1 20 11 http://barrycountyhistoryportal.org/files/original/30/853/Death_Transcripts_Barry_County_Vol._1.pdf 12893fab56ac0f0dfe42f46ffc7f32da PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 1) begins with Adgate and ends with Byington �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan '' Decedents Name: Marilyn K. Adgate : Date of Death: 05/30/994 Date of Birth: 09/09/940 Fathers Last Name: Sprague ^..Place of Death ■ ..Hospital: Unknown ■^iCity: Lake Odessa Sex: Female Age: 53 County: Ionia Vif Hospital: SSN: 481-50-3025 Residence County: Barry City: Woodland zZ;*-P Code : 48897 Address: 215" S.lMaih Place of Birth: Michigan ? Armed Forces: No Ancestry: American Education: High School Marital Status: Divorced ’ Race: White-. .Underlying Cause of Death:1749 Related Cause of Death (*) 111749 121990 Autopsy: No . /Findings Available: Unknown,-.. Actual Place : Home . Medical Ekaminer Case: Unknown Work Injury:. State- File Number: U(*) Mode of Death: Natural : Location: 36534 Six digits with the 1st digit being the line, the 2nd being the .position within the line,, and positions 3-6 being the ICD code. �%-i ?’: H* " ' ./-■'• ^>^7/ •V4 '’• •■ MICHIGAN DEPARTMENT. OF- PUBLIC HEALTH DEATH TRANSCRIPT * STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: LORETTA ESTELLA ALDRICH Date of Death: 10/06/993 Date of Birth: 04/21/919 Fathers Last Name: Springer Place of Death Hospital: Unknown City: Shelby Twp Sex: Female Age: 74 County: Macomb If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 375-18-5083 Address: 1123 North Boltwood Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British; Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4149 Related Cause of Death (*) 114280 214149 61496 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 62970 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert Cecil Alexander Date of Death: 04/24/994 Date of Birth: 12/19/917 Fathers Last Name: Alexander Sex: Male Age: 76 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo SSN: 365-12-3674 If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Address: 7878 S. Wall Lake Rd. Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 09 Marital Status: Married Race: White Underlying Cause of Death: 4149 Related Cause of Death (*) 11)967 218782 314149 614019 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 23631 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Milo Alyworth Date of Death: 02/25/994 Date of Birth: 09/19/921 Fathers Last Name: Aylworth Sex: Male Age: 72 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Rutland Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 3 years College SSN: 364-20-0653 Address: 2139 Iroquois Trail Marital Status: Married Race: White Underlying Cause of Death: 410 Related Cause of Death (*) w 11410 214409 612500 624442 634280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 16784 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �03/25/97 MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents * ' State of Residence: Michigan File Number: 061133 Decedents Name: Sex: Male Raymond E. Andrews Date of Birth: 01/29/922 Date of Death: 10/14/996 SSN: 380-18-7149 Spouses Name: Freida Pulver Fathers Name: Mothers Name: Clarence Andrews Grace Ketchem Place of Birth: Indiana Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married 11 Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 921 East Shore Drive Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Arteriosclerotic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Owner/ Operator Bicycle Shop County: Barry Zip Code: 49017 �*k»^MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 , DEATH TRANSCRIPTS' FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 010139 Patient Information Sex: Female Decedents Name: Frieda M. Andrews Date of Birth: 05/16/1922 Date of Death: 02/04/1998 SSN: 380-18-7634 Spouses Name: Fathers Name: Hany Pulver Mothers Name: Doris A. Pierce Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Marital Status: Widow, Widower Education: High School Place of Death County: Livingston City: Howell Patient Status: Inpatient Hospital or Other Place of Death: McPherson Comm Health Center Residence Address: City: 921 East Shore Drive Johnstown Twp Manner of Death Manner: Not Specified Line 1: End Stage Copd Line 2: Line 3: Line 4: Other Conditions: Sepsis Injury Date: Injury Description: Occupation: Owner/ Operator Industry: Bicycle Shop Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Kathryn Jane Anguilm Date of Death: 08/30/993 Date of Birth: 12/19/915 Fathers Last Name: Foster Sex: Female Age: 77 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 SSN: 366-09-3232 Address: 5211 Fine Lake Place of Birth: Michigan , Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 2028 Related Cause of Death (*) 110389 212848 312028 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 48139 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �Qpvruur-S CERTIFICATE OF DEATH Stale Filo No. MICHIGAN DEPARTMENT OF HEALTH Vital Records Section BIRTH No. Ul — ■ Local File No. _ 2. USUAL RFSinFNnr (Wb^Ti .1 ~ a. STATE - “wwueoeaaed uved.^ Ifjtwtitutian: residence before admission.) 1. PLACE OF DEATH a. COUNTY, b. CITY (If RURAL and give townsnip) e. LENGTH OF STAY (in this place) a. TOWNS CITY O a city or incorporated village? Ul Yeo “ btMPiul or iMUtutlon. give street address or location) < L4hLn!t-A.,!,En2F HUSrl I AL Un — . . Ul c. (Last) (Type or Print) CO a. sex Month® 10b. KIND OF BUSINESS OR INDUSTRY IS. FATHER'S NAME 111 Cft bl O 3 0 S g co foreign country) 14. MOTHER'S MAIDEN NAME EVER IN U.S. AR (Yes, no, or unknown) I (If yea. give war ICES? service) 12. CITIZEN OF WH NAME OF HUSBAND OR WIFE OF DECEASED IB. INFORMANT'S NAME ADDRESS MEolcAL CERTIFICATION IB. CAUSE OF DEATH </> Ul t. AGE (In WIDOWED, DIVORCED (Specify) done during mart of working life, even if retired) 111 DEATH sTcol CO (Year) Day) OF /f f No ADDRI Enter only one cause per line for (a), (b), and (e) Interval Between Onset and Death I. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH • (a). ANTECEDENT CAUSES Morbid conditions. If any. giving • Thia does not mean the mode of dying, such as heart failure, asthenia, ate. It means the disease. Injury or complication which caused death. DUE TO (b). rise to the above cause (a) stating the underlying cause last DUE TO (c). II. OTHER SIGNIFICANT CONDITIONS Conditions contributing to the death but net related to the disease or condition causing death. O IM. DATE OF OPERATION 20. AUTOPSY? IBe. MAJOR FINDINGS OF OPERATION Ya 21a. ACCIDJ SUICIC HOMICIDE 21 d. TIME OF INJURY Ul (Month) (Specify) (Day) 21b. PLACE OF INJURY (ej. ta or about home, farm, factory, street, omee bldg., etc.) (Year) (Hour) m. 21a. INJURY OCCURRED While at r—i Work L-l 19, DATE REC'D BY LOCAL REG. t?jtl. from the causes and on the date stated above. ScDATE SIGNED 23b. ADDRESS 24c. NAME OF CEMETERY OR CREMATORY 24a. BURIAL, CREMATION, R OVAL (Specify) REGISTER'S SIGNATURE No (STATE) 21f. HOW DID INJURY OCCUR? and that death occurred at (Degree or title) (COUNTY) Not While r-i al Work1—* 22. I hereby certify that I attended the deceased from. on 23a. SIGNATURE 21a. (CITY. VILLAGE. OR TOWNSHIP) FUNERAL DIREC* 24d. LOCATION (6ity, viUageTt (SUU) �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 023163 Decedents Name: Sex: Male Clarence Merritt Ash Date of Birth: 02/17/904 Date of Death: 04/17/995 SSN: 297-07-2055 Spouses Name: Fathers Name: John Ash Mothers Name: Maude Distler Place of Birth: Ohio Hospital: Borgess Med Cen Ancestry: German Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 89 Woods Trail Hope City: HopeTwp Manner of Death: Not Specified Line 1: Myocardial Infarct Line 2: Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Atrial Fibrillation. With Embolus To Right Leg Injury Date: Description of Injury: Occupation: Industry: Heat Oven Operator Foundry County: Barry Zip Code: 49046 �MICHIGAN department of public health DEATH TRANSCRIPT - ST ATI:-: OF MICHIGAN NON- COUNTY RESIDENT THE STATE OF:: Michigan Dec• ?d urn»: s Nane» Rom 1 d Dea n Avery Date of Death:: 06/23/993 Date of Birth;: 02/25/937 Fathers Last Names Avery Sex:: Male Age:: 56 P1 a c: e o f D aa h h ’ Iosp i t a I:: Coinmun :i. t y Hea 1 t h Center of Branch County C ;i t y » Co J d wa t e r Cot u it y:: B r a nc h I f Hosp i ta 1 s Erie r g enc y Ro».>m/Out p a t ion t Residence County:; Barry C 1 t y:: Assy r i a Twp Zip Code:: 49021 SSN:: 373-38••• 2772 Address:: 7350 West Lake Rd P1 a c: e o f B i r t h :: M i ssouT :i Armed Forces:: No Marita] Status:: Married Anc es t r y s B r i t i sh . Sc ot c h rj Wf*X sh ,t Sc: o t u h Ra c e:: Wh 11 e Education:: High School 410 * 1 a *1 ecj Ca use o f Dps1.* t h . (X Re 11.410 214140 Aul.opsy:: No F’:i rid i) igs Ava i ‘I ab 3 e:: Unk nown Ac.t ua 1 P1 ace:: Hosp ita 1 Medical Examiner Cases No Mode of Death:: Natural Wo i k Injury;: * S t a t e F11 e Nu» *ib Locations e r r. 34780 (X< > S i x d :i g i t s w i 1. h *tW 1st digit being the line, the 2nd being the p o s i t i o n w :i t h i n t h e J. x ne, a rid p os i t. i o ns 3 ••• 6 b e ind the I CD code,. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 - = DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 031216 Patient Information Sex: Female Decedents Name: Catherine N. Azzarella Date of Birth: 03/16/1915 Date of Death: 05/17/1998 Spouses Name: SSN: 363-42-3960 None Fathers Name: Charles Bonney Mothers Name: Kate Blanche West Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower 10 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: City: 3668 Patterson Middleville Middleville Manner of Death Manner: Not Specified Line 1: Ruptured Ventricular Septum Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: General Laborer Industry: Factory County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 034907 Decedents Name: Sex: Female Gaynell Bailey Date of Birth: 03/25/913 SSN: 384-22-2318 Date of Death: 06/04/996 Spouses Name: None Fathers Name: Newt Cole Mothers Name: Willey Mae Salyers Place of Birth: Kentucky Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower II Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 12221 Marsh Road Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Cerebrovascular Accident Line 2: Congestive Cardiomyopathy Line 3: Parkinson's Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Machine Operator Manufacturing County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs M :i.c h i g a n .............. .. ................ ns:::: ns:;::::::::::::” Decadents Names WILLIAM V.. BAILEY Date of Deaths 04/05/993 Date of Births 03/23/927 Fathers Last Wanes Bailey __ __ #ssss.««=®» Sexs Male Ages 66 Place uf Death Hosp i t a 1:: P i p p Commun i1 y Hospital County s A11eg a n C itys PJ ainwe13 If Hospitals Emergency Ruom/Outpatlent Residence Countys Barry C i t y:: o r a r,cj r->v i 11 e Twp Zip Code:: 490^0 SSNs 374-20 *3575 Ad d r ess:: 11560 West Sa d d 1 er Rd« Place of Births Ohio Marital Statuss Married Armed Forces s Ye® We 1 sh , Scotuh Races White Ancest rys Br i t i®h v Scotch 9 Educations 08 Undeilying Caus« °r D«aths 410 Related Cause Death (#> 11410 214149 314140 Autopsys No c- Findings- Availablea Unknown ■ nt?d 3.ga 1 Exai*ixne» Cases No . r . Work Injuryk State File Numh *^ *> < Actual Places Hospital Mode of Deaths Natural Locations " ^.10o6 Six dinits with the 1st digit being the line tJ the 2nd being the position within the line, and positions 3-6 being the ICD code- �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Bessie Ann Baker Date of Birth: 04/18/906 Date of Death: 05/01/994 Fathers Last Name: Force Place of Death Hospital: Unknown City: Battle Creek If Hospital: Sex: Female Age: 8 8 County: Calhoun Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 367-26-8746 Address: 2751 E. Dowling Road Marital Status: Divorced Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214140 61486 627331 637330 Autopsy: No Findings Available.: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 28805 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 021434 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Henry Francis Baker Date of Birth: 10/08/921 SSN: 375-16-2305 04/23/997 Janet Watters Fathers Name: Arthur A. Baker Mothers Name: Catherine Cyra Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married 10 Place of Death City: Bedford Twp. County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient VA Medical Center - Battle Creek Residence Address: City: 6742 Island Ave. Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Small Cell Carcinoma Of Lung Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Painter Industry: Commercial/painting County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Olley Charles Baker Date of Death: 07/07/994 Date of Birth: 12/01/909 Fathers Last Name: Baker Sex: Male Age: 84 Place of Death Hospital: VA Medical Center - Battle Creek County: Calhoun City: Bedford Twp If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 SSN: 399-09-3303 Address: 11577 Scott Park Rd. Place of Birth: Missouri Armed Forces: Yes Ancestry: Irish Education: 2 years College Marital Status: Married Race: White Underlying Cause of Death: 436 Related Cause of Death (*) 11436 614280 624140 Autopsy: No Findings Available: Unknown Actual Place: Other Instituti Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42082 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 008264 Decedents Name: Sex: Female Helen I. Barlow Date of Death: 02/07/997 Date of Birth: 06/11/939 SSN: 376-40-0717 Spouses Name: Donald Barlow Fathers Name: Kenneth Clark Mothers Name: loleen Newton Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No High School Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 7307 Thomapple Lake Rd. Castleton City: Castleton Twp Manner of Death: Not Specified Line 1: Cancer Of Intestine Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Bus Driver Schools County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Janet Lyn Barnes Date of Death: 07/02/993 Date of Birth: 10/27/953 Fathers Last Name: Carnell Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Sex: Female Age: 39 County: Kalamazoo SSN: 371-62-9178 Address: 15230 Banfield Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 2 years College Underlying Cause of Death:, 410 Related Cause of Death (*) 11410 214299 314149 414275 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 42714 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OR MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Decedents Names Stanley Janes Barmart Date of Births 01/12/925 Date of Deaths 01/27/993 Fathere Last Names Barnhart Sex:: Ages Plaue of Death Hosp i t a 1 s Sp a r r ow9 Ed wa rd W Hospital