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Death certificate of Shirley Eloise Johnson, 2016 (Montana)

State File No. 201625-003337
(note: box numbers are non-consecutive and out of order on the form)
1. Name: Shirley Eloise JOHNSON
2. Sex: Female
Age: 87
5. Date of birth: June 10, 1928
29. Date of death: April 23, 2016
17. County of death: Lewis and Clark
14. Place of death: Residence
15. Facility: 2508 Heritage Drive, Helena
6. Birthplace: Kettle Falls, Washington
9. Marital status: Widowed
54. Decdent's occupation: Homemaker
55. Business/industry: Domestic
8. Was decdent ever in armed forces: No
7. Residence: Montana, Lewis and Clark, Helena, 2508 Heritag Drive, 59601; inside city
51. Education: Some college, but no degree
52. Not Spanish/Hispanic/Latino
53. Race: White
11. Father's name: Emile Julius Wiegelt
12. Mother's maiden name: Elise Eloise Pletcher
13. Informant: Melanie Denning, daughter, 708 Red Letter Street, Helena, Montana, 59601
18. Disposition: Cremation
19. Place of disposition: Mountain Valley Crematory, Helena, Montana
(funeral and disposition info omitted)
24. Date pronounced dead: April 23, 2016
25. Time: 4:42 AM
32. Cause of death: Pancreatic Cancer, 6 months
other significant conditions contributing to death: recent GI bleeding, cholecystitis due to biliary tract obstruction, severe arthritis, hypertension, previous cerebral hemorrhage, cognitive impairment
Filed May 5, 2016

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