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MEDICAL CERTIFICATE OF DEATH
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OM 97B U.l. STAMWPO CCRTIfI[ATE:
I HEREBY CERTIFY THAT the forego�ng is a true and correct copy of the
death record that was established �nd filed in my office in accordance with
the provisions of the Illinois Vital Records Act.
DATE �5��,� i.a.. � qP�r SIGNED �/.` _ �. L.J��—c/__
AT Mt. Carmel, Illinois Wabash County Clerk
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