Countys Ingham Citys Lansing If Hospita1n Inpatient Residence Count y:: Ba r r y C i t y:: Wood 1 a nd Tup Zip Code:: 48849 Place of Births Michigan A rmed Fo r c es:: Yes A nc: est ry r. No r th A f r i c a n Ed uc a t i on:: H i g h Sc h oo 1 SSNs 368-22-1143 Addresss 616 Eagle Point Road Ma rit al St a t us s Ma r ri ed Race:: White Undev1yi ng Cause o f Deaths 4149 Related Cause of Death OX) 114275 214149 Autopsys No Findings Avallables Unknown Actual Places Hospi Med i c a 1 E x a m i ne r Ca se:: Un k nown Mod e of Dea t h s Na t u r a 1 Wpr k InJury:: Locat i on:: State Fil© Numbers 8141 ($) Six digits with the 1st digit being the line., the 2nd being the position within the line, and positions 3-6 being the IUD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF:: Michigan Decedents Names HENRY ALBERT BARRICK Date of Death:: 03/22/993 Date of Births 11/08/963 Fa t h e r s La st N a me:: Ba r r ic l< Sexs Male Ages 29 Place of Death Hosp i t a 1:: Ba 111 e C r ee k Hea 1t h Syst ems C i ty s Ba 1t1 e C r ee k Count y:: Ca I h oun If Hospitals Inpatient Residence Countys Barry Citys Assyria Twp Zi p Cod e:: 49073 Place of Births Florida Armed Forces:: No Ancestrys American Ed uc a t i on:: H i g h Sc h oo 1 SSNs 363-90-8426 Addresss 9040 Butler Road Marital Status:: Never Married Races White Underlying Cause of Deaths 3609 Related Cause of Death (ft) 110389 21>973 618789 623609 63(34 648199 Autopsy:: No Findings Available:: Unknown * • >i« Actual Places Host Medical Examirier Cases Unknown Mode of Deaths Natural Work Injurya Lor. at ions State File Numbers 14026 • t h® (£ ) Six d ig i ts with the 1st digit being the line, the 2nd being • * pos i t i on w i thi n the line, and positions 3-6 being the ICD c° |, �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 007788 Decedents Name: Sex: Female Arlene Wilson Barrus Date of Birth: 11/12/920 SSN: 364-46-0256 Date of Death: 02/09/995 Spouses Name: Fathers Name: Walter E. Brown Mothers Name: Clara Houghtalin Place of Birth: District of Columbia Hospital: Unknown Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Widow, Widower High School Place of Death City: Battle Creek County: Calhoun If Hospital: Inpatient Residence Address: 11989 S Circle Drive City: Barry Twp Manner of Death: Delton County: Barry Zip Code: 49046 Not Specified Line 1: M.i. Line 2: Line 3: Line 4: Other Conditions: Osteoarthritis, Chf, Hypertension, Ashd, Copd, Extreme Obesity, Stasis Dermatitis, Stage li Sacral Decubitus. Injury Date: Description of Injury: Occupation: Industry: Secretary Hospital �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EUGENE D. BARTELS Date of Death; 08/06/993 Date of Birth: 07/30/923 Fathers Last Name: BARTELS Place of Death Hospital: Unknown City: Comstock Twp Sex: Male Age: 70 County: Kalamazoo If Hospital: SSN: 364-22-5302 Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Address: 10614 PEACHTREE Marital Status: Never Married Race: White Underlying Cause of Death: 8120 Related Cause of Death (*) 11(69 618120 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Unknown State File Number: 49544 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 022933 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Female Elsie M. Bartlett Date of Birth: 12/28/911 03/30/997 SSN: 368-18-8645 None Edgar Armstrong Mae Johnston Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 11 Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient St Mary's Health Services - Grand Rapids Residence Address: City: 950 Patterson Rd. Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Cardiovascular Collapse Line 2: Sepsis Line 3: Bacterial Peritonitis Line 4: Evaluation Of Anemia Other Conditions: Chronic Obstructive Pulmonary Disease Injury Date: Injury Description: Occupation: Clerk Industry: Department Store County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 068340 Patient Information Sex: Male Decedents Name: Gerald Ray Bates Date of Birth: 11/12/924 SSN: 356-24-5319 Date of Death: 10/30/997 Spouses Name: Mardelle Harms Fathers Name: Erwin Bates Mothers Name: Florence Schneider Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married Education: 5 years of college Place of Death City: Charlotte County: Eaton Hospital or Other Place of Death: Patient Status: Not Classifiable Residence Address: City: 10600 Jordan Rd. Woodland Woodland Twp Manner of Death Manner: Not Specified Line 1: Mesothelioma Line 2: Line 3: Line 4: Other Conditions: Atrial Fibrillation;hypertension Injury Date: Injury Description: Occupation: Clergyman Industry: United Methodist Church County: Barry Zip Code: 48849 �MICHIGAN DEPARTM]ENT OF PUBLIC HEALTH DEATH TIIANSCRIPTS Non-Coun ty Residents 03/25/97 State of Residence: Michigan File Number: 030118 Decedents Name: Sex: Male Fred Alden Baughman Date of Death: 04/26/996 Spouses Name: Nettie Isabelle Loring Date of Birth: 04/19/907 SSN: 364-46-0031 Fathers Name: Charles Baughman Mothers Name: Sarah Kink Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 3 years College Place of Death County: Kent City: East Gmd Rapids Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Blodgett Mem Med Cen Residence Address: 1031 Village Drive Hastings City: Hastings Manner of Death: Not Specified Line 1: Coronary Artery Disease Line 2: Sudden Cardiac Death Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Chief Meteorologist Weather Bureau Us Department O County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: James Robert Beacham Date of Death: 10/25/993 Date of Birth: 05/15/908 Fathers Last Name: Beacham Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Male Age: 8 5 SSN: 368-03-0454 Address: 1087 Wall Lake Drive Place of Birth: Virginia Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 5305 Related Cause of Death (*) 11486 212639 315305 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location; State File Number: 62062 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: HOMER H. BAUM Date of Death: 11/28/993 Date of Birth: 06/30/931 Fathers Last Name: Baum Sex: Male Age: 62 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 384-28-7678 Address: 710 E. Grant Street Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 09 Marital Status: Married Race: White Underlying Cause of Death: 4140 Related Cause of Death (*) 114140 124149 214439 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 75906 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIQAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 023201 Sex: Male Charles W. Beadle Decedents Name: Date of Birth: 05/12/938 Date of Death: 04/21/996 SSN: 372-36-7422 Spouses Name: Fathers Name: Allen W. Beadle Mothers Name: Lillian M. Ward- Cummings Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower 11 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Butterworth Hospital Patient Status: Inpatient Residence Address: 5100 W. State Rd. Irving City: Irving Twp Manner of Death: Not Specified Line 1: Bilateral Bronchopneumonia Line 2: Line 3: Line 4: Other Conditions: Crohn's Disease; Short Bowel Syndrome Injury Date: Description of Injury: Occupation: Salesman Industry: Groceries County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049627 Decedents Name: Sex: Male Irving L. Bean Date of Death: 08/07/996 Spouses Name: Martha Anne Williams Date of Birth: 10/10/908 SSN: 368-03-6864 Fathers Name: John Wesley Bean Mothers Name: Carrie Belle Tappan Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: Marital Status: Married 4 years of college Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 15864 Williams Road Not Specified Linel: Sepsis Line 2: Pneumonia Line 3: Line 4: » Other Conditions: Injury Date: Description of Injury:. Occupation: Industry: Accountant Education County: Barry Zip Code: 49060 City: Barry Twp Manner of Death: Barry �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: George C. Bedford Date of Death: 08/13/993 Date of Birth: 03/31/922 Fathers Last Name: Bedford Sex: Male Age: 71 Place of Death Hospital: Mecosta County Gen Hospital City: Big Rapids County: Mecosta If Hospital: Emergency Room/Outpatient Residence County: Barry City: Hope Twp Zip Code: 49046 SSN: 379-14-6543 Address: 3020 Thorpe Rd. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4292 Related Cause of Death (*) 114275 214284 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 50646 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002817 Decedents Name: Sex: Female Marjorie L. Belanger Date of Birth: 01/19/928 Date of Death: 01/14/996 SSN: 385-24-0950 Spouses Name: Fathers Name: Claude Crowe Mothers Name: Mabie Quible Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White No Marital Status: Widow, Widower 10 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 177 Lem Paul Middleville City: Middleville Manner of Death: Not Specified Line 1: Respiratory Acidosis Line 2: Severe Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Uterine Cancer Injury Date: Description of Injury: Occupation: Industry: Waitress Restaurant-tavern County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Evelyn W. Belson Date of Death: 01/22/994 Date of Birth: 01/11/913 Fathers Last Name: Steele Sex: Female Age: 81 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 365-34-4372 Address: 419 West Colfax Street Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4329 Related Cause of Death (*) 114329 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 3197 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Ross John Belson Date of Death: 08/08/994 Date of Birth: 01/21/910 Fathers Last Name: Belson Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 84 County: Kent If Hospital: Inpatient Residence County: Barry City: Rutland Twp Zip Code: 49058 SSN: 364-24-3503 Address: 3003 Gun Lake Road Place of Birth: Michigan Armed Forces: No ’ Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 7991 Related Cause of Death (*) 117991 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49961 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11 /27/9S 1 1 NON-COUNTY RESIDENT State: Michigan File Number: 016150 Sex: Male Date of Birth: 03/16/995 Cody Ray Berg Decedents Name: Date of Death: 03/16/995 SSN: Spouses Name: Fathers Name: Andrew Mark Berg Mothers Name: Betty Jo Drewyor Place of Birth: Michigan Bronson Methodist Hospital Hospital: British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Never Married Unknown Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 6401 Marsh Rd. Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Asphyxia Line 2: Pulmonary Hypoplasia Line 3: Large Omphalocele;polyhydramnios Line 4: Problem Delivery Other Conditions: Injury Date: Description of Injury: Occupation: N/a Industry: N/a County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/29/95 NON-COUNTY RESIDENT State: Michigan File Number: 021856 Decedents Name: Sex: Male Emmet Leroy Bird Date of Birth: 10/07/910 Date of Death: 04/13/995 SSN: 366-07-3610 Spouses Name: Arletha M. Stiles Fathers Name: Elmor Otis Bird Mothers Name: Edna Blanche Barlow Place of Birth: Michigan Hospital: Battle Creek Health Systems Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No Marital Status: Married 10 Place of Death City: Battle Creek County: Calhoun If Hospital: Inpatient Residence Address: 701 East Bristol Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Line 3: Line 4: Other Conditions: Myelodysplasia Injury Date: Description of Injury: Occupation: Industry: Millwright Cereal Factory Johnstown County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 069569 Patient Information Decedents Name: Nancy Lou Bishop Date of Death: 11/12/997 Spouses Name: Roswell P. Bishop Sex: Female Date of Birth: 07/31/941 SSN: 366-44-1315 Fathers Name: Herman L. Putsch Mothers Name: Frances B. Speck Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Education: 5 years of college Marital Status: Married Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: 3 Market St. City: Middleville Middleville Manner of Death Manner. Not Specified Line 1: Pneumonia Line 2: Immunocompromised State Line 3: Pulmonary Fibrosis Line 4: Other Conditions: Systemic Hypertension, Hyperglycemia Injury Date: Injury Description: Occupation: School Teacher Industry: Education County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence • State of Residence: Michigan File Number: 048173 Patient Information Decedents Name: Date of Death: 08/05/997 Spouses Name: Norman J. Bissett Fathers Name: Paul M. Barnard Mothers Name: Mildred Holden Place of Birth: Ancestry: Armed Forces: Education: Sex: Female Darlene A. Bissett Date of Birth: 09/02/942 SSN: 371-42-4037 Michigan Irish Race: White No 10 Marital Status: Married Place of Death City: Battle Creek Hospital or Other Place of Death: County: Calhoun Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 14500 Hutchinson Road Johnstown Twp Manner of Death Manner: Not Specified Line 1: Asystole Line 2: Left Ventricular Dysfunction Line 3: Acute Coronary Ischemia Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 » State of Residence: Michigan File Number: 002608 Decedents Name: Date of Death: 01/27/996 Spouses Name: Donald K. Blaisdell Fathers Name: Mothers Name: Sex: Female Carolyn A. Blaisdell Date of Birth: 03/12/940 SSN: 375-40-3814 Paul Ayres Goldie Pendill Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No High School Marital Status: Married Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: 11335 South West Shore DrBarry City: Barry Twp Manner of Death: Not Specified Line 1: Anoxic Encephalopathy Line 2: Ventricular Fibrillation Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Clare Allen Blanchard Date of Death: 07/10/993 Date of Birth: 11/12/936 Fathers Last Name: Blanchard Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Male Age: 56 County: Kalamazoo SSN: 366-36-2271 Address: 10741 E. Shore Drive Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 11 Marital Status: Married Race: White Underlying Cause of Death:. 