Document qdVq5ogaVyV0pxR2XbyOYJZ8k

/ UF.RF.UY cr.nan' THAT 'lhA foregoing is a true rind cm record uns e stabiisl.cd and fUrdin my office j n accordance . DA TE KAY W O 1972 AT 3 E3WVN <tt: rtooJ r*v. r./ nf il.is ilrn.'h i < pr.mnn'-^ily fill'd i< iih :he rr,;< .\tritr* utr> ttmh.i n i rl (ft rttjxc <'rtfie*i'-t< n v fmm curies cf //. c Oy i't it Dlp*irun mt of I'uLlic Jfcalih or thr local registrar or tha *. -rpy of the dealh record for the deerdt * l ;iomcJ 3u03.'. .c provisions cf Illinois I'iiol Sloiitiics A cl. / __ j- / official riri.rvia/ nr.l`yJvn.!EFT OF rruuc ttF.AI.ril > dcnn.:{itirl. County clerks ua.J/b rcc.mL Fl.e lllii..ur tuu.tr.s j.f.-iirJe ik..t ike ctr;i',ucmioR <>I a death teci clerk skull be cunudccd as jin.nu facie ru' uciice uf the facts therein .\toh I'S jnn (i'ir,m nunr.AU of statistics - illisois nrr .thf..\tof pvhucnr.Ai.rn - snuscui t.n c:tw, DANA-315