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Death Certificate - Schwartz, Robert_5/10/1978;3 a 8 � .. _ , �. �s... �..�::� � o��'m9' aµ .3 � J�i �•�. ;. • �.�K -a ^� ,� � ` i r � � ^� a r� K:r ,�r`i� S C� �[1 "� w ^�STRICiNO� : • n� y�387�78 STATE OF ILlINpS �_!dC� :nu,�iae�� .F s� pyl�E��;JV a. V(/ y Q n(Q •�..4 REGISfEREO � Nv MEDICAL EXAMINER'S CERTIFICATE OF DEATH %��:: � w. �� s..-� r F,?'„{,;�_ � �.p �y rvUMBER ' r . . ` A ! �� m � ' � -. ': .. ' . - . . T� ..- x� N y g � I OECEASED-NAA1E , nw» . .�ooii us� SEX DATEOFDENTH �._ irow�w.e�r:�iwq•� ID�y}�](y '�' �, i-+,'� I� :o.-.;.;. Rt7BERT opRANDOLPH.,. SCHWARTZ z.MALE a. MP,RCH� 10; `;1978:;-"`,r.;':'::-.. V W�p m� y •. C.IIf[C�� w �� no �1��1 VNOEFI�EAR VNOEFIOIV OAiEOP81NTM1�O..Dw�.�[1A1 COVXTI0IOEITN" � y�'d � .o. o... .o„ .� � � . . _ _ � � p a . Qa. WHITE a�MERIC,aN ^ - .. ,- � "�f = � ��,...a . .. .o.o o�,,,��,,.,....�. �s3. 46 56. Sc. 6..TAN.6 1932 � , �a:: �COOli�=..i P'�� i-�dHi� +' ovir�ioworrcwwsnrunon-...�n."o°r��.�:..eni��:..�v a.� •' gi � .." .M � `�.:: i�%,.°+ ,°� m,�'"::�`OAKMrIAWN T END W^:�CHRIST�COMM[JNITYuHOSPITALo.SUHV_Y1G5POUE�y DpA 'u „��?. rm'� � �{..�. wioovieo.orvanccors.«�..� . .. 4 a y � . .i - .ii tf � o Xi.,'�s. INDIANA ` s. U.S.A. ',o. MARRIED ,i CORRINE `°HEI:I�S �{ �� ro m%'�O SOCIAlSECUR1iYnVMBEq VSU�LOCCVV�TIOn NlnpOiBV51nE55pPINOVSTNV V.S.W1FVEiENAN WqqORO�iE50I3[RVIE;�Yj;r•/ "�! � m y �' iv[fr�.01 _ . . �p �. y � -; � . u•••�••••••o.no.00�..a�o.o ins�oee�rr eounrv .. �'' m `�RURAL � ROUTE 3 � � � �o m ,.°�w=��aa. ..,, # yo�„bOWENSVILLE �a�:70 �acGIBSON ;- •, INDIANA • FATHER - NAME � 74e �=b H F�'�� ' ' � MOTNER -h}Alp£NNAME ��• on� ' � 'F '• ROSA ' � f� mm F, m m 15 ' OSCAR ' SCHidtiRTZ`: �s. ' PICKEI,L• ^� ��O �. iNfORMAX ' SIGNATVFE qELAT10N5M1V MAIIING AOOXESS �4tw[(}�w , 3 'r W�j'' h � �7a. ` La/(�� ,� ��yilIFE in7UP,AL �OUTE �3 041EYSVILLE'• "IYDIa.Vd , . .. ) �� fIS. ' � OEFTH WAS CNlI5E0 BY' �[ . ONE c � �'O Qµ PAflil._ . �Nn�e_ rcceesc �•a•�•• �• •""`•�"lallbl..=�ell .. . .. i M ' ��+ 0� P.. ...� , . (ai QU(tre «.�71 �l t� > C+/L'/� / � �.` .��%�t: Y' M1 � C [N-1 -� r J ro ° �T � ,coNO1r�ONS.6 ANr, oo ro.o - i, � � F+ m m.n � YMRN.GNE NRE TO' ' [ � '' " '' f� Vl P� O � iureeoiar. cause ia Lr f r �' (� • 1 h'� H �! y srarwei�eur�oen. �- - �>�S'L �-�/�� C{CCGTC �.�' "[�[/ �G""'..