4275 Related Cause of Death (*) 114275 214299 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 42736 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 017008 Patient Information Sex: Male Decedents Name: Robert F. Boehm Date of Birth: 12/08/1928 SSN: 137-22-9831 Date of Death: 02/28/1998 Spouses Name: Reid MacMillan Fathers Name: Frederick Boehm Mothers Name: Helen E. Bruns Place of Birth: New Jersey Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: 5 years of college Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: 11275 Long Point Prairieville Prairieville Twp Manner of Death Manner: Not Specified Line 1: Sepsis With Multi Organ System Failure Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Sales Manager Industry: Drug Industry County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 003032 Decedents Name: Sex: Male Russell L. Blough Date of Death: 01/09/997 Date of Birth: 09/22/920 SSN: 379-14-5529 Spouses Name: Barbara J. Bliss Fathers Name: Roy Blough Mothers Name: Beatrice Chun Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes 08 Marital Status: Married Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Unknown Unknown Residence Address: 4T11 Barber Road, Lot #20Carlton City: Carlton Twp Manner of Death: Not Specified Line 1: Carcinomatosis Line 2: Metastatic Carcinoma Of Lung Line 3: Line 4: Other Conditions: Coronary Artery Disease Injury Date: Description of Injury: Occupation: Industry: Self Employed Logging County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MILTON J. BOGARDUS Date of Death: 11/26/993 Date of Birth: 08/12/910 Fathers Last Name: BOGARDUS Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 83 County: Kent If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code': 49333 SSN: 368-09-0043 Address: 5740 SOLOMON Place of Birth: Indiana Armed Forces: No Marital Status: Widow, Widower Ancestry: Other Western European Race: White Education: 10 Underlying Cause of Death: 486 Related Cause of Death (*) 11486 614140 62496 637845 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 76015 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 017577 Patient Information Decedents Name: Sex: Female Gladys June Bolo Date of Birth: 06/06/1922 Date of Death: 03/30/1998 SSN: 385-18-5157 Spouses Name: Fathers Name: Arthur Bassett Mothers Name: Hazel French Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient Kent Comm Hospital Complex Residence Address: City: 703 E. Colfax Street Hastings Hastings County: Barry Zip Code: 49058 Manner of Death Manner: Not Specified Line 1: Congestive Heart Failure Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Depression. Polymyalgia Rheumatica. Osteoarthritis Injury Date: Injury Description: Occupation: Librarian Industry: School Library �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 054622 Decedents Name: Sex: Female Suzann Marie Borgman Date of Birth: 08/16/948 Date of Death: 09/11/996 SSN: 385-50-5420 Spouses Name: Earl Borgman Fathers Name: John Edward Steve Mothers Name: Marjorie Bell Pierce Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 2 years College Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: DOA with hospital name Enroute to Hospital Residence Address: 12751 Bedford Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Pulmonary Emboli Line 2: (Probable) Deep Vein Thrombosis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Accounting Clerk Hospital County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056657 Sex: Female Decedents Name: Alice May Boulter Date of Birth: 07/28/934 SSN: 383-50-1174 Date of Death: 07/26/995 Spouses Name: Robert Boulter Fathers Name: James Hermenitt Mothers Name: Mary Zimmerman Place of Birth: Michigan Ancestry: Other Western European Race: White Armed Forces: No Marital Status: Married Education: High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death St Mary's Health Services - Grand Rapids Patient Status: Inpatient Residence Address: 7028 Lindsey Rd. Orangeville City: Orangeville Twp Manner of Death: . Not Specified Line 1: Hypertensive Cardiovascular Disease Line 2: Line 3: Lined: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Bany Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MAX L. BOWER Date of Death: 07/05/993 Fathers Last Name: Bower Date of Birth; 12/23/919 Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Male Age: 73 County: Kalamazoo SSN; 369-12-5671 Address: 9521 Kingsbury Rd. Place of Birth: Indiana Armed Forces: No Ancestry: German Education: 11 Marital Status: Married Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 121983 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42718 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Suzanne Kay Bowers Date of Death: 10/14/994 Date of Birth: Fathers Name: Ellsworth D. Crandall Mothers Name: Doris J. Katz Spouses Name: Place of Death Hospital: Unknown City: Cooper Twp Sex: Female 11/23/964 County: Kalamazoo SSN: 369-82-4012 If Hospital: Residence County: Barry City: Prairieville Twp Zip Code: 49070 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 2 years College Address: 12549 Burchette Road Marital Status: Divorced Race: White Underlying Cause of Death: 8121 Related Cause of Death 11(69 618121 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 063179 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076581 Decedents Name: Sex: Male Calvin Floyd Bowman Date of Birth: 01/27/924 SSN: 364-24-6866 Date of Death: 12/27/996 Spouses Name: Jeanette Baas Fathers Name: John Bowman Mothers Name: Virginia Hughes Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married 10 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 11786 Ford's Point City: Prairieville Twp Manner of Death: Not Specified Line 1: Marked Dehydration Line 2: Severe Dementia Line 3: Depression Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Truck Driver Paper Company Prairieville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Francis Hugh Boyle Date of Death: 08/06/993 Date of Birth: 08/21/918 Fathers Last Name: Boyle Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Emergency Room/Outpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: 08 Sex: Male Age: 74 SSN: 384-09-8273 Address: 10597 Peachtree Street Marital Status: Married Race: White Underlying Cause of Death: 8129 Related Cause of Death (*) 11(69 618129 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No , Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: (*) 49455 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: George M. Brace Date of Death: 11/13/994 Date of Birth; Fathers Name: George L. Brace Mothers Name: Violet Nestel Spouses Name: Hilma Roelofs Sex: Male 05/06/927 Place of Death Hospital: VA Med Cen - Ann Arbor City: Ann Arbor County: Washtenaw SSN: 378-22-6332 If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49073 Place of Birth: Michigan Armed Forces: Yes Ancestry: American Education: 08 Address: 121 Thornapple Lake Road Marital Status: Married Race: White Underlying Cause of Death: 1629 Related Cause of Death 11486 211629 611977 621988 Autopsy: No Findings Available: No Actual Place: Other Institution Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 072879 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Agnes Louise Brady Date of Death: 01/12/994 Date of Birth: 01/07/917 Fathers Last Name: Seitier Sex: Female Age: 77 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Assyria Twp Zip Code: 49017 SSN: 369-48-5150 Address: 9435 E. Baseline Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4140 Related Cause of Death (*) 110389 214140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 1404 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036596 Decedents Name: Sex: Male Richard D. Bradley Date of Birth: 06/22/928 SSN: 367-26-7654 Date of Death: 06/03/996 Spouses Name: Marcele E. Doud Fathers Name: Donald Bradley Mothers Name: Dorothy Martin Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kent City: East Gmd Rapids Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 1149 Hillview Drive Hastings City: Hastings Twp Manner of Death: Not Specified Line 1: Pulseless Electrical Activity Line 2: Acute Inferior Wall Myocardial Infarction Line 3: Coronary Artery Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Engineer Telephone Co. County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EUGENE R. BRADY Date of Death: 12/09/993 Date of Birth: 09/18/933 Fathers Last Name: Brady Sex: Male Age: 60 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 377-30-1829 Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: High School Address: 6147 Whitneyville Rd. Marital Status: Married Race: White Underlying Cause of Death: 481 Related Cause of Death (*) 117991 12481 617530 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 76132 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Neil Hulbert Brady Date of Death: 11/30/994 Date of Birth: Fathers Name: John Brady Mothers Name: Emma Smith Spouses Name: Place of Death Hospital: Unknown City: Battle Creek County: Calhoun SSN: 366-10-0956 If Hospital: Inpatient Residence County: Barry City: Assyria Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education : High School Sex: Male 04/19/906 Address: 9435 E. Baseline Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 436 Related Cause of Death 11436 615939 624280 637070 646029 652949 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 075241 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Skylar Lane Branch Date of Death: 06/03/994 Date of Birth: 06/01/994 Fathers Last Name: Branch Sex: Male Age: 02 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 SSN: Address: 615 South Grove Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: None z Underlying Cause of Death: 7689 Related Cause of Death (*) 112767 217689 317650 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 36765 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 055828 Sex: Female Diana C. Brandli Decedents Name: Date of Birth: 11/18/959 SSN: 364-56-7677 Date of Death: 08/30/996 Spouses Name: Fathers Name: Dale C. Fogle Judith Pennell Mothers Name: Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Divorced High School Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 7613 Oak Dr. Prairieville City: Prairieville Twp Manner of Death: . Not Specified Line 1: Multiple System Organ Failure Line 2: Renal Failure Line 3: Sepsis Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Secretary Construction County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 077957 Sex: Male Julius R. Brandou Decedents Name: Date of Birth: 11/03/905 Date of Death: 12/02/996 SSN: 366-18-4254 Spouses Name: Fathers Name: August R. Brandou Mothers Name: Leila M. Brooks Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower High School Place of Death City: Whitehall County: Muskegon Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 990 Hilmer Rd. Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: End Stage Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: History Of Cerebral Vascular Accident Injury Date: Description of Injury: Occupation: Industry: Clerk/typist Office County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036507 Decedents Name: Sex: Male Jared Scott Branham Date of Birth: 06/23/992 Date of Death: 06/14/996 SSN: 366-15-0048 Spouses Name: Fathers Name: Jared Scott Branham Mothers Name: Amy Louise Wilson y Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish No — Race: White / Marital Status: Never Married None Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 160 Fair Lake Barry Mi City: Barry Twp Manner of Death: Not Specified • Line 1: Adult Respiratory Distress Syndrome Line 2: Streptococcal Septic Shock Line 3: Acute Non Lymphocytic Leukemia Line 4: Other Conditions: Neutropenia, Thrombocytopenia, Fever Injury Date: Description of Injury: Occupation: Industry: Never Employed County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: KATHERYN LORRAINE BRENNER Date of Death: 10/19/993 Date of Birth: 01/22/975 Fathers Last Name: Brenner Sex: Female Age: 18 Place of Death Hospital: Allegan General Hospital City: Allegan Cdunty: Allegan If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 48348 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 1 year College SSN: 371-90-6673 Address: 12517 W. Shore Dr. Marital Status: Never Married Race: White Underlying Cause of Death: 2770 Related Cause of Death (*) 11)967 218780 612770 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 60299 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 041131 Patient Information Decedents Name: Date of Death: Sex: Female Irene Bernice Brentlinger Date of Birth: 03/18/900 07/01Z997 SSN: 311-32-7754 Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Clarence C. Smith Emma Mande Holmes Indiana British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death County: Allegan City: Wayland Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 225 Lakeview Dr. Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Respiratory Insufficiency Line 2: Lower Respiratory Infection Line 3: Line 4: Other Conditions: Hypothyroidism, Anorexia Injury Date: Injury Description: Occupation: Homemaker Industry: At Home County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: NORBERT J. BROEDER Date of Death: 08/03/993 Date of Birth: 05/07/914 Fathers Last Name: Broeder Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 79 County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 SSN: 365-18-9135 Address: 3141 Beatrice Ave. Place of Birth: New York Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 2 years College Underlying Cause of Death: 4292 Related Cause of Death (*) 117991 21496 312500 324299 41586 614284 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 49699 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �f ^2f^?MICHIGAN DEPARTMENT OF PUBLIC’’HEALTH DEATH TRANSCRIPTS < Non-County Residents ;, 04/17/96 State of Residence: ■ Michigan File Number: 063184 Sex: Female Barbara E. Bromley Decedents Name: Date of Birth: 05/09/919 Date of Death: 10/22/995 SSN: 366-16-5730 Spouses Name: Daniel Bromley Fathers Name: Albert Drake Mothers Name: Myrtle Rager Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 6101W. Hickory Rd. Barry City: Bany Twp Manner of Death: Not Specified Line 1: Renal Failure Line 2: Line 3: Line 4: Other Conditions: Congestive Heart Failure, Arrhythmias Injury Date: Description of Injury: Occupation: Industry: Page 1 Clerk Postal Service County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ANGELINE ELLEN BRONSON Date of Death: 12/24/993 Date of Birth: 12/12/987 Fathers Last Name: Bronson Sex: Female Age: 06 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo SSN: 376-04-5540 If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Address: 724 S. Grove St. