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Death Certificate - Walden, Ulysses G_3/16/1994
Certi�i —� XC: 01423947 UECEDENi'0 BIRfI� M0. - �EGISTq,�T10N O CopJ o� a I�eatl��ecor� - - ISIRICT Np. OD STATE OF IllIN01S REGISif:REO MEDICAL CERTIFICATE St�EFi�E NUMpEII ��w�A '�� ncce�seo.H.ME OF DEATH OfqM�HLNUNF fIl15� MIpDIE Snlvn�r�lOLm�a.�. I. {/ /� ♦ I�S( SEi MOIPI/�(WRI�J/C/�III ' ��JSS��] Ur('���1 O.�IfU�(11Af11 �� ca,�,T`'rvoe,rH IdAI UP7V � ""'•�•�°•••�•�� "•""°°'•," - z�la.le � Oc[ober 29 p9 /MSTRUCAONJ �I:F.���� � I�e�pfllivCnll �. IIIIIp41AV�M51 .• . UH0611tUnY UAfEOfBIqI111Wrv�upr -�-���-�---- "_Wl),I]$Ii150f1 �s— n..s �.M.�s u,a .�.�i _'_"' Sa. ���i Sh � "" _ ._" _ _ ___ _ CI�Y,IpµN iVlp �FR�Appl$1{11�THUMIif�1 ---. ' --- — j-- " � October 4 �asrn.i.unonienv�srnurror+ H.6c��:— 4 6a_PI.3170f1 MOlni(InIN.GVfS�nfU�--��'�1��5—w __".__. ��oVe[erans A(IIII� wewnfnl .,�m'.rrm I,•;u:utnuC_ ��}���qy���q��7 BuluolerEie�n.�nvuea� M„nn�. inistracion i'�C(�1C81 ^"n�rnno .r.���.r�r��.� -�"+►�L rnerv�r.a..mq CU.NPVEIIMAlIpIID. � � ' _ CeI�LE�I. 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Cllf!/.1 i1QN. D! � 1�� ���[ COIIO*(P 0�1 Y:pC �1 l �� V iNt • AEMOVq�Sy�,vq CEMEIERYORCRE1A��ppY-NIAIE �VLO<veunto 2�a_ BUij.81 Sand IOC�TIOrv ci�'�nirnvH znt. lilll Cem, :"'E n�ie rvn����o.., FUNEF��IpM z<c. Pr]nceton p � E �E rnA�o ---- Ind.- :adlov. 3�11�y • � � y v" s�nFt�u.omn�rvn as,. Colvin Funer.�l H a m e << 2_5 ��. Ma1n St, u�� " — : �E „�. . fUNERqDiREC10R551GH�IURE�- ._ PLI.(7C@tOn j��� zso y/ // - —476�0 — AL(� �(/ G, rn �VNfH4M1[C�OIIS�IV�Y51ClMS[MIVUIi IOCAI NEGI<l:lAq 5 gIGNAiUpE ��� / r vL�" a �' 11. � 1�l �- /J / �` 25c. ...,6...,_.�.< ��v ��LGtuG� �V,�%S. �✓V n.�cr�FOen�'inrcis�a.niwr.i.�o....n � //�/�(� � � i i�R[�flY . Iuvw�sOan:mn�mwMPuLUCUaane-.piowWVnainecwns 26h 1y�6�� � CfRTIFy TH.17' �Se%ie <ur.�,(iehrd �� �iled in m o� Roin6 ir a true on1 cnnec! oo ie.sFn.ww��vs i..w,�oiu��n...�„ i 7 /'re �n aecordonce wiih �he �Y oJ �ht 6irth ieroid or the ehild named _r .+ p�orieioni o�fhe /(finois I� �a! Srotii�ie� A�t at item 1 and that d�ii ie E _ � � .` caiC SlC7: f.'D �n, i' �, ' / � i � iq R I)P� , � - �t��d �r�e.d o/ �5ti 61nh ( � . !(Cnnii. OfF/CIAG Tl7 :6 (' � "' � ,r ��6on�rd rn �e{� �0^^O^mrty fled u.iih �hr !l.L/�v0/5 jY ��� FRIC n`�•o'^^rn�o/ Pedlie /lee/�hrtiJimefon� Jml.. roplr� aJ iAr onr:�d £PAl1771ENT OF /'U/iLIC I/ or �Ae loml ra�iun. or iAe roun�r da,L��Ad! 7da !l(innia uan�<� C•1(�ll/ ev SPfn[h.12 Gu�i !fl /!fbll OURGUpF3 br ro�dd..�doa �Oj.'d° �h^' Aa ��,�� .> l.�.ii a d(ocnl iA775TlCS -lLC,IA'OIS DFPAR , rn�na J�cf �.� n. o/'llcancn o/ � bl::5 . .J .. 7'ME,Y7'OFpUl7LlCHfA[,Tl!-SPW,yL!]CLD 6T:Obh� �a<<r �houn aiurd