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Death Certificate - White, Arthur O_11/21/1988ry�e w vl;m � vrx.wr+er+r wx See Po+uN Dirtc�at. MtuvaL, m vnysic�am HaMOOOF lw WSTRUR/0.Y5 � �erti�i� ■ REGISTRAT�ON DISTRICE NJ. � �.-.: C,,o�,� o f a�ea t. - STATE OF ILLINOIS MEDICAL CERTIFICATE OF DEATH fiPCE—f�F,&iuc,�uWU.x OWGWONOESLFNi 4GE—usi 0 omux. [te� �sxa�n � wremu n�sl � wn xwas �.x �•�k'hite uAmerican s+. 66 sa k. � : piY. TOWK, TWP. Ofl FOAD DISTRICf HU49Eq HOS%TAL Oli OTHEA WSTINiION — wiE p� M� a utM STATE OF BWiH — pf xm LLS.� � ��� a Indiana SOtlA15EWPoTY NUNBE(i ,x. ,�..606 E. S[rain FATHEA — NAYF ,s Os WFOIiYANT NAYE RraE On ex�vn CONDIilONS, IF ANY, .................... WXICN GIYE WSE i0 WYFDIATE VLSi (t) STATWG TME UNOER LYING Gu15E LAS(. J ................... Y1ffi LL OTNFA SIGNIFl 5 ................... N ................... ORE OF OPEPAT:ON, II 2oa. P .........V�...... DI�I INC�]10i1 �TTEI o usr snw wwat .................... n,. .................... ro n+e eesT ov uv K ?}a. SIGNINPE � :�.. �� VA Medical Center qTIZEN OF WXAT COUNTRY Y,VWIED. NEVEA YAflfl1ED. WIDOWEO, DIVOFCED y[� v.U.S.A. � io.�Married lISWIOCCUGUION I(1NDOF&ISINESSOHINDUSTRY i�,.Trucic Driver � �m Truckin crzm+..no.wac.womrxl�n wsumv r[sixo :eet �mFort Branch u� Yes rootE u3t YOiMEfi—YAlOFNn WHITE �s Ltl6Y OME GYSE 1FA lWF iCR UlISE DVE 10 Of1 .�5 � COMSEGUENCE Of: �I WE TOOP �5 A COHSEOUENCE Oi: Icl CONpRpHS COMtWy1iNG i0 OEISM LUf Wf RFLIED i0 LWSE GHFN W PAFI I �y I� i D I���K ur. �uq November 17, 1988 ,iX OCCUPNED �i TNE TWE, ONE AND PIACE M' � n Riv—�� m� � �n xm No ecorc� ,. $TRTE FI�E NUYBEA . : ;: F BIHIN — ryq �q rtaq COUNiY OF DEAiH rch 26 1922 i..Williamson i SfREFI uO MiyOEly IF NOSP. 0t1 WSi. WOIGiE DOA M ' , OPIELEfl. flY. WPATIENi (SGEpFY) � ra.In atient NAYE OF SUiM1VWG SPOUSE — �uuoFH xuiE. G`4p ,,. Bettv Godxin . LY6i Yp%lf LLTI (SIREEt uN x0. p10.i.0. m1 W RMM. Si4E, iP� w MSi 1NflFF YONI16l i0c YES ❑ NO ❑ MWP OP OEATN r� 11:50 MTE SIGNEO — ryoNM U2 rEW zm November 17, 1 �wc rHrsiau, v omEa rxu� cemui� m� ox rrcx� . Hare: v �x u+.mar rus w.oisen w rws oe..rx n{e -" . ' �flONEP Ofl YFDiGL ExAYUicA YUSi eF nUlulcG. ION, CFYETFA'( Ofl CAEYATORY — NAYF lDGiION mi on rowx Sw[ WTE ryan �Burial „dalnut Hill Cemetery =�Fort Branch, Indiana = Nov. 1 NAYE nMFF� Lw WY'�Fn ox nf.n CT ox iVNx SLI[ Stodghill Funeral Home 304 W. Locust St., Fort Branch, Indiana 4�648 � � :s,. ' FVNFtLLL UIREC'ON'S SIGNATIIPE // /`� // NNEML DINEROfl51LL1N015 LICFNSE NUYBEA 250. , � /� � (/�/ �_"` " 35c. 71 � LOGL IiEGISTflM'S SIGNA7V n � WTE �fiEJCE�rvEU BY LOUL IiEGISiPAF I�k ora. �cu0 ]6a � � /�'���//•J. ]66 / / U Yq}W 11EV. L82' �, 106id� OsyNnenl al P�AOt MeatN � Otik� al VIW X�caEa (d4SFD ON 14l8 US. StAHpAflD CEAfIFIGTE� �_ / H£R£BY CBRTlFY TNAT 1hs Jo�zlolnj fr a �ne ond conscJ eoyy oJrh� dsath rreord for 1he deerdrnt nams0 at ltrm !, and rh�(rAU � rrcwd wa umbllihed and /IltGln my oj/!cr /n aeeordanes wlth !hs yrorGlon� oJ�hr!(Ilno4 Vlfal RseordfAcL � � I �-%� �J�n�J6/jy���%�'f��/ i DATE l / t�z�f�–�t�G2Y � �/,�•� l ]e d SlCNBD --. //C/i�,.�1'�.P O �(/ (Lf'��,•.� n � . . � r MARION'`°�•: �• , p�fnoU OPPfCJAL T/TLfi CITY CIEAK �" � ' Thr or(�Ina! �rcord of ih4 d�afh /t p��manenfly� ftled wltA� Iht lLLINO/S D£PARTMSNT OF PUBLIC XBALTH�e� SytlnrJ.'t/d. Counry cfuki and locaf ittltf�e�t qt aufAoriird fo makt ee�t!/Ita!lop+Irom topltt of !he oilqlnof �eto�d. The /7dnou ilafu!u prov/dt �haf:hr cutl/(car/on oJ a deatk rreo�d by 1h• �ep��fmrnl of Publle Xialfii, loea! i��irl�ar o� eounty elrik rhall br pdm� faelt �rldrntr !n a!I to��u . • and placu o/ the /aett �Aenln ua1 ' . . ve�=o�Bl1968� orr�ceo � � � " _ , . .. :OR0.S • �5 OEPAqTfAENT �F aun� �e «ee� �.. . cee.....�.�. ... _... _