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: None Underlying Cause of Death: 856 Related Cause of Death (*) 114279 212767 31586 41)601 42856 612377 627803 637373 643441 652639 661179 67486 687991 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Accident Work Injury: Unknown Location: Unknown State File Number: 75814 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. ......... �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009314 Decedents Name: Sex: Female Marian A. Brooks Date of Birth: 12/23/906 Date of Death: 02/08/996 SSN: 366-20-3140 Spouses Name: Earl Brooks Fathers Name: Mothers Name: Frank Morgenstern Louise Bross Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 2 years College Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Blodgett Mem Med Cen Patient Status: Inpatient Residence Address: 1268 Lynn Drive City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Coronary Artery Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 School Teacher Education Yankee County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert Ben Brooks Date of Death: 08/05/994 Date of Birth: 09/20/920 Fathers Last Name:. Brooks Sexr Male Age: 73 Place of Death Hospital: Battle Creek Health Systems . City: Battle Creek County: Calhoun SSN: 368-18-4860 If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49058 Address: 3506 Lawrence Road Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 7855 Related Cause of Death (*) 117855 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 48335 Six digits with the 1st digit being the line, the 2nd being1 the position within the line, and positions 3-6 being the ICD code. 0 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRI PT - STATE OF MICHIGAN NON - COUN T Y RES WENT THE STATE OFs Michigan Det: ed e n t s Na me " CH ARLES F Date of Deathu 03/09/993 Fathers Last Names Brower BROWER Date of Birth!: 08/08/920 Sexn Male Ages 72 P1a ce •) f Death Hosp i t a 1!; Un known Residence Count y:: Ba r r y C i t y:: 0 r a i ig ev i 11 e Twp Zip Codes! 49344 Ad d r ess s 1.1 :l. 06 W i 1 d wood Rd Place of B:i rth« Michigan Armed Forces:: No I M a r i t a 1 S t a t u s s W idowv W idowe r Ancestry:: Other Western Europe-Jan *!Race. White Educations 08 Undei lying Cause of Death:: 4280 Re 1 a ted Cause? o f Dea 1.11 ( >K ) 1:1.4280 Autopsy:: No Findings Available:: Unknown Actual Places Hospital Med i c: a 1 E x a m i ne r Ca se:: Un k nown Mod e o f Dea t h :: Na t u r a I Wt.:» r k I n j uI y:: l..oc a t i o n:: S ta I;e F i 1 e N(.u *ibe r ,n. 23032 (> S i x d i g i t s wi t h 11 >e 1 st d i g i t b e i ng t h e 1 i Tie y t h e 2nd b e i r ig t h e position within the liney and positions 3-6 being the I CD code- �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048314 Decedents Name: Sex: Male David H. Brown Date of Birth: 02/06/939 Date of Death: 08/03/996 SSN: 266-54-1647 Spouses Name: Beverlee A. Sessions Fathers Name: Hubert C. Brown Mothers Name: Katherine Ivey Place of Birth: Florida Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death City: Marshall County: Calhoun Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Oaklawn Hospital Residence Address: 6195 Luce Road Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Arteriosclerotic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Pipe Fitter & Welder Plumbing Company County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 012402 Decedents Name: Sex: Male Perry E. Brown Date of Birth: 12/03/915 Date of Death: 02/11/997 SSN: 365-05-6381 Spouses Name: Hazel Curtis Fathers Name: Mothers Name: William Brown & Julia Fewless Place of Birth: Arizona Ancestry: Armed Forces: Education: American Race: White No Marital Status: Married 02 Place of Death City: Ann Arbor County: Washtenaw Hospital or Other Place of Death Unknown Patient Status: Residence Address: 2115 Nature Cove #310 City: Woodland Not Specified Manner of Death: Line 1: Glioblastoma Multiforme Line 2: Line 3: Line 4: Other Conditions: Injury Date: . Description of Injury: Occupation: Industry: Clerk Township Ann County: Barry Zip Code: 48104 - �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert William Brown Date of Death: 03/24/994 Date of Birth: 10/03/921 Fathers Last Name: Brown Place of Death Hospital: Borgess Med Cen City: Kalamazoo Sex: Male Age: 72 County: Kalamazoo If Hospital: Inpatient SSN: 379-16-8967 Residence County: Barry City: Hope Twp Zip Code: 49046 Address: 3840 Harrington Road Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Marital Status: Married Race: White Underlying Cause of Death: 4590 Related Cause of Death (*) 114590 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 16683 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: WILFRED BERT BROWN Date of Death: 09/27/993 Date of Birth: 07/05/915 Fathers Last Name: BROWN Sex: Male Age: 78 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49060 SSN: 278-01-2112 Address: 11465 Baseline Rd. Place of Birth: Michigan Armed Forces: Yes Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 2639 Related Cause of Death (*) 110389 215579 312765 412639 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 60684 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edward Jacob Brunt Date of Death: 03/10/994 Date of Birth: 04/09/903 Fathers Last Name: Brunt Sex: Male Age: 90 Place of Death x Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49021 SSN: 366-10-9531 Address: 3950 Fruin Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 03 Underlying Cause of Death: 1579 Related Cause of Death (*) 111579 614273 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 15314 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �'iOlifMiiu. C cl^'. MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024311 Patient Information Decedents Name: Sex: Male Shawn P. Bryan Date of Birth: 12/06/1977 Date of Death: 04/03/1998 SSN: 367-94-9495 Spouses Name: Fathers Name: Mothers Name: James R. Bryan June I. Terpening Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Never Married 11 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Butterworth Hospital Residence Address: 7410 Bivens Road City: Maple Grove Twp Maple Manner of Death Manner: Not Specified Line 1: Brain Death Line 2: Subarachnoid Hemorrhage - Spontaneous Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Laborer Industry: Light Industry County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JEFFREY ORLUV BUCHER Date of Death: 08/19/993 Date of Birth: 11/12/959 Fathers Last Name: BUCHER Place of Death Hospital: Unknown City: East Grnd Rapids Sex: Male Age: 33 County: Kent SSN: 376-68-3693 If Hospital: Residence County: Barry City: Carlton Twp Zip Code: 49325 Place of Birth: Ohio Armed Forces: No Ancestry: German Education: High School Address: 6961 Usborne Road Marital Status: Never Married Race: White Underlying Cause of Death:. 9551 Related Cause of Death (*) 11(73 129551 613050 62(73 Autopsy: Yes Findings Available: Yes Actual Place: Home Medical Examiner Case: No Mode of Death: Suicide Work Injury: No Location: Home State File Number: 56000 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 015162 Patient Information Decedents Name: Sex: Male Gerald Edman Burchett Date of Birth: 11/21/1942 Date of Death: 03/09/1998 Spouses Name: SSN: 367-40-6403 Judy England Fathers Name: Lawrence Burchett Mothers Name: Erma Armour Place of Birth: Michigan Ancestry: Armed Forces: French Race: White No Marital Status: Married Education: High School Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: 3912 England Drive City: Yankee Springs Twp County: Barry Yankee Zip Code: 49344 Manner of Death Manner: Not Specified Line 1: Metastatic Squamous Cell Cancer Illegible Line 2: Line 3: Line 4: 0 ther Conditions: Injury Date: Injury Description: Occupation: Millwright Industry: Paper Mfg. > • �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076306 Decedents Name: Sex: Male Merlin L. Buhl Date of Birth: 06/28/933 Date of Death: 12/23/996 SSN: 363-34-2600 Spouses Name: Doreen E. Mead Fathers Name: Mothers Name: Wesley H. Buhl Helen F. Jennings Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 1 year College Place of Death County: Kent City: East Gmd Rapids Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 190 Welcome Road Carlton City: Carlton Twp Manner of Death: Not Specified Line 1: Respiratory Failure Secondary To Pneumonia Line 2: Malignant Lymphoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Self-employed Electrician County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT 11/27/95 State: Michigan File Number: 021485 Decedents Name: Sex: Female Sharon M. Burdick Date of Birth: 10/18/943 Date of Death: 04/11/995 SSN: 381-42-2579 Spouses Name: John Burdick Fathers Name: LaVem Gudith Mothers Name: 5 Idalaine Newman Place of Birth: Michigan Hospital: Allegan General Hospital ! Ancestry: British, Scotch, Welsh, Scotch Irish I Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: Allegan City: Allegan If Hospital: Inpatient Residence Address: 4191 S. Shore Dr. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Metastatic Carcinoma Of Breast Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Unit Coordinator Hospital County: Bany Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 076433 Patient Information Sex: Male Decedents Name: Charles W. Burghdoff Date of Death: Spouses Name: Fathers Name: Mothers Name: Date of Birth: 10/30/944 12/11/997 SSN: 363-44-9425 Patricia J. Osbun Robert W. Burghodoff Martha R. Pederson Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Marital Status: Married Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient St Mary’s Health Services - Grand Rapids Residence Address: City: 294 S. East St. Freeport Freeport Manner of Death Manner: Not Specified Linel: Cardiac Arrhythmia Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Material Clean & Finish Industry: Allied Tech County: Barry Zip Code: 49325 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JEANNINE MARIE BURGHDOFF Date of Death: 08/24/993 Date of Birth: 11/01/972 Fathers Last Name: Burghdoff Place of Death Hospital: Unknown City: Bowne Twp Sex: Female Age: 20 County: Kent If Hospital: SSN: 369-98-9700 Residence County: Barry City: Freeport Zip Code: 49325 Address: 320 St. Johns St. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 8151 Related Cause of Death (*) 11)591 618151 Autopsy: Yes Findings Available: Yes Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location:- Street and Highway State File Number: 50004 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Russell Sr W. Burgdorf Date of Death: 04/09/994 Date of Birth: 11/03/926 Fathers Last Name: Burgdorf Sex: Male Age: 67 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent SSN: 364-24-9818 If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 1672 Star School Road Place of Birth: Michigan Armed Forces: Yes Ancestry: American Education: 10 Marital Status: Married Race: White y Underlying Cause of Death: 486 Related Cause of Death (*) 117855 21486 614149 62410 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death:. Natural Work Injury: Location: State File Number: ■■ 23818 (*) Six digits with the 1st digit being the line, the' 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EDITH ALFREDA BUTLER Date of Death: 11/10/993 Date of Birth: 12/17/905 Fathers Last Name: Rockwell Sex: Female Age: 87 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49060 SSN: 368-01-8969 Address: 14605 S Kellogg School Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4349 Related Cause of Death (*) 114349 614140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 69070 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Frances L. Butler Date of Death: 02/08/994 Date of Birth: 08/14/914 Fathers Last Name: Hamilton Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49060 Sex: Female Age: 7 9 County: Kalamazoo SSN: 366-10-7378 Address: 4815 W. Hickory Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 2 years College Underlying Cause of Death: 1830 Related Cause of Death (*) 114275 211830 615609 622399 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 9831 Six digits with the 1st digit being the'7>l-ib’e:i’.-the 2nd being the position within the line, and positions. 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Richard A. Butzer Date of Death: 08/18/994 Date of Birth: 07/23/918 Fathers Last Name: Butzer Place of Death * Hospital: Alpine Med Center City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 489-16-1307 Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Missouri Armed Forces: Yes Ancestry: German Education: 2 years College Sex: Male Age: 7 6 Address: 7420 Parmelee Rd. Marital Status: Married Race: White Underlying Cause of Death: 1579 Related Cause of Death (*) 111579 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 50053 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. ........ w - �’MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076270 Decedents Name: Sex: Male Francis Joseph Byington Date of Birth: 12/03/914 Date of Death: 12/24/996 SSN: 384-10-0515 Spouses Name: Emilia Cwik Fathers Name: Mothers Name: Eugene Byington Rose Adams Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Married High School Place of Death City: Galesburg County: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 9785 S. Wall Lake Dr. