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Grant County Government, Indiana Health Department Vital Records Read this Disclaimer - Not for Official Use! |
| Decedent's Information | |
| Registered # | 1986-099 |
| Date Filed | 02/20/1986 |
| Decedent | HATTIE ADAMS |
| Address | 521 N.RIDGEWAY |
| City, St Zip | CHICAGO, IL 60601 |
| County | *NOT STATED COUNTY |
| Sex | F |
| Race | BLACK/AFRICAN AMERICAN |
| Occupation | HOMEMAKER |
| Born on | 09/06/1903 |
| in | *NOT STATED, ** |
| Died on | 02/16/1986 |
| Time of Death | KNOWN 22:35 |
| Place | NURSING HOME |
| Name of Place | BRADNER VILLAGE HEALTH CARE |
| City of Place | MARION, IN |
| County of Place | GRANT COUNTY |
| At the Age of | 82yrs 5mth 11day |
| Marital Status | WIDOWED |
| Spouse | |
| Father | ANDERSON FRESHWATER |
| Mother | BEULAH *NOT STATED |
| Informant | BEULAH LAWRENCE |
| City, St | *NOT STATED, ** 00000 |
| Relation | *NOT STATED |
| Funeral Home | OWEN-WEILERT-DUNCAN F.H. |
| Address | 2722 S WASHINGTON ST |
| City, St | MARION, IN |
| Disposition | I.O.O.F. CEMETERY |
| City | MARION, IN |
| Method | BURIAL |
| on | 02/12/1986 |
| Certifier | DHARAM RAJ |
| Title | M.D. |