Name (of Deceased)

Fort, Curtis Dale

Creator

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Description

Certificate of Death, Illinois Department of Public Health, for Curtis Dale Fort, issued 10 December 1959.

Creation Date

12-10-1959

Date of Birth

23 June 1954

Date of Death

10 December 1959

Birthplace

Rockford, Winnebago County, IL

Occupation

None

Father's Name

Herbert Fort

Mother's Name

Ora Lee Eason

Informant

Herbert Fort

Place of Death

Children's Hospital, Rockford, Winnebago County, IL

Place of Burial

Ceder Bluff Cemetery, Rockford, Winnebago County, IL

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