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Realtor Real Estate County: Barry Zip Code: 49046 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 1) of Barry County Residents who died outside of Barry County, 1900-1998. Adgate to Byington Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 1) of Barry County Residents who died outside of Barry County. Adgate to Byington Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/862/Death_Transcripts_Barry_County_Vol._10.pdf 7606b8ecff89dd85bf436768f8771c44 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 10) begins with Thompson and ends with Weeks �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RAYMOND EARL THOMPSON Date of Death: 07/19/993 Date of Birth: 09/08/921 Fathers Last Name: Thompson Sex: Male Age: 71 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49058 SSN: 377-18-4796 Address: 5603 Saggio Road Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 08 Marital Status: Widow, Widower Race: White Underlying Cause of Death:’ 5715 Related Cause of Death (*) 115715 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location; State File Number: (*) 41461 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 076079 Patient Information Sex: Female Decedents Name: Edith Julia Thornton Date of Death: Date of Birth: 08/01/911 SSN: 374-74-7852 12/10/997 Spouses Name: Fathers Name: Mothers Name: Charles H. Rice Minnie Laper Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Marital Status: Widow, Widower Education: 09 Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Borgess Med Cen Residence Address: City: 5112 W. Hickory Rd. Barry Twp Manner of Death Manner: Not Specified Line 1: Sepsis Line 2: Perforated Colon Line 3: Sigmoid Obstruction Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Housewife Industry: Domestic Barry County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN y NON-COUNTY RESIDENT State: Michigan File Number: 008987 Decedents Name: Sex: Male Ray Duane Tiffany Date of Birth: 07/12/935 SSN: 383-32-8685 Date of Death: 02/06/995 Spouses Name: Joanne Mann Fathers Name: Clifford Tiffany Mothers Name: Laura Crowder Place of Birth: Michigan Hospital: Bronson Methodist Hospital Ancestry: American Race: White Armed Forces: No Education: Marital Status: Married 11 Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 11542 Alling Road City: Prairieville Twp Manner of Death: Prairieview County: Barry Zip Code: 49080 Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Chronic Obstructive Pulmonary Disease, Coronary Artery Disease Injury Date: Description of Injury: Occupation: Industry: Fire Chief Township Fire Department �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JOAN B. TINKER Date of Death: 08/14/993 ]Date of Birth: 11/27/927 Fathers Last Name: Trainer Place of Death Hospital: Borgess Med Cen City: Kalamazoo Sex: Female Age: 65 County: Kalamazoo SSN: 372-26-9163 If Hospital: Inpatient Residence County: Barry City: Rutland Twp Zip Code: 49058 Address: 2964 Heath Road Place of Birth: Michigan Marital Status: Married Armed Forces: No Ancestry: British, Scotch, Welsh, Scotch Race: White Education : High School Underlying Cause of Death: 3352 Related Cause of Death (*) 113352 123569 212733 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49489 • Six digits with the 1st digit being the line, the 2nd being.the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents State of Residence: Michigan File Number: 079911 Decedents Name: Sex: Male Robert E. Titus Date of Birth: 09/07/931 Date of Death: 12/11/996 SSN: 377-30-8549 Spouses Name: Fathers Name: John Titus Mothers Name: Della Kintigh Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White Yes Marital Status: Divorced 08 Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death Patient Status: Inpatient University of Mich Hosps Residence Address: 6220 M-66 Maple Grove City: Maple Grove Twp Manner of Death: Not Specified Line 1: Adult Respiratory Distress Syndrome Line 2: Type lii Aortic Aneurysm, Operated Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Lift Operator Cereal Manufacturing County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN l<JN - COUNT Y RES I DENT THE STATE OFs Michxgan Decedents Name:: DOV IE TOBEY Da t e of Dea t h :: 04/1:2/993 Fathers Last Name:: ;Bu r t ori Date of Birth:: 03/31/947 Sex:: Fernale Age:: 46 P1 a c €■? o f De a I*, h Hosp it a 1:: B r orison IMethodist, Hospital County:: Kalamazoo C i ty :: K a 1 a ma z ou I f Hosp i t a 1 n I np a t lent Residence Couv 1t y:: Ba r r y C x t y :: Hop e Twp Zip Cod©a 49046 SSN:: 380- 46 -3236> Add r ess u 7093 La miners Rd.. Place of Birth:: Wes'I Virginia Ma r i t a 1 St a t us:: A rmed F’o rc es:: No Anu est r y:: B r i t x sh , JScotch-J Welsh •> Scotch Ed uca t i on :: 07 Ma r rled Race:: White IJnde r 1 y i ng Ca use o f 1629 Related Cause of De< 117991 211629 *592 224 231983 Autopsy» No F i nd i ng s Ava i 'I ab 1 e:: Unk nown Ac t ua 1 P1 a c e:: Hosp i ta 1 Med x».: a 1 E x a m i iwr Caise:: Uri k nown Mod e o f Dea t h:: Na t u r a 1 Work Injurya Locations Sta h e F x1e Numbe r x 22877 (>K > $•> :i x d i g i t s w i t h i. h e 1 s t d i g 11 b e i n g t h e 1 i n e t h e 2 ri d b e i ri g t h e j.1 oi *> i t i o ri w i t h i n the line., and positions 3-6 being the I CD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Carl L. Tobias Date of Death: 06/15/994 Date of Birth: 09/29/935 Fathers Last Name: Tobias Sex: Male Age: 58 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Nashville Zip Code: 49073 SSN: 378-36-2608 Address: 260 Fuller Place of Birth: Michigan Armed Forces: No ' Ancestry: American Education: High School Marital Status: Married Race: White Underlying Cause of Death: 4241 Related Cause of Death (* ) 114241 124280 614140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 36948 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o County of Occurrence 01/15/98 State of Residence: Michigan File Number: 041123 Patient Information Decedents Name: Date of Death: Marjorie Tobin Sex: Female Date of Birth: 02/25/902 07/14/997 SSN: 385-38-5714 Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: John Halloran Margaret Anderson North Dakota British, Scotch, Welsh, Scotch Irish Race: White N0 Marital Status: Widow, Widower 10 Place of Death City: Plainwell County: Allegan Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 11320 W. 4 Mile Rd. Prairieville Prairieville Twp Manner of Death Manner: Not Specified Line 1: Cerebrovascular Accident Line 2: Hypertension Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: At Home County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022391 Patient Information Sex: Female Decedents Name: Mary E. Tooker Date of Birth: 09/17/1926 SSN: 157-14-0855 Date of Death: 04/14/1998 Spouses Name: Max Tooker Fathers Name: Joseph Testa Mothers Name: Philamina Capreno Place of Birth: New Jersey Ancestry: Italian Race: White Armed Forces: No Marital Status: Married Education: High School Place of Death County: Allegan City: Allegan Patient Status: Inpatient Hospital or Other Place of Death: Allegan General Hospital Residence Address: 4407 Lynden Rd. City: Orangeville Twp Orangeville Manner of Death Manner: Not Specified Line 1: Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Coronary Disease. Congestive Heart Failure Injury Date: Injury Description: Occupation: Home Maker Industry: Own Home County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Daniel Raymond Torrey Date of Death: 10/14/994 Date of Birth: Fathers Name: Donald E. Torrey Mothers Name: Dolores Ohman Spouses Name: Place of Death Hospital: Unknown City: Cooper Twp Sex: Male 06/19/952 County: Kalamazoo SSN: 369-56-9462 If Hospital: Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 12549 Burchett Road Marital Status: Never Married Race: White Underlying Cause of Death: 8120 Related Cause of Death 11(69 618120 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 063180 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 001250 Decedents Name: Sex: Male Buryi E. Townsend Date of Birth: 05/14/919 Date of Death: 01/13/995 SSN: 366-12-3729 Spouses Name: Alberta Furlong Fathers Name: Harley V. Townsend Mothers Name: Nellie Teeter Place of Birth: Michigan Hospital: Battle Creek Health Systems Ancestry: American Armed Forces: Education: Race: White Yes Marital Status: Married 10 Place of Death County: Calhoun City: Battle Creek If Hospital: Inpatient Residence Address: 10727 Lawrence Road City: Maple Grove Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Emphysema Injury Date: Description of Injury: Occupation: Industry: Mechanic Farm Implement Maple County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014369 Sex: Male Allen Martin Tripp Decedents Name: Date of Birth: 03/20/943 SSN: 385-50-5713 Date of Death: 03/19/996 Spouses Name: Fathers Name: Charles M. Tripp Dorothy Bennett Mothers Name: Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Never Married 09 Place of Death County: Calhoun City: Springfield Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 13745 Banfield Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Chronic Obstructive Pulmonary Disease. Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Janitor Goodwill Industries County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Alberta L. Turner Date of Death: 11/20/994 Date of Birth: Fathers Name: Lewis F. Belson Mothers Name: Viola Williams Spouses Name: Jule H. Turner Sex: Female 03/25/929 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 372-26-3563 If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 1025 S. Hanover St. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 193 Related Cause of Death 11193 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 069915 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002495 Decedents Name: Sex: Female Bernice Marie Turner Date of Birth: 01/20/924 SSN: 364-22-7350 Date of Death: 01/08/996' Spouses Name: Fathers Name: Gilbert L. Whittle Mothers Name: Bessie M. Lounsberry Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 10027 Upson Drive Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Ischemic Coronary Artery Disease Line 3: Hypertension Line 4: Other Conditions: Anemia Injury Date: Description of Injury: Occupation: Industry: Waitress Restaurant County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 001201 Decedents Name: Sex: Male Eldon Carlton Tuttle Date of Birth: 04/16/909 Date of Death: 01/04/996 SSN: 385-10-0908 Spousds Name: Hazel M. Tompkins Fathers Name: Carl M. Tuttle Mothers Name: Daisy Davis Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 10500 Case Road City: Baltimore Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Cholecystitis Injury Date: Description of Injury: Occupation: Industry: Contractor Self Employed Dowling County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 007855 Decedents Name: Sex: Female Hazel May Tuttle Date of Birth: 10/08/910 Date of Death: 02/19/996 SSN: 366-07-8429 Spouses Name: Fathers Name: Orval Tompkins Olive Streeter Mothers Name: Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 2 years College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 10500 Case Road City: Assyria Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Stroke Line 3: Line 4: Other Conditions: Diabetes Mellitus Injury Date: Description of Injury: Occupation: Industry: Cereal Food Inspector Cereal Company Assyria County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Delton Wilbur Tyler Date of Death: 01/05/994 Date of Birth: 12/05/910 Fathers Last Name: Tyler Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 83 County: Kent If Hospital: Inpatient SSN: 379-28-2432 Residence County: Barry City: Freeport Zip Code: 49325 Address: 225 S State Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Marital Status: Widow, Widower Race: White Underlying Cause of Death: 438 Related Cause of Death (*) 11438 612949 624149 Autopsy: No Findings Available: No Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 3045 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: WILLIAM PAUL USELTON Date of Death: 12/04/993 Date of Birth: 01/12/938 Fathers Last Name: Uselton Sex: Male Age: 55 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49316 SSN: 375-36-4288 Address: 6575 Noffke Drive Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Norwegian, Swedish Danish Race: White Education: 3 years College Underlying Cause of Death: 9289 Related Cause of Death (*) 11 (52 614140 629289 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Accident Work Injury: Unknown Location: Unknown State File Number: (*) 75916 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 023107 Decedents Name: Sex: Male Orren F. Vanderburg Date of Birth: 12/22/906 SSN: 368-03-2974 Date of Death: 03/19/995 Spouses Name: Elsena Holcomb Fathers Name: James Vanderburg Mothers Name: Martha Smith Place of Birth: Michigan Hospital: Borgess Med Cen Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Married 10 Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 11404 3 Mile Rd. Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Fanner Fanning County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JEWEL E. VANDER HOFF Date of Birth: 01/06/911 Date of Death: 11/02/993 Fathers Last Name: Tubbs Place of Death Hospital: Unknown City: Grand Rapids Twp If Hospital: Unknown Residence County: Barry City: Middleville Zip Code: 49333 Place of Birth: Missouri Armed Forces: No Ancestry: Unknown Education: 09 Sex: Female Age: 82 County: Kent SSN: 374-20-6738 Address: 500 Lincoln St. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 1541 Related Cause of Death (*) 111990 211541 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 69457 Six digits with the 1st digit being the line, the 2nd being the position within the 1ine, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 015163 Patient Information Sex: Male Decedents Name: Walter Van Kirk Travis Date of Birth: 07/08/1924 SSN: 363-24-2605 Date of Death: 03/11/1998 Spouses Name: Patricia Nastos Fathers Name: Paul W. Travis Mothers Name: Alice Van Kirk Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: 1 year College Place of Death County: Allegan City: Plainwell Patient Status: Inpatient Hospital or Other Place of Death: Pipp Community Hospital Residence Address: City: 10971 Sbelp Lake Dr. Prairieville Prairieville Twp Manner of Death Manner: Not Specified Line 1: Chronic Pulmonary Fibrosis Line 2: Cor Pulmonale Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Salesman Industry: Hardware County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 043022 Patient Information Decedents Name: Date of Death: Date of Birth: 04/06/941 07/24/997 Spouses Name: Richard Van Niman Fathers Name: Martin Irving Pierce Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Female A. Elaine Van Niman SSN: 367-40-7141 Lois Bordewick Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 4 years of college Place of Death City: Kalamazoo County: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 12710 Merlau Prairieville Twp Manner of Death Manner: Not Specified Line 1: Multiple Myeloma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Nurse Industry: Hospital Prairieville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 081935 Patient Information Sex: Male Decedents Name: Daniel B. Van Roekel Date of Death: Spouses Name: Date of Birth: 03/27/952 SSN: 380-54-0380 12/25/997 Kimberly Culver Fathers Name: Lawrence Van Roekel Mothers Name: Agnes Boogerd Place of Birth: Iowa Ancestry: Other Western European Race: White Armed Forces: Yes Marital Status: Married Education: High School Place of Death City: Ann Arbor County: Washtenaw Hospital or Other Place of Death: Patient Status: Inpatient University of Mich Hosps Residence Address: City: 10487 Bever Road Orangeville Orangeville Twp County: Barry Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Klebsiella Pneumonic Spontaneous Bacteria Peritonitis With Sepsis Line 2: Cirrhosis Of Liver Line 3: Hepatitis C Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Line Supervisor Industry: Paper Manufacturing Plant �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT ••• STATE: OF MICHIGAN NON •- COUNTY RES.I DENT THE STATE OF’s Michigan kk :k::k;kkkkkkkk:k;kk;k: ■ ?......................... ......... ............... ........................................................................................... i::::n;::s::k:!k Decedwilts Names ANGEL. HOPE VANTREASE Date? of Death:: 02/26/993 Date of Births 02/26/993 Fa t h e r s La st Na me:: VANTREASE Sexs Female Ages 19 Plaue of Death Hosp i t a 1:: Ba 111 e C r ee k Hea 11 h Systems Ciiy:: Ba tt11? C r ee k Count y:: Ca 1 houn I f Hosp i t a 1 s T rip a t i ent SSNs Residence Countys Barry Ci ty s Assy ri a Twp Zi p Cod e:: 49021 P1 a c e o f B