Charles Albert Gould

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Death certificate of Charles A. Gould (1936, Illinois)

Registration District No. 3104, Registered No. 1355
1. Place of death: County of Cook, Chicago, 4542 Ravenswood Ave, 41st Ward
Length of residence where occurred: 40 yrs, 4 mos, 11 ds. Place of residence: Illinois, Chicago, 2145 Wilson Ave.
2. Full name: Charles A. Gould
3. Sex: Male
4. Color or race: White
5. Married / name of wife: Geneva
6. Birth date of deceased: Sept. 2, 1894
7. Age: 40 years, 4 months, 11 days
8. Trade or profession: Salesman
9. Industry or business: Denton Anderson Co.
10. Date deceased last worked: Jan 36
12. Birthplace: Chicago, Ill.
13. Father's name: C.W.
14. Father's birthplace: Unknown, N.Y.
15. Mother's maiden name: Vogt
16. Mother's birthplace: Lockport, Ind. [sic]
17. Informant: Geneva Gould, 2145 Wilson Ave
18. Place of burial: Rosehill, Chicago, Cook, Ill / Date of burial: 1-16-36
21. Date of death: Jan. 13, 1936
22. I hereby certify that I attended the deceased from Jan 2, 1936 to Jan 13, 1936. I last saw him alive on Jan 13, 1936; death said to have occurred on the date stated above at 6:30 PM. The principal cause of death and related causes were as follows:
Coronary occlusion, onset 1/13/36
Other contributing causes of imprtance:
Cholecystitis, onset 1930
Chr. ucler of duodenum, onset 1930
(physician's signature)
FIled Jan. 14, 1936