Dokumenter
|
| Alfrida Olivia Baie (born Nilsson, 1893-1970) - Medical Certificate of Death (Illinois, Cook County Deaths, 1871-1998) State of Illinois – Medical Certificate of Death
1) Name of Deceased: Alfreda Baie
2) Sex: Female
3) Date of Death: March 20, 1970
4) Race: White
5) Age: 76
6) Date of Birth: July 31, 1893
7) Place of Death:
a) County: Cook
b) City: Chicago
c) Inside City? Yes
d) Name of Hospital or Institution: Northeast Community Hospital
8) Birthplace: Sweeden
9) Citizen of What Country: USA
10) Marital Status: Divorced
11) Name of Surviving Spouse: None
12) Social Security Number: 358-14-8639
13) Usual Occupation: Home Maker
14) Residence: 4707 North Malden, Chicago, Cook County, Illinois
15) Name of Father: Jonas A. Nelson
16) Name of Mother: Olivia Hultberg
17) Informants Signature: Frances Saul, Hosp. Clerk, 6970 North Clark Street
18) Death was caused by
a) Acute congestive heart failure
b) Pulmonary edema
19) Autopsy? No
21) I attended the Deceased From: 9. February 1970 to 20. March 1970
And last saw her alive on: 19. March 1970
Hour of Death: 6:30 A.M.
I certify that to the best of my knowledge this death occurred on the date, at the time and place and from the cause(s) stated: Ralph J. Ross MD, 20. March 1970
24) Burial at Oak Ridge Cemetery, Hillside Illinois on the 25. March 1970
25) Funeral Home: Nelson Funeral Chapel, 5149 N. Ashland Ave., Chicago, Ill. 60640 |
| Harry Henry Baie (1886-1972) - Medical Certificate of Death (Illinois, Cook County Deaths, 1871-1998) State of Illinois – Medical Certificate of Death
1) Name of Deceased: Harry Henry Baie
2) Sex: Male
3) Date of Death: January 5, 1970
4) Race: White
5) Age: 85
6) Date of Birth: Dec. 5, 1886
7) Place of Death:
a) County: Cook
b) City: Chicago
c) Inside City? Yes
d) Name of Hospital or Institution: St. George Hospital
8) Birthplace: Illinois
9) Citizen of What Country: U.S.A.
10) Marital Status: Widowed
11) Name of Surviving Spouse: -
12) Social Security Number: 357-10-0076
13) a) Usual Occupation: Self Employed, Soap Business
b) U.S. War Veteran: No
14) Residence: 8756 S. Sangamon, Chicago, Cook County, Illinois
15) Name of Father: Herman Baie
16) Name of Mother: Mannie Roth
17) Informants Signature: Giles Suante?, Clerk, 449 Winneconna PKWY. Chicago Ill.
18) Death was caused by:
Part 1 - Immediate Cause: Arteriosclerotic Heart Disease
Part 2 – Other Significant Conditions: Renal Failure
19) Autopsy? No
21) I attended the Deceased From: 4 Jun 1967 to Jan 5, 1972
And last saw him alive on: Jan 5, 1972
Hour of Death: 7:10 A.M.
I certify that to the best of my knowledge this death occurred on the date, at the time and place and from the cause(s) stated: J. L. Archibald, Jan 5, 1972
24) Cremation at Woodlawn, Forest Park, Illinois on January 8, 1972
25) Funeral Home: Patka Funeral Home 3756 So. Paulina St. Chicago, Illinois 60609 |
| Anna Williams, nee Abelsen (1857-1939) - Certificate of Death (Illinois, Cook County Deaths, 1871-1998) State of Illinois – Certificate of Death
- Place of death: 3936 N. Kostner Ave, Chicago, Cook County
1) Place of residence: 3936 N. Kostner Ave, Chicago, Cook County, Illinois
2) Full name: Anna Williams
3) Sex: Male
4) Color or race: White
5) Marital Status: Widowed, If married, widowed, or divorced, wife of: William Williams
6) Date of Birth: May 26, 1857
7) Age: 82 Years, 5 Months, 15 Days
Occupation
- 8)Trade, profession or particilar kind of work done: Housewife
- 9) Industry or business in which work was done: Home
- 10) Date deceased last worked at this occupation: Jan. 1926
- 11) Total time spent in this occupation: 60 Years
12) Birthplace: Grimstad, Norway
Father
- 13) Name: Tonnes Abelson
- 14) Birthplace: Unknown City, Norway
Mother
- 15) Maiden name: Anthonette -unknown-
- 16)Birthplace: Unknown City, Norway
17) Informant: Jane Johnson, 3936 No Kostner Ave
18) Place of Burial Acacia Park, Norwood Park, Cook County, Illinois
19) Date of Burial: Nov. 13, 1939
20) Undertaker: L. H...??., Fairbrother Funeral Home, 4447-51 W. Irving Park RD. Chicago, Ill
Medical Certificate of Death
21) Date of Death: Nov. 10th, 1939
22) I hereby certify, That I attended deceased from Oct 12, 1939 to Nov 10, 1939, I last saw her alive on Nov 10, 1939; death is said to have occured on the date stated above, at 4 A.M.
*The principal cause of death and related causes of importance were as follows: Chr. Myocarditis
Other contributory causes of importance: Severe secondary ???
23) Was an operation performed? No. Was there an autopsy? No. What test confirmed diagnosis? Clinical |
| Carl Leaven (1907-1977) - Medical Certificate of Death (Illinois, Cook County Deaths, 1871-1998) State of Illinois – Medical Certificate of Death
1) Deceased-Name: Carl Leaven
2) Sex: Male
3) Date of Death: January 1, 1977
4) Color or race: White
5) Age-Last birthday: 69 Years
6) Date of Birth: Dec. 7, 1907
7) Place of Death: Saint Francis Hospital, Evaston, Cook County
8) Birthplace: Illinois
9) Citizen of what country: USA
10) Marital Status: Divorced
11) Name of surviving spouse: None
12) Social Security Number: 325-10-4573
13) Occupation: None
14) U.S. War Veteran: No
15) Father-Name: Not available
16) Mother-Name: Not available
Causes of Death
18) Death was caused by
a) Immediate Cause: Massive Hemoptysis (1 Hour Interval between onset and Death)
b) Due to or as a consequence of: Pulmonary Emphysema (20 Year Interval between onset and Death)
- Other significant conditions: Coronary Atherosclerosis
19) Autopsy: No
21) I attended the deceased from January 1974 to January 1, 1977, and last saw hum alive on December 31, 1976, Hour of Death: 1:25 AM
22) Signature: Paul Vega, January 2, 1977, Illinois license numbeR: 36-46383
23) Mailing adress: 5604 N Ridge Chicago, Illinois, 60660
24a) Burial or cremation: Cremation
24b) Cemetery or Crematory-Name: Elm Lawn
24c) Location: Elmhurst, Illinois
24d) Date: Jan 3, 77
25) Funeral Home: Weimeskirch Funeral Home, 7066 N. Clark St. Chicago, Ill 60626 |