i r t h:: M i c h i g a 11 A r m e d F o r c e s:: N o A no es t r y s Arie r i c a n Ed uc at i on:: None Addresss 10517 EDDY RD Ma r it a1 Status s Never Ma r r1ed Races White Underlying Cause of Deaths 7650 Related Cause of Death <>X) 117651 617650 Aut. op sy s Yes F> id i ng s Ava i 1 a b 1 e s Yes Ac: t u a 1 P1 a c e:: Hosp i t a 1 Medical Examiner Cases No Mod v.? o f Dea t h s Na t u r a 1 Work Injury;: Lot: at i ons S t a t e F i 1 e Numb e r:: 21445 < # ) s i x d x g i t s w i t h the 1 st d i g i t. b e i t ig t h e 1 i ne 7 t h e 2nd b e i T ig t h e position within the line, and positions 3 6 * being the I CD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan *iDeced:.?i ts Names CLAYTON H« VEEN Date of Deaths 04/14/993 Date of Births 05/08/921 Fath er s Last Names Veen Sexs Male Ages 71 p1 a ce •.) f Dea th HospitaI« ft1odgstt Men Med Cen Citya East Grnd Rapids Countys Kent I f Hosp i ta 1 :: I np a t ient Residence County:: Barry Ci fc y s Yankee Sp r i. rigs Twp Zip Code:: 49333 SSN:: 384-05- 8984 Ad d r ess s 179 Ba r 1 o w La l< e P1 a c e o f ft i > t h:: M i c h i g a n Armed Forces:: No Marital Status: Never Married Ancestry: Other Western European Races White Educat ion:: High School U ndei lying Cause o f Dea th:: 431 Re1ated Cause of Deat 11 OK > 11431 Autopsy# No Findings Available: Unknown Actual Places Hospital Med i c a 1 E x a r i ner Ca st?:: Un k now n Mod e o f Dea t h:; Na t u r a 1 Wo r k I nj u r y:: t-ot: at i on:: t a t e F i 1 e Numb e r:: 23002 U) Six digits with the 1st. digit, bfeivig the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 056145 Patient Information Sex: Male Decedents Name: Melvin G. Ver Strat Date of Death: 09/24/997 Spouses Name: Carol Madsen Date of Birth: 01/18/937 SSN: 366-36-7905 Fathers Name: Casper VerStrat Mothers Name: Fem Ogden Place of B irth: Michigan Ancestry: Other Western European Race: White Armed Forces: No Education: High School Marital Status: Married Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Inpatient Butterworth Hospital Residence Address: City: 7695 Bouman Drive Thomapple Twp Manner of Death Manner: Accidental Line 1: Anoxic Encephalopathy Line 2: Cranial Cerebral Trauma Line 3: Line 4: Other Conditions: Injury Date: 09/23/1997 Injury Description: Pinned By Boat And Trailer Against Garage Occupation: Self-employed Industry: Construction County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Douglas Sr M. Vickery Date of Death; 12/05/994 Date of Birth: Fathers Name: Roy Vickery Mothers Name: Elizabeth Norton Spouses Name: Darlene A. Tidey Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49046 Sex: Male 02/19/920 County: Kalamazoo SSN: 369-14-5314 Address: 10404 Norris Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 410 Related Cause of Death 11410 214280 314140 612500 624412 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 076539 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 076670 Patient Information Sex: Female Decedents Name: Lucille C. Wagner Date of Death: Spouses Name: Date of Birth: 03/15/923 SSN: 024-14-3026 12/30/997 None Fathers Name: Louis Henri Michaud Mothers Name: Nellie Pariliot Place of Birth: Massachusetts Ancestry: French Armed Forces: Race: White No Marital Status: Widow, Widower Education: High School Place of Death County: Kent City: Kentwood Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 12735 Valley Drive Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Linel: Small Cell Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Bookkeeper Industry: Accounting County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014308 Decedents Name: Sex: Female Marjorie E. Walker Date of Birth: 07/05/920 SSN: 378-14-1915 Date of Death: 03/06/996 Spouses Name: Oral D. Walker Fathers Name: Thomas Elder Mothers Name: Edna Crapo Place of Birth: Michigan Ancestry: Armed Forces: Education: American Indian Race: White No Marital Status: Married High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 3241 Fine Lake City: Johnstown Twp Manner of Death: Johnstown County: Barry Zip Code: 49017 Not Specified Line 1: Myelogenous Leukemia Line 2: Line 3: Line 4: Other Conditions: Insulin Dependent Diabetes; Arteriosclerotic Heart Disease; Osteoarthritis; Renal Failure Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036240 Decedents Name: Sex: Female Suvilla Corwin Walker Date of Birth: 11/08/909 SSN: 368-18-3146 Date of Death: 06/18/996 Spouses Name: Fathers Name: Evert Corwin Mothers Name: Edith Kariger Place of Birth: Minnesota Ancestry: Armed Forces: Education: German Race: White No Marital Status: Divorced 10 Place of Death City: Campbell Twp County: Ionia Hospital or Other Place of Death Unclassified Patient Status: Residence 'Address: 1440 W. Sisson Road Irving City: Irving Twp Manner of Death: Not Specified Line 1: Renal Failure Line 2: Congestive Heart Failure Line 3: Arteriosclerotic Cardio Vascular Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Worker Hospital - Laundry County: Barry Zip Code: 49325 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Chancey Alvin Haro Warren Date of Death: 12/13/993 Date of Birth; 06/06/984 Fathers Last Name: Warren Sex: Male Age: 09 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49046 SSN: 381-08-8459 Address: 10966 W. Keller Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 03 Underlying Cause of Death: 8161 Related Cause of Death (*) 11)598 618161 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: (*) 75743 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Sexs Female Ages 01 Decedents Names ELIZABETH LOU ANN WATSON Date of Deaths 01/28/993 Date of Births 01/28/993 Fathers Last Names Watson Place of Death Hospita 1 s Bronson Method i st Hospital Count y:: l< a 1 a ma z oo C i t y:: K a 1 a ma 7. w * SSN s I f Hosp i t a 1 s I T ip a t i en t Residence Countys Barry Ci ty a .Jobns t own Twp Zip Codes 49050 P1 ace of Birtha Michigan Armed Forces:: No Ancest ry s Nor th Af r ican Ed uc: a 1i o n:: None - - Addressa 1300 Groat Road Marital Statuss Never Married Race:: White Underlying Cause of Deaths 7485 Related Cause of Death ($> 117485 Autopsys No Findings A a liable:: Unknown Actual Places Hospital Med ic a1 E x a miner Ca ses Un k nown Mod e o f Dea t h :: Na t u r a 1 Work Injury:: Locations St a t e F i 1 e Numb e r:: 8495 (> Six dig!ts with the 1 st dig!t being the line, the 2nd being the position within the line., and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 014701 Decedents Name: Sex: Female Sharon Lee Watson Date of Birth: 10/15/959 SSN: 377-58-7535 Date of Death: 03/22/995 Spouses Name: Fathers Name: Virgil Lee Watson Mothers Name: Shirley K. Wolfe Place of Birth: Michigan Hospital: Unknown Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Never Married High School Place of Death City: Bedford Twp County: Calhoun If Hospital: Residence Address: 3711 Bristol Lake Johnstown City: Johnstown Twp Manner of Death: Homicide Line 1: Multiple Stab Wounds Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 03/22/1995 Multiple Stab Wounds With Knife Bartender Restaurant / Bar County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Estella M. Waugh Date of Death: 07/06/994 Date of Birth: 04/30/903 Fathers Last Name: Fox Place of Death Hospital: Unknown City: Wayland Sex: Female Age: 91 County: Allegan SSN: 366-10-8025 If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49348 Address: 1999 Archwood Drive Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 436 Related Cause of Death (* ) 11436 214409 614280 622500 63585 644019 Autopsy: No \ Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 41646 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 055906 Sex: Female Evelyn Vesta Weage Decedents Name: Date of Birth: 01/05/922 Date of Death: 09/26/996 SSN: 362-26-4984 Spouses Name: Sherman Forrister Fathers Name: Mothers Name: Mabel Gould Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 2 years College Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 1662 Hickory Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Coronary Arteriosclerosis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Nurse Health Care Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 020998 Patient Information Sex: Female Decedents Name: Ardith E. Webber Date of Birth: 02/07/916 SSN: 384-38-2024 Date of Death: 04/28/997 Spouses Name: Fathers Name: John Bulluck Mothers Name: Ruth Beadle Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Marital Status: Widow, Widower Education: 2 years College Place of Death County: Allegan City: Plainwell Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 11484 Handy Lane Prairieville Prairieville Twp Manner of Death Manner: Not Specified Line 1: Massive Cerebral Vascular Accident Line 2: Severe Arteriosclerosis Line 3: Insulin Dependent Diabetes Line 4: Congestive Heart Failure Other Conditions: Injury Date: Injury Description: Occupation: L.p.n. Industry: Nursing County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: GEORGE FRANCIS WEEKS JR. Date of Death: 06/27/993 Date of Birth: 05/30/935 Fathers Last Name: Weeks Sex: Male Age: 58 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek ’ County: Calhoun SSN: 386-30-1897 If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Address: 4256 Indian Isle Place of Birth: Michigan Armed Forces: Yes Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 5713 Related Cause of Death (* ) 115729 215713 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 48080 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 10) of Barry County Residents who died outside of Barry County, 1900-1998. Thompson to Weeks. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 10) of Barry County Residents who died outside of Barry County. Thompson to Weeks Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/863/Death_Transcripts_Barry_County_Vol._11.pdf 1c78709727b726b248234094d4a0e26b PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health 11 This volume (Volume - ) begins with Weih and ends with Zientara �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036481 Patient Information Decedents Name: Date of Death: Sex: Male William Weih Date of Birth: 04/10/920 06/03/997 SSN: 385-09-8192 Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: George Weih Kunigunde Grethlein Germany German Race: White Yes Marital Status: Widow, Widower 10 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 1408 Fairview Hastings Manner of Death Manner: Not Specified Line 1: Uremia Line 2: Diabetes Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Contractor Industry: Draperies Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036531 Decedents Name: Sex: Female Ruth L. Weiss Date of Death: 05/31/996 Date of Birth: 04/21/936 SSN: 316-34-9065 Spouses Name: Leigh L. Weiss li Fathers Name: Frank Henckel Mothers Name: Murial Smith Place of Birth: Indiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No 3 years College Marital Status: Married Place of Death City: Galesburg County: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 7844 South Wall Lake City: HopeTwp Manner of Death: Not Specified Line 1: Large Right Lung Ca With Metastasis Line 2: Pleural Effusion Bilat Line 3: Anemia Line 4: Thrombocytopenia Other Conditions: Injury Date: Description of Injury: Occupation: Industiy: Cook- Nursing Home Chesterton Health Care Center County: Barry Zip Code: 49035 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: REATHA A. WELLS Date of Death: 08/17/993 Date of Birth: 04/09/923 Fathers Last Name: BRUCE Sex: Female Age: 70 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Maple Grove Twp Zip Code: 49073 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 08 SSN: 377-54-0909 Address: 10032 BIVENS ROAD Marital Status: Married Race: White Underlying Cause of Death: 1830 Related Cause of Death (*) 117991 215315 311830 321990 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) * ( 48121 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063094 Decedents Name: Sex: Female Anna M. WensI Date of Birth: 09/04/933 Date of Death: 09/25/995 SSN: 334-24-5689 Spouses Name: Charles A. Wensel Fathers Name: Robert J. Patton Mothers Name: Luella Ott Place of Birth: Illinois Ancestry: Armed Forces: Education: Irish Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 4869 N. Bay Rd. City: Barry Twp Manner of Death: Not Specified Line 1: Ischemic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 01/15/98 State of Residence: Michigan File Number: 049399 Patient Information Decedents Name: Date of Death: Marie Ann West Sex: Female Date of Birth: 11/12/922 SSN: 383-32-8764 08/08/997 Spouses Name: Fathers Name: Arthur Terry Mothers Name: Alma Lovett Place of Birth: Alabama Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish kI No Race: White Marital Status: Divorced pg Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Borgess Med Cen Residence Address: City: 10716 Stoney Pt. Dr. Prairieville Prairieville Twp Manner of Death Manner: Not Specified Line 1: Respiratory Insufficiency Line 2: Kidney Failure Line 3: Diabetes Mellitus Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: At Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076742 Decedents Name: Sex: Female Beth I. Wester Date of Birth: 09/18/949 SSN: 378-46-0437 Date of Death: 12/21/996 Spouses Name: Fathers Name: Raymond J. Helrigel Mothers Name: Lois A. Nagel Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower High School Place of Death County: Kent City: Bowne Twp Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 2303 Solomon Rd. City: Irving Twp Manner of Death: Not Specified Line I: Cervix Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Housewife Industry: Own Home Irving County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 001211 Patient Information Decedents Name: Sex: Female Mary Lynn Westerman Date of Birth: 10/18/1939 SSN: 384-38-5237 Date of Death: 01/27/1998 Spouses Name: H. Thomas Kyvig Fathers Name: Lloyd La Vasseur Mothers Name: May Bushey Place of Birth: Michigan Ancestry: Armed Forces: Other North, Central and South American Race: White No Marital Status: Married Education: 5 years of college Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 6091 Assyria Road Maple Maple Grove Twp Manner of Death Manner: Not Specified Line 1: Metastatic Adenocarcinoma Of The Breast Line 2: Malignant Pleural Effusion Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Administrator/ Director Industry: Civic Theater County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: James B. Wetmore Date of Death: 12/23/994 Date of Birth: Fathers Name: James B. Wetmore Sr. Mothers Name: Maude M. Maloon Spouses Name: Sex: Male 02/12/911 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49348 