Death Certificate of Rachel GORDON, Peoria County, Illinois Contributed for use in the USGenWeb Archives Copyright 1999 Annabelle O'Neill Death Certificate State of Illinois, Peoria County - Certificate of Death Certificate number 27334 (written number 721) Full Name of Deceased - Rachel Gordon Sex - Female Color - White Age - 88 Place of Birth - Ohio Lived in Illinois 60 years Occupation - None Single Died on the 26th day of October 1906 about 2:30AM Place of Death - 113 Ayers Ave Place of Burial - Springdale Date of Burial - Oct 29 Name of Undertaker - Ziegler & Estep Address - (blank) Cause of Death - Immediate Cause - Paralysis Duration 1 year 6 months Contributory Cause or Complication - a fall I hereby certify that the above stated personal particulars are true to the best of my knowledge and belief, and that the cause of death of the named and described deceased was as above written by me. Signature J. Cooper, M.D. Address 413 Main St., Peoria,Ill. Witness my hand on this 26th day of Oct. 1906 ------------------------------------------------------------------ USGENWEB NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by other organiza- tions or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contri- butor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. ----------------------------------------------------------------- File contributed for use in USGenWeb Archives by: Annabelle O'Neill