Vital Documents

» Show All     «Prev «1 ... 31 32 33 34 35 36 37 38 39 ... 107» Next»     » Slide Show

Death certificate of Clara Elizabeth Gould (1943, Illinois)

Registered No. 27650
1. Place of death: County of Cook, Chicago, 1947 Sunnyside Ave.
Length of residence in city or town where death occurred: 22 years
2. Place of residence: Illinois, Cook County, Chicago, 1947 Sunnyside Ave.
3. Full name: Clara Elizabeth Gould / Not a veteran / No SSN
4. Sex: Feale
5. Color or race: White
6. Widowed / Husband's name: Dr. Cassius
7. Date of birth: June 25, 1861
8. Age: 82 years, 3 months, 5 days
9. Birthplace: Niagara Falls, N.Y.
10. Usual occupation: Living with daughter
12. Father's name: unknown Voght
13. Father's birthplace: unknown, New York
14. Mother's maiden name: Elizabeth Bonnell
15. Mother's birthplace: unknown, New York
16. Informant: Ruth E. Jacobs, 1947 Sunnyside Ave.
17. Burial: Rosehill, Chicago, Cook, Illinois / Oct 2, 1943
20. Date of death: Sept. 30, 1943, 5 a.m.
21. I hereby certify that I attended the deceased from: Sept. 28, 1943 to Sept. 30, 1943 and that death occured on date and hour stated above.
Immediate cause of death: cardiac decompensation & terminal uremia, 3 days
Due to advanced atrteriosclerosis, 10 years
Due to senility
(signature of attending doctor0
Filed 1943 Sep 30

» Show All     «Prev «1 ... 31 32 33 34 35 36 37 38 39 ... 107» Next»     » Slide Show