Death Certificate - Reavis, William Claude_9/12/19551 .�
CITY OF CHICAGO-BOARD OF HE�ALTH
�FFICE OF THE PRESIDENT �
� �ri f
3� =
b ,
y` �
c�` a ° � y ° o? a Q W W °
y O� W � f.OR N \�� n.
� O y � O C V N � a p1 � Qd
W � d C � H V � � d ? \ � [(+
• N ``y � i" U �p i
� y d = 9 a ° o � T c T ^�
o a� � c
"' L o'° r r�^. G� o.. U
.�ti� m in o d .n ° _ c� c u � V �/1 . a
° G �L„ ° y •i, d � .ii �[ �
° Y c°o c � �: a " y' 'J c y ° c 'C ♦� i_ _'—'. O
Z O¢ m '° L:° ° E n � c � ��v � h1(� go
={"i U E C a'� y U N N U N d V ~ � \ � P O
. � O= a`. � L w w � �' E o � m � � � b �
V Z V E N � � C V r� 'U "C Z j
� � LL �n p '� •c � m � N ,p c U.1.. ^ �i � � F
.. � Z o = .m T _ c �, o .� _ A � `�S , c� a
� p � w = y a ` 3 . ° io : ^ a ; ;,c ` � � � W'j'.� p
Vl U U � Cl O � O .L... � Y A \ ,� � y i ^i �
l
o � e'.. a
� Y.
Q
. . __" ' "' ' '" __"' _ __..__' ' /4--_
'�
' - — '"=°-"'!" � ____ _ MEDICAL CERTIRICATL OF D TH 'T"Ti 4OO.r3O
,�. _� - - — _ _ FIL[ N0.
oa[Min'f STAT[ Ot IWNOIS� r
m tM 19t9 tlRfX MQ: � i I Ma .
ibn d 1M L RAC[ 01 OGTN ' . i WUFL WIDGtI <M'W� Me�W 4w6 u I�m00oe: rwY�n Ms�
�� . eauimr Gook . w�m� •�r"TC ILLZN07S • couxn COOK .miw�.
�' ►em�uwma.�.s.mum.a.wnurinu.> .�uarNm .emo�.mw...wmurn.u.wnu.vew.r.r.1..aar�
rowM CMICAGO ��iv1� I�r�°b�°i� rm°RrM CHICAGO _
l 1ULL Mut OI N ew le Yqlhl � bWatlo M+ � W� r MeCSI 6 iTRfET (d �v4 Y� YeCm)
iinnmoii ST.LUK��S HOSPITAL "OD�
5819 BLACKSTO2� STt�ET
•.. t MNti Of • Oti0 ♦(Ylebl a NN I � WT[ (Ymn� N41 (T�
(i�}e�v� WZLLIAM CL[UIS F�AVIS �TM JUt� 2 1955
a ta a wwn on xea r. ruwea Mtvu� ruonw, a wTC or urtrN • �oc m r.n p IIeN 1 Yw u um. e� w.
MALE . FH I1'E t��' °n0N0LD ��� I AUG .18. 1881 I 7'j �'�°01 I�I °sT' I""°' I"1�°
J� X ��n�w°�....�.u�i�w�j � wan a mtum7 0�� it amroucc pm..r..a�r+r� u anzu or wwT
I UNIVEASITY TNTITn��e I �i���� .
il IATM[R9 MAy( ll YOTH(R� Wypq �L
�ta.na t�avis SAFA . L.
ii w�s occusm cvrn(�( �ix u1.�a urco roauu n tau�
• a�pmn
OA�f/j/p� i
u wue or ourw •
L OISEASL OR COMDRIOM OIFFLRr ILIptYO TO DGTX' lii�. MICF?ZCAN AVE.
�/g� 3 •T�i.rr+m��.r.rl�ha.a..�.ne.we.�O�e4.s
. Cf �I. � 11 mm W �4w Wvry w amplotle �Ole! aeM r0. [ItT[A OILL� OME WUSE
;ww,..�.a� qPN�2Qi�� tri C 2f.+nn....
c �
r.er �.0 u w. /� �
e u9 OI.MIeWbW�OSr1 !�Y(�1 ( Q ! � •'
s g3 o..a�.�,m
� �„ �°'��m..m�. _ — -- ---- –
'b m k)
i IL OiMCN LGNITICLYT CONDITOMS
u �CSmws�:vlGrtlnomWW4lar '
� rutm u �4 Guca� v aelYlm omql�a
gIAO�TEOfOFEMTION I10IWONl1MDINpSO/OKAATOM
.
0
o Sfa ACCIOFHi (ytly) I tl► PUC[ Of IN1UpY (� lu v Jsn I Sla (Cltt, �
�SNCIOE Or� IaQ Istsy. mw� � WA �.)
_ HOMICIDE
� il6 T�`E (nmml (WI (Ym) (llv)
� INIURY 6
ja i n,., ��.n/> t.Y�� f�,(�i.4d i4lnaid7•e.
� e�_�NNG.-....Q.�—.I�f�( �d�4
� sl LEx�n�rt[ . /�
�
o�
s �i
ssvm�ss� 2o GQ1G S
�l Ne auf�orlt� e� mr. �
��ate of D�aW�
uoon
m a Ob it�)
�A�'XJ
a R�htbly b � Mne�!
AtEDICAL ACIS.
� IMTEAVAL pEfWEEM
� OMSET Mf0 OGTM
�J
s te�re �
-- - - - -I- ---
0
m urronn
vrs � xo ❑
(LOUMTI (STATEI
I m. n�w mu �wiuxr �.vw
IN�IWGY�❑ „ '. ..�.....M�'�'� .�.
�1 W+rk �{
_.(-. .. /v.j f. m._. J..G !7 �.__.. .-._. lo.y_'j-. tW / lsd sr�W (rai��rG d:u
'�L�i. ��_.A. w.. f.a+ �h ��.m ad a. �4 fm dvd �Iau.
�au
�
o.:i955 JUN 2 PM
a...a r.
�
17
��
��
flE61fT11�R
, iwxou
F