF�ITH onrcNCC'o.,nwcn�.���r.i.v�.i�w�,�.....o..,. � � � n�,cuano �. o,��ev tn+rcn. noo�n n+ � r/ n 1 ��✓' 7lin.�Tn y�2'rt� '� i d.•....�...i�T�'' —� con�:avn::[ i.i.vn.. cuicnun ao�'�v 2fb. V'�1� I �Yi„Ili����,o�.�i����i�. vn]VUI�u.v,TT� ��IllinuitUuy:vll�cnl toll'uiilicllr,:ilth-Ullicc9lVitulilc��oub i��n•.�.00+n ... n�ri'i I�f � r . F July 27, 1981 4f S'fATE�OF;ILLINIItS, COUNTY,{OF!.COOI � ,1, �SS CITY OF CHICAGO �� r' �j �.nr j t i,:. �� I, Hugo H. Muriel, M.D. Local Registrar of. Vita.� Statistics of �� � � r 7 1.,..h -x�. � thc City,+��f�ClLycago,�..�10 ��h,cra6Y ccrtify that 1 am the'^�kceper"ot (� ;- the records of births, stillhirths ar,d deaths of the City of Chicago by virtuc of thc laws of thc Statc �of Illinois and thc ordinances of thc City of Chicago; that thc � a!�wm!�anyin9 cerii`icatc on thi, i' shect is a truc eoPY as a rccord kept bY mc ia pursuancc �f said �I�� lavfs �nd ordinances. e % r 1'y i.'r� - : ��._::,-�� �� �` ._. �-. ;Fr j'�t,�� -���.A�...�..� � ��ry�� i'i,� LOCAIREGI TRl�R , �. � . �.•�._ , t' , y ._r�:.A �'r.'�'_i_••*�-^��: This Cer[ificd Copy VAUD IVheii MULTICOLOR SEAL And QLUE SIGNATURE Are AIl;xed. � �. � „ v v � m z � O� �i x m D r � _ n � < J n