Death Certificate - Paul, Daniel J_6/1/2004__ .. : :.: .�.� .
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X cexrK�c�Te DISTAICTNO. �,a CERTIFICATE OF DEATH
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I CERTIFY TMAT W MV OPINIOM BASEO VPoN MY WVESTIGATION A.�dOR
THE W�NS��N, THIS OEATH O�GV%�ED ON THE DATE. AT THE GLACE
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VASGRpfqUNCEDOFlDON AT
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ON ��3 U.S SiuiO� CER[�ft/:
I NEREBY' CERTIFF TfL{T the joregoittg is a true and correct copy ojthe death record jo� the decedznt rtamed at — --
item 1, and that [his record x•as established and filed rn my o�ce in accordance with tAe provisions aJthe %Urnois Vital J- A
Stntisncs Act. �./,,
DA� �� � o DO SIGNED ��«'� ��/�'��'�'�'�`J20U4
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A1' . lllinois. OFFICIAL TITLE � G'A�CL�(./LGCIU � � � � - .
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The origina! record of this deach is permanently filed with the ILL/NOlS DEPART,t-IENT OF PUBLIC XF�1 LTH at Sprinofield. Counn' <<z
__� �_..,� .em...,.,T .,.o „�rti„�>evi ro make certifications from copies of the original recocd. The Illinois statutes provide [hat the certifi�no�
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