-S � . ;Qi'�i� � � �lY1NGt<115ELAST. OVETO.pRASaCOrvSEpvE'�CEO� . � ; f.l 1 1 1 LJ N' a �i , - •. .. , ' .. � : - . " ti Ol Ch ;. . .. .. .. (C� [ ., . . , l� . � . . : � � � � \� �.µn PARTtI OTMERSIGNIFICANTCONDITIONS:cw.a�>, eo. . vmc a �p�� aviOV9 ��'�3 � %bN � ' N Q � . , � ,. _.. ' . _ '. e ' . . . � , .. , . t 'l .. � � �S . � � o�re or iH��nr rv � . 15T i�� 196 � � J � �d[C „� �� , . • I MOVR. .' MOW � VR OCCUAy ;O 1 i µ �7 . p. p M ;v .LG�� zon ... . .�_ Za .-. . . . . . M. 20d IN1l1RYAiyOR1�'!�, PLCCOEOFO!�c[� � IOC�iION . �IC .. � �� . /n01 .� �(c�ivl � 1 + 1� � � � zoi�' . '20g : - t l [1 � . � y O,� '� ; -^ .,, ' u��o�n . ,� 1 EOEC�QENT SP OVOV CEppE OON -•T m �� , � CENTIFT�TXqT IN.MY OYINIOY B<SEO VVOV MY INVESTIGiT10.V GNDIQR . � � . M �� ,yr TME INOU�SITION TMIS OF<iH OCCUflFE� bV iHE Oi�E �AT THE VIqCE �/�p � - ��('� . f--4'� S � . .� � � Q�a..� 1MpOUETO�HEC�USE1S12TqTEO.pNOTMAT ?IC: '. l'y'�(\CH' �O �� • � J�H :�'t �YIC � � - \2. y� `o �+ �EO,� �.M�„�,n �y�-,-aE � / ` 0 41A n� y_: F� � � �++ `- � m �J'.' - : - �� V% � ' ( . � . . , - _ � � o�re sicnco - 1 0 -�.- .. p r µ y � . ++�fJ � . . � . a+ 6 e+ 'J m ± ` - � • _ , � . . . . � m � y, 2z' �R� l.�aH�if},V H,F.: :�.� ��. 11�., �� z3 '�,-2�, � z �.aO p,' evn��ttnc •rion. cercrcw�oac evaronr 6•a.SiE �ouno c�..aw.a.. �ar . :. RENOV�LIir[[�r�l ' � �C4iE m � Y� "1 M: �24a..'. SURIAL � . . . . � . .�. � i' '� i . . ' ' aac. DAK L.�:]N Z4� ;F. FR;i1ICE'JILLE ILLINOIS p�,14 78 ''� ;�': y �� y fUNEFAI NOME� .. " ' NAME S�n[Ci �no nvu�[P ow w �.o. C�� Ow iOwrv . fT� � �T � . � 0 n cF - k•t .'� ; � � m a, 2sa.K-RAUSPE FUNERAL HOME IVC. 3905 ;l.LI�GOL`I �VE, CHIC:,GO ILLINOIS �60013 ��.� �''�' '1 ,' � � .IVNERI1lOIRECTOR;551GNAT y . � ` a � � ; __ � _ , . � ; . .�, < ; . }Y . �:. �2sn. � . „� ` „� , z&. - :, 5542 , � .,,, ,� ..: ,- t . �a 1Y � LOCAINEG�STR SSiGNATVXE ..• . � ~ � !: ° . ` �D QTL�REnSTR?RI N '.K 1 .. •TE XECV Ch'.Y (D zea.� . : JOHN B: �HA�:I:� M•. / . . . 'Y—•.. 26b ` � / d-� � � .:: �r a� J .: ' �'HiOiC IPEV. i/]el � .. � ' �. m m�. ,, � IllinoisDe art P ofPublicHeal[h-Officeo(VitalRecords� 3�o.sc owur�us�stnno�nooiar�rc ��u ��. .. � . �...:e Jo �>� :� � . - - • .. • .^ : , .. .' . . �.f �.�� tt��,'�;f,<,:. .. ;.r - . . - - ' . ' . . � _ -.. � _ . ' =�R - .. � • „`-� _� _ � � ...�.. _ . :..� � . . .v,,.0 .