SSN: 303-12-3012 Address: 2256 Parker Dr. Place of Birth: Illinois Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 2500 Related Cause of Death 11486 21438 312500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 077008 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS Non-Resident Transcripts 03/05/98 State of Residence: Michigan File Number: 062841 Patient Information Sex: Male Decedents Name: Frank Clifford Weyerman Date of Birth: 11/12/906 SSN: 370-10-8866 Date of Death: 10/06/997 Spouses Name: Fathers Name: Fredrick F. Weyerman Mothers Name: Wilemina Bordendorf Place of Birth: Michigan Ancestry: German Race: White Armed Forces: Yes Marital Status: Widow, Widower Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient St Mary’s Health Services - Grand Rapids Residence Address: City: 317 W. Green St. Hastings Manner of Death Manner: Not Specified Line 1: Multiple Myeloma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Tool & Die Maker Industry: Factory Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062650 Patient Information Sex: Female Decedents Name: Marian E. Wheeler Date of Death: Date of Birth: 02/08/910 10/05/997 SSN: 366-07-7449 Spouses Name: Fathers Name: Willard Ickes Mothers Name: Mary Freeman Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: 2 years College Place of Death County: Kalamazoo City: Galesburg Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 5007 First St Hope Hope Twp Manner of Death Manner: Not Specified Line 1: Aspiration Line 2: Cerebrovascular Accident Line 3: Arteriosclerotic Disease Line 4: Congestive Heart Failure Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: At Home Mi County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Norma Jean Wichterman Date of Death: 08/12/994 Date of Birth: 11/13/927 Fathers Last Name: Newberry Place of Death Hospital: Unknown City: Penfield Twp Sex: Female Age: 66 County: Calhoun If Hospital: SSN: 381-24-9467 Residence County: Barry City: Assyria Twp Zip Code: 49021 Address: 7770 West Lake Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 4140 Related Cause of Death (*) 114140 612503 624029 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 48414 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Barbara A. Wilson Date of Death: 08/23/994 Date of Birth: 01/06/907 Fathers Last Name: Brown Place of Death Hospital: Unknown City: Springfield Sex: Female Age: 87 County: Calhoun SSN: 370-16-0473 If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 Address: 11740 Fords Point Drive Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 4140 Related Cause of Death (*) 117991 214280 314140 41797 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 48400 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: David F. Whipple Date of Death: 10/04/994 Date of Birth: Fathers Name: Jasper A. Whipple Mothers Name: Alma Thomas Spouses Name: Sex: Male 09/18/907 Place of Death Hospital: Northern Mich Hospital City: Petosky County: Emmet If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49046 SSN: 383-03-1182 Address: 7887 Guernsey Lake Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4349 Related Cause of Death 114349 61 (52 629289 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 062076 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Levia Mae Whipple Date of Death: 05/03/994 Date of Birth: 12/01/909 Fathers Last Name: Murray Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49046 Sex: Female Age: 84 SSN: 377-22-6477 Address: 7887 Guernsey Rd. Place of Birth: Georgia Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 06 Underlying Cause of Death: 436 Related Cause of Death (*) 11436 214019 314273 61486 622859 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 30134 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Harlow I. White Date of Birth: 03/20/900 Date of Death: 12/01/993 Fathers Last Name: White Place of Death Hospital: Unknown City: Ionia Sex: Male Age: 93 County: Ionia SSN: 713-05-2192 If Hospital: Inpatient Residence County: Barry City: Nashville Zip Code: 49073 Address: 817 Reed Street Place of Birth: Michigan Armed Forces: Yes Ancestry: British, Scotch Education: 08 Marital Status: Divorced Welsh, Scotch Race: White Underlying Cause of Death: 4149 Related Cause of Death (*) 114279 214149 61185 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 75459 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 067330 Sex: Male Parker Harmon Whitney Decedents Name: Date of Birth: 12/20/929 SSN: 373-28-3644 Date of Death: 11/05/996 Spouses Name: Barbara J. Bundy Fathers Name: Fred H. Whitney Mothers Name: Alberta J. Leslie Place of Birth: Vermont Ancestry: Armed Forces: Education: French Race: White No Marital Status: Married 11 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 14665 Uldricks Drive Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Left Ventricular Dysfunction Line 2: Severe Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Coma Injury Date: Description of Injury: Occupation: Industry: Pressman Paperboard Industry County: Barry Zip Code: 49017 * �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 035282 Decedents Name: Sex: Female Frances V. Whittelsey Date of Birth: 05/23/904 Date of Death: 06/11/996 SSN: 725-10-9224 Spouses Name: Fathers Name: Richard E. Poff Mothers Name: Wilhemenia Timm Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower 4 years of college Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 8260 Assyria Road Maple City: Maple Grove Twp Manner of Death: Not Specified Line 1: Septicemia Line 2: Acute Urinary Tract Infection Line 3: Line 4: Other Conditions: Coronary Artery Disease Injury Date: Description of Injury: Occupation: Industry: Office Secretary Railroad County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MYRTLE M. WHITTEMORE Date of Death: 05/16/993 Date of Birth: 05/18/916 Fathers Last Name: Craven Sex: Female Age: 76 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 385-14-3634 Address: 528 E. Grant St. Place of Birth: Michigan Armed Forces: No Marital Statusi: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4149 Related Cause of Death (*) 114279 214149 Autopsy: No Findings Available: Unknown Actual Place:. Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 29887 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 027636 Decedents Name: Sex: Male August Morris Wickland Date of Birth: 02/28/907 SSN: 368-03-9929 Date of Death: 05/13/995 Spouses Name: Dorothy Beldon Fathers Name: August M. Wickland Mothers Name: Maude Unknown Place of Birth: Minnesota Hospital: Pipp Community Hospital Ancestry: Norwegian, Swedish Danish Armed Forces: Education: Race: White Yes Marital Status: Married 10 Place of Death County: Allegan City: Plainwell IfHospital: Inpatient Residence Address: 4960 Marsh Rd. Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Coronary Heart Disease Line 3: Line 4: Other Conditions: Severe Cerebral Vascular Disease Injury Date: Description of Injury: Occupation: Industry: Photo Engraver Commercial Printing County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063175 Decedents Name: Sex: Male Edward James Wilbur Date of Birth: 03/03/954 Date of Death: 10/21/995 SSN: 376-62-3053 Spouses Name: Susan Holman Fathers Name: Edward P. Wilbur Mothers Name: Shirley A. Black Place of Birth: Michigan Ancestry: Armed Forces: Education: s German ' ■. Race: White No Marital Status: Married 1 year College Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 12893 Burrows Road City: Prairieville Twp Manner of Death: Prairieville County: Barry Zip Code: 49046 Not Specified Line): Alcoholic Cirrhosis Line 2: Chronic Alcohol Abuse Line 3: 4V Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Quality Control Automotive Manufacturing ■ �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON•COUNTY RESIDENT THE STATE OFs Mich igan Di ed ent s Na me:: Leon C1 a ud e W i 1 b u r Date of Birth:: 05/18/918 Date of Death:: 05/10/993 Fa t h e r s La s t Na me:: W i 1 b u r Place of Death Hosp i t a 1:: VA Med i c a 1 Cen t e r C i t y s Bed f oI d Twp I f Hosp x t a 1:: I rip a t i ent Residence County:: Ba r ry C i ty n Joi i nst own Twp Zip Code:: 49021 Place of Bi) th:: Michigan Armed Forces:: Yes A nt: es 11’ y s I r x sh Ed uc at i on:: 08 Sexs Male Agea 74 B a tt1 e Ct ee l< Count y:: Ca 1 h oun SSNs 715-01-0390 Address:: 12280 North Ave Ma r i t a 1 St a t us s Ma r r i ed Races White Undei lying Cauw of Dt Re 1 a i ed Ca use o f Dea t h 111629 61496 62486 Autopsy:: No ngs Available:: Unknown Actual Places Other Institution Me cl i c a 1 E x a m i) w r C a se:: Unknown Mod e o f Dea t h :: Na t u r a 1 Work Injury:: Locati OT’rR S t a t c? F i ’I. e Nu mb era 28 371 (% ) S :< x d i g i t s w i t h t h e 1 st. d i g i i. being the line, the 2nd being the position within the line., and positions 3-6 being the I CD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009470 Decedents Name: Sex: Female Thelma R. Will Date of Birth: 10/17/925 SSN: 245-28-5079 Date of Death: 02/13/996 Spouses Name: Fathers Name: Dobe Rodgers Mothers Name: Isabel Obright Place of Birth: South Carolina Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 750 N. Airport Rd. Hastings City: Hastings Manner of Death: Not Specified Line 1: Respiratory Insufficiency Line 2: Emphysema Line 3: Line 4: Other Conditions: Congestive Heart Failure, Inanition Injury Date: Description of Injury: Occupation: Laborer Industry: Factory County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Richard Don Williams Date of Death: 08/30/994 Date of Birth: Fathers Name: Fred Williams Mothers Name: Lulu Henderson Spouses Name: Joyce E. Bateman Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49058 Sex: Male 08/14/944 County: Kalamazoo SSN: 365-46-6964 Address: 3800 Lawrence Road Place of Birth: Tennessee Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 2 years College Underlying Cause of Death: 410 Related Cause of Death 11410 214149 610389 624279 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 056576 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Roberta M. Wills Date of Death: 12/16/994 Date of Birth: Fathers Name: Jayce Robert Wills Mothers Name: Helen E. Banas Spouses Name: Sex: Female 09/27/954 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 SSN; 384-62-5116 Address: 11250 Manning Lake Road Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 3 years College Underlying Cause of Death: 4519 Related Cause of Death 114151 214519 617140 624160 634599 642780 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 075270 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 023537 Decedents Name: Sex: Female Anna E. Willyard Date of Birth: 01/27/904 SSN: 369-68-0103 Date of Death: 04/22/995 Spouses Name: Fathers Name: W. C. Johnston Mothers Name: Petranella Bos Place of Birth: Michigan Hospital: Unknown Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent If Hospital: Inpatient Residence Address: 316 Grand Rapids St. Middleville City: Middleville Manner of Death: County: Barry Zip Code: 49333 Not Specified Line 1: Pulmonary Fibrosis Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Chronic Renal Failure, Arteriosclerotic Cardiovascular Disease With Congestive Heart Failure 04/22/1995 Collapsed At Villa Elizabeth Housewife Own Home �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055908 Patient Information Sex: Male Decedents Name: Kenneth Scott Wilson Date of Birth: 04/13/966 Date of Death: 09/06/997 SSN: 384-62-6340 Spouses Name: Fathers Name: Kenneth James Wilson Mothers Name: Tamara Lynn Gunders Place of Birth: Michigan Ancestry: Armed Forces: Other Western European Race: White No Marital Status: Never Married Education: 2 years College Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 2045 Hammond Rd. Irving Irving Twp Manner of Death Manner: Not Specified Linel: Ventricular Fibrillation Line 2: Cardiogenic Shock Line 3: Chronic Dilated Cardiomyopathy Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Mechanic Industry: Trucking Company County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Floyd Beachler Wilt Date of Death: 07/27/994 Date of Birth: 05/22/917 Fathers Last Name: Wilt Sex: Male Age: 77 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 203-07-3237 Address: 495 Rork Rd. Place of Birth: Pennsylvania Armed Forces: Yes Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 2041 Related Cause of Death (*) 110389 212880 22558 312041 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 43402 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 055826 Decedents Name: Sex: Female Dena H. Winick Date of Birth: 08/19/913 Date of Death: 08/30/996 SSN: 378-36-0326 Spouses Name: Fathers Name: Abraham Epstein Hilda Unknown Mothers Name: Place of Birth: Michigan Other Easter European Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 506 E. Woodlawn Hastings City: Hastings Manner of Death: Not Specified Line 1: Crohn's Disease Line 2: Sepsis Line 3: Malnutrition Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Co-owner General Merchandise Department County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022791 Patient Information Sex: Male Decedents Name: Arthur James Winters Date of Death: 04/10/1998 Spouses Name: Date of Birth: 12/05/1902 SSN: 385-38-3265 Fathers Name: Charles Winters Mothers Name: Edith Hartwell Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: 08 Marital Status: Widow, Widower Place of Death County: Calhoun City: Marshall Hospital or Other Place of Death: Patient Status: Inpatient Oaklawn Hospital Residence Address: City: 14761 S. Kellogg School RBarry Barry Twp Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Respiratory Failure Line 3: Sepsis Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Fanner Industry: Dairy & Crop Farm County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ESTELLE VIRGINIA WISEMAN Date of Death: 08/08/993 Date of Birth: 08/16/900 Fathers Last Name: Starks • Sex: Female Age: 92 Place of Death Hospital: Blodgett Mem Med Cen City: East Grad Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 379-14-4887 Address: 1027 North Church St. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 5990 Related Cause of Death (*) 110389 215990 617854 622500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49591 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 070374 Decedents Name: Sex: Male Walter J. Wisotzke Date of Birth: 02/18/918 Date of Death: 11/19/995 SSN: 395-01-1718 Spouses Name: Elizabeth Welker Fathers Name: Joseph Wisotzke Mothers Name: Helen Pruski Place of Birth: Wisconsin Ancestry: J Polish Armed Forces: Yes Education: • Race: White Marital Status: Married High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 718 S. Washington Hastings City: Hastings Manner of Death: Not Specified Line 1: Ruptured Abdominal Aortic Aneurysm Line 2: Line 3: Line 4: Other Conditions: Right Renal Tumor, Large Injury Date: Description of Injury: Occupation: Industry: Supervisor Brewery County: Barry Zip Code: 49058 .’ �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - <TATE OF MICHIGAN NON - COUNTY ®11 DENT THE STATE OF:: Michigan _.... Decedents Names AUGUST J« WOLF Date of Death:: 04/03X993 Dat e Fa t her s La st Na me:: WOLF’ Place of Death Hosp it a 1:: Un l< nown City:: Dorr Twp cjf ttttttt: mttrntttttttt tttt tttt tttt tttt mt tttt tttt tttt mt tttt tttt tttt tttt tttt «ttt tttt tttt tttttt”tttt --t- tttt1111 tttt Bi r t h :: 06/22/908 Sex: Male Ages 84 C o u n t y:: A11 e g a n SSN:: 367-22- 6870 If Hospitals Residence Countys: Barry C i t y:: Ya n kee Sp r i rig s Twp Zip Code:: 49333 P 1 a c e o f B :i r t h:: M i c. h i g a n A r pied Fo r c es:: No Anc est r y:: Ge r nan Ed uca t :i. on:: 08 Ad d r ess:: Ma r i t a1 Sta t us s 11273 CH IEF NOOND A Y Wi d ow 9 W i d owe r Races White U(ide11 yi ng Cause of Dea111:: 1341 Related Cause of Death OX) 111341 121991 6)2839 62496 634280 Autopsy:: No Fi nd 11 ig s Ava i 1 a b 1 e it U11 Ic nown Ac:tua 1 P1 a c e:: Home Med i. c a 1 E x a r i ne r Ca se s Un k nown Mo d «?•? o f De a t h :: Work Injury:: Loo at i on:: St a te Fi 1 e Wurnbe r:: Na t u r a 1 21069 OX) Six digits with the 1st digit being the line, the 2nd being the position wit I) in the line, and positions 3-6 being the I CD code,. - *- tttt �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 023192 Patient Information Decedents Name: Date of Death: Sex: Male Harold C. Woodard Date of Birth: 03/01/909 04/19/997 SSN: 380-05-4812 Spouses Name: Fathers Name: Mothers Name: John Woodard Nora Kinney Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: 2 years College Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 100 Lentz St., Apt. D Nashville Nashville Manner of Death Manner: Not Specified Line 1: Prostate Carcinoma With Metastasis Line 2: Line 3: Line 4: Other Conditions: Pneumonia Injury Date: Injury Description: Occupation: Self Employed Industry: Service Station County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029193 Patient Information Sex: Male Decedents Name: Thomas F. Woodward Date of Birth: 04/12/1907 Date of Death: 05/03/1998 Spouses Name: SSN: 364-10-6888 Agnes Kelley Fathers Name: David E. Woodward Mothers Name: Elizabeth Stettler Place of Birth: Ohio Ancestry: German Race: White Armed Forces: No Marital Status: Married Education: 5 years of college Place of Death County: Allegan City: Wayland Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 1785 Edwin Drive Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Chronic Obstructive Pulmonary Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Mechanical Engineer Industry: Paper Goods Co. County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 029767 Patient Information Decedents Name: Date of Death: Sex: Male Frederick G. Wright 05/26/997 Date of Birth: 12/16/947 SSN: 371-48-6859 Spouses Name: Fathers Name: Charles Wright Mothers Name: Eleanor Yonker Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White Yes 5 years of college Marital Status: Divorced Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 11300 East Shore Drive Delton Barry Twp Manner of Death Manner: Not Specified Line 1: Acute Myocardial Infarction Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Hypertension, Hyperlipidemia Injury Date: Injury Description: Occupation: Sales Person Industry: Business Machines County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: M ichigan File Number: 0C11182 Patient Information Sex: Male Decedents Name: Robert Donald Wright Date of Birth: 04/30/1923 SSN: 386-12-6330 Date of Death: 01/22/1998 Spouses Name: Evelyn H. Hunt Fathers Name: George Wright Mothers Name: Rose Marie La Vallee Place of Birth: Michigan Ancestry: Armed Forces: French Race: White Yes Marital Status: Married Education: 08 Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 2497 East Hickory Road Johnstown Twp Manner of Death Manner: Not Specified Line I: Pneumonia Line 2: Parkinson's Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Sales Clerk Industry: Furniture Store County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents O3/25/97 State of Residence: Michigan File Number: 013965 Sex: Male Tye Lee Wyatt Decedents Name: Date of Birth: 02/29/996 Date of Death: 02/29/996 SSN: Spouses Name: Fathers Name: Nicholas Wyatt Lindsay London Mothers Name: Place of Birth: Michigan Ancestry: German Armed Forces: Education: Race: White No Marital Status: Never Married None Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death Patient Status: Inpatient Pipp Community Hospital Residence Address: 6199 Rook Road City: Orangeville Twp Manner of Death: Not Specified Line 1: Chorioamnionitis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: None Industry: None Orangeville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002511 Patient Information Decedents Name: Date of Death: 01/09/1998 Spouses Name: Sex: Male Carl Matthew Wyman Nellie Darlene Stacey Date of Birth: 04/28/1936 SSN: 369-34-7995 Fathers Name: Peter G. Wyman Mothers Name: Gladys Ward Place of Birth: Michigan Ancestry: American Indian Armed Forces: No Education: 10 Race: American Indian Marital Status: Married Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: 5962 Osborne Road Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Metastatic Adenocarcinoma Of The Lung Line 2: Line 3: Line 4: Other Conditions: Bullous Emphysema Injury Date: Injury Description: Occupation: Truck Driver Industry: Supply Company County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Sylvester Yerge Date of Death: 11/14/994 Date of Birth: Fathers Name: William H. Yerge Mothers Name: Irene Hissong Spouses Name: Wanda Boze Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Sex: Male 12/31/930 SSN: 372-28-2443 Address: 11787 Fair Lake Dr. Marital Status: Married Race: White Underlying Cause of Death: 4140 Related Cause of Death 117855 21)967 318782 324140 61586 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 069776 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002593 Patient Information Sex: Female Decedents Name: Elaine Beatrice Yetter Date of Birth: 03/15/1914 Date of Death: 01/01/1998 SSN: 369-44-5879 Spouses Name: Fathers Name: Asa Harvey Mothers Name: Mary Elizabeth Canute Place of Birth: Michigan Ancestry: Norwegian, Swedish Danish Race: White Armed Forces: No Marital Status: Widow, Widower Education: 4 years of college Place of Death County: Kalamazoo City: Austin Lake Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: City: 2252 Parker Drive Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Adenocarcinoma Of The Left Lung Line 2: Line 3: Line 4: Other Conditions: Atherosclerotic Heart Disease Injury Date: Injury Description: Occupation: Teacher Industry: Public School County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Dwain Martin Yoho Date of Death: 01/06/994 Date of Birth: 10/20/933 Fathers Last Name: Yoho Sex: Male Age: 60 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49050 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 10 SSN: 363-22-2017 Address: 1000 Bristol Road Marital Status: Married Race: White Underlying Cause of Death: 496 Related Cause of Death (*) 11496 615789 627330 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 1387 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gary L. Yonkman Date of Death: 12/15/994 Date of Birth: Fathers Name: Jerry Yonkman Mothers Name: Sharon Brigham Spouses Name: Place of Death Hospital: Unknown City: Berlin Twp Sex: Male 09/14/969 County: Ionia SSN: 369-90-6646 If Hospital: Residence County: Barry City: Woodland Zip Code: 48897 Address: 384 N. Main St. Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 8129 Related Cause of Death 11(54 618129 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 076323(*) (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFa Michigan Decedents Names ROSE E„ ZASADIL Date of Deaths 03/03/993 Date of Births 04/03/907 Fa t h e r s La st Na me:: l< o t r b a Place of Death Hosp i t a 1:: St Ma r y ’ s Hosp i t a 1 Citys Grand Rapids Countys Kent I f Hosp it a 1I np a t ient Residence Countys Barry Citys Yankee Springs Twp Zip Codes: 49348 Sex a Female Ages S3 SSNs 340-07-8337 Add resss 1885 Pa 11 e rson Rd .. P1ac e o f Births 111ino is Armed Forcesn No Marital Statuss Married Ancestrys Other Easter European Races White Educations 08 Underlying Cause of Deaths 5570 Related Cause of Death (#) 117835' 215570 314409 614349 Autopsy:: No Findings Aval lab left Unknown Actual Places Hospital Medical Examiner Cases Unknown Mod® of Deaths Natural Work Injurys Locations 81a te Fi1e Numbers 15661 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert A. Zautcke Date of Death: 09/13/994 Date of Birth: Fathers Name: Herman Zautcke Mothers Name: Pearl Ladd Spouses Name: Helen G. Salinas Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49060 Place of Birth: Wisconsin Armed Forces: Yes Ancestry: German Education: High School Sex: Male 02/26/921 SSN: 391-18-8754 Address: 110 Little Long Lake Marital Status: Married Race: White Underlying Cause of Death: 185 Related Cause of Death 117860 127990 212859 31185 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 56624 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015807 Decedents Name: Sex: Female Ema Zeimanis Date of Birth: 06/17/923 Date of Death: 03/19/996 SSN: 369-34-9550 Spouses Name: Fathers Name: Alexander Rudzits Mothers Name: Alma Unknown Place of Birth: Unknown Ancestry: Armed Forces: Education: Other Easter European Race: White No Marital Status: Widow, Widower 2 years College Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 1460 Northwood Drive Hope City: Hope Twp Manner of Death: Not Specified Line 1: Metastatic Colon Cancer Line 2: Adenocarcinoma Right Colon, Regionally Advanced Line 3: Line 4: Other Conditions: Chronic Obstructive Pulmonary Disease Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 028207 Decedents Name: Spouses Name: Beverly Boven Fathers Name: Mothers Name: Sex: Male Jordan R. Zientara Date of Death: 05/06/996 Date of Birth: 01/13/925 SSN: 353-12-7618 Walter Zientara Katherine Springer Place of Birth: Illinois Ancestry: Armed Forces: Education: German Race: White Yes 2 years College Marital Status: Married Place of Death City: Allegan County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 11622 Spring Point Drive City: Prairieville Twp Manner of Death: Not Specified Line I: Ischemic Heart Disease Line 2: Renal Failure (Chronic) Line 3: Diabetes Mellitus Type I Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Photo Engraver Printing Business County: Barry Zip Code: 49080 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 11) of Barry County Residents who died outside of Barry County, 1900-1998. Weih to Zientara Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 11) of Barry County Residents who died outside of Barry County. Weih to Zientara Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/854/Death_Transcripts_Barry_County_Vol._2.pdf 2c1b138b554bbba4a9d4e01a183844e6 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 2) begins with Cainder and ends with Dykstra �FUNERAL NOTICE FOR THE STURGIS DAILY JOURNAL 2sXh___ Full name of deceased --------------- {jfLlrii&T--------------------- Age -?8------------First Last Middle Addresa37__%^4m&_-tay_,v®*--W»J^r1--------------------------------------------------- Day and time of death Cause Where death occurred -jjom-o-f—dsMMftlf-F--Cn.rpont«F-»- -----------------Period of illness —-?a41|-ng—---------------------------------------------------- Mlflh » Where born 21_»--13T9------------ ----- Date of birth )—3flln(l»F---------------------------------------------------- Child of whom — Places of residence for what periods .Ao—yisayo—on-in.-fcxp..—th®— __jtfar&._&pent^jLt._hi£L_da.ughl£M-ha3L4_An..teLttil*._CJMMkji----------------------------------------When married and to whom_ 39r—1913-tG-GlAF*v-Phlil4rpa------------------------------------------------_______________________________________________ where married flftiaahnygy Mlahj---------------------- remarks: (Life work, etc.) -__-Tannlng.---ratl.red-fi-ye3Lra„*^CL». ------------------------------------- Member of what church -XX Society affiliations Other information I>14Ma--aM-^&lnS-raaAiJESd-a.t_-th&-JteataziZ3slth-AJBAr*l-JEiOMh-_T. l-bwotcJ "Bus-bf —wltb-Xha-clav-^—usaXa Ls iftil-AfXixuating^—Inf gan>nVafXll.-ba-ln--&iat.---------—Hlnltoxy-JCcuanaga-fliaan frx«-------- ------------------------------------------------------------------------------Surviving relatives MldOM-aiid—OlM-sSaughtar-*) C^.rry>nt.ar__and__4____ —giMnd_j8hlldrnnL_oX.-£fct.tlA_£rcuak-TKpJu»_3_ijj?nthar_sj__SZhfJj)_^f__3aDJil«g0^..iJ»lu*> Place of funeral service Date of funeral Hour .Place of buria Clergyman Undertaker ; „ �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 042975 Patient Information Decedents Name: Date of Death: Sex: Female Kimberly Campbell Date of Birth: 07/03/997 07/08/997 SSN: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Scott L. Campbell Susan A. Seger Michigan Other Southern European Race: White No Marital Status: Never Married None Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: 4900 E. Butler Rd. Johnstown Johnstown Twp Manner of Death Manner: Not Specified Line 1: Trisomy 18 Line 2: Line 3: Line 4: Other Conditions: Prematurity, Respiratory Distress Syndrome Injury Date: Injury Description: Occupation: None Industry: None County; Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CRAIG ALAN CARBERRY Date of Death: 11/23/993 Date of Birth: 04/11/957 Fathers Last Name: CARBERRY Sex: Male Age: 36 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 Place of Birth: Wisconsin Armed Forces: No Ancestry: Irish Education: 1 year College SSN: 373-68-3701 Address: 203 ROBIN ROAD Marital Status: Never Married Race: White Underlying Cause of Death: 5712 Related Cause of Death (*) 115739 215712 225789 312859 324561 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 75902 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 054620 Sex: Male Milton L. Cargill Decedents Name: Date of Birth: 01/06/909 SSN: 385-10-1858 Date of Death: 09/11/996 Spouses Name: Edward Cargill Fathers Name: Mothers Name: Nina Hobby Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 2 years College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 11967 S. Circle Dr. Barry City: Barry Twp Manner of Death: Not Specified Line 1: Aortic Stenosis Line 2: Hypertension Line 3: Line 4: Other Conditions: Benign Prosthetