| Dokumenter
|
 | Maria Gagnat, født Kloster (1890-1951) - Washington Death Certificate
|
 | Arthur Chrey (1904-1923) - Certificate of Death (Washington Death Certificates, 1907-1960)
|
 | Cecil Margurite Chrey, nee Crossett (1894-1928) - Certificate of Death (Washington Death Certificates, 1907-1960)
|
 | Bertha S. Chrey (1872-1920) - Certificate of Death (Washington Death Certificates, 1907-1960)
|
 | Nils John Jordal (1892-1945) - Death Certificate (Washington Death Certificates, 1907-1960)
Washington State Department of Health – Certificate of Death
1) Place of Death:
a) County: Pierce
b) City or Town: Tacoma
c) Name of hospital or institution: St. Joseph’s Hospital
d) Length of stay in this community: 21 Years
2) Usual Residence of Deceased:
a) State: Washington
b) County: Pierce
c) City: Tacoma
d) Street No.: 1007 No. Adams
3) a) Full Name: Nils Jordal
b) Member of the Army, Navy or Marine Corps of the United States: No
c) Social Security Number: None
4) Sex: Male
5) Color or Race: White
6) Marial status: Divorced
7) Birth date of the deceased: March 26, 1892
8) Age: 53 Years, 4 Months, 7 Days
9) Birthplace: Bergen, Norway
10) Usual occupation: Building contractor
12 and 13) Father: Ole Jordal, born in Norway
14 and 15) Mother: Nelskey Jordal, born in Norway
16a) Informant’s own signature: Martin Jordal
16b) Address: 1002 No. Juneit, Tacoma
17a) Burial
17b) Date thereof: 7/7/45
17c) Place: New Tacoma Cem.
18a) Signature of funeral director: David …, Tuell Funeral Home
18b) Address: Tacoma, Wash, Ma. 050
19) Aug 7 1945, C. R. Jonson..
Medical Vertification
20) Date of death: August 3. 1945
21) I hereby certify that I attended the deceased from 7-23-1945 to 8-3-1945
That I last saw him alive on 7-27-1945
And that death occurred on the date and hour stated above.
Immediate cause of death: Carcinoma of Stomach
Major findings of autopsy: Yes – same. Metastasis spine
23) Signature: E….? M.D., Tacoma, 8-3-45 |
 | Andrew Chrey (1865-1950) AKA Mons Aron Christian Krey - Death Certificate (Washington Death Certificates, 1907-1960)
Washinton State Department of Health – Certificate of Death
1) Place of Death:
a) County: Grey Harbor, b) City or Town: Elma, c) Length of Stay (in this place): 22 mo., d) Full name of Hospital or Institution: Oakhurst San.
2) Usual Residence:
a) State: Wash., b) County: Mason, c) City or Town: Shelton, d) Street Address: R3 Box 193
3) Name of Deceased: Andrew Chrey
4) Date of Death: (Month-Day-Year): 9-17-50
5) Sex: Male
6) Color or Race: White
7) Marital status: Widowed
8) Date of Birth: 5-17-1865
9) Age: 85
10) Usual Occupation: Boat Builder
11) Birth Place: Lunkan, Norway
13) Father‘s Name: Christian Chrey
14) Mothe’s Maiden Name: Inger Anna Larsen
17) Informant: Hospital Records
18) Cause of Death: Tuberculosis pulm., Interval between onset and death: 3 years
22) I hereby certify that I attended the deceased from 12-9-1948, to 9-17-1950, that I last saw the deceased alive on 9-17-1950, and that death occurred at 5:10 am., from the causes on the death stated above.
24) Bural, cremation or removal: Removal, Date: 9-17-1950, Name of cemetery or crematory: Shelton Memorial Park, Location: Shelton Mason Co Wash. |
Slektstavle til