Vital Documents

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Death certificate of Cassius Wallace Gould Sr. (1923, Illinois)

Registration District No. 3104, Registered No. 5648
1. Place of death: County of Cook, Chicago, 1947 Sunnyvale Ave
2. Full name: Cassius W. Gould / Residence: 1947 Sunnyvale Ave
3. Sex: Male
4. Color or race: White
5. Married, wife's name: Clara E. Gould
6. Date of birth: Dec 27, 1850
7. Age: 72 years
8. Trade: Western manager / Inustry or business: Gould Coupler Co.
9. Birthplace: New York
10. Father's name: Wm. Wallace Gould
11. Father's birthplace: E. Pembroke, N.Y.
12. Mother's maiden name: Electa Pratt
13. Mother's birthplace: E. Pembroke, N.Y.
14. Informant: Cassius W. Gould Jr., Chicago, Ill.
15. Filed Feb 22, 1:03 AM, '23
16. Date of death: February 19, 1923
17. I attended the deceased from: Feb. 10, 1923 to Feb 19, 1923 and last saw him alive on Feb 19, 1923; death occured on date stated above at 6:45 PM.
The cause of death was as follows: cardiac dilitution for 1 day, with a secondary factor of acute tracheo-bronchitis and myocarditis for 14 days.
18. (doctor's attestation, by his son Dr. H.V. Gould)
19. Place of burial: Rose Hill Cemetery
21. Date of burial: Feb 22, 1923

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