Deceased Name:  John Thomas Grear            Sex:  Male            Date of Death:  January 7, 1998
County of Death:  Union            Age:  74            Date of Birth:  July 17, 1923
City:  Anna            Hospital or other institution:  Union County Hospital            Inpatient
Birthplace:  Ullin, IL            Widowed            Was Deceased Ever In U. S. Armed Forces?  Yes
Social Security Number:  346-16-9711            Usual Occupation:  Maint. Supervisor            Kind of Business or Industry:  Housing Authority
Education (Specify only highest grade completed):  12
Residence:  301 W. Cross            City:  Dongola            Inside City:  Yes            County:  Union            State:  IL            Zip Code:  62926
Race:  White            Of Hispanic Orgin?  No
Father's Name:  Roy Richard Grear            Mother's Name:  Lorraine Harmon
Informant's Name:  Tomma Hogue            Relationship:  Daughter            Mailing Address:  3285 Lake Road, Dongola, IL 62926
Immediate Cause of Death:  Carcinoma of Lung            Approximate Interval Between Onset and Death:  4 weeks
I did attend the deceased and last saw him alive on 1/7/98            Hour of Death:  9:39 p.m.
To the best of my knowlege, death occurred at the time, date and place and due to the causes stated.
Signature:  Steven M. Beaty           Date signed:  1/8/98
Address of Certifier:  513 N Main, Anna, IL            Illinois License Number:  036068672
Burial            American Legion Cem.            Dongola, IL            Date:  01/10/1998
Funeral Home:  Crain Funeral Home    P. O. Box 257        Anna, IL 62906
Funeral Director Signature:  Bryan A. Crain            Funeral Director's Illinois License Number:  034-014214
Local Registrar's Signature:  Bobby Toler, Jr.            Date Filed by Local Registrar:  Jan 8, 1998