Document Jrp3wdYDdM7eanRqbmk24eNwO

st- oo >o oo<N oI On 00 Q & I HEREBY CERTIFY THAT the foregoing is a true and correct copy of the death record for the decedent named in item 1 and that this record was established and filed in my office in accordance with the provisions of the Illinois Statutes relating to the registration of births, stillbirths nnd deaths. --% ) date OCT 21 1985 ______________________ signed ^ ~) > *<- s t/C At Cook County Department of Public Health Official Title Chief Deputy Registrar 1r'0n.S. Mavhr.xik I'ri--.- I . I I 1 i n< > f:: f.0lr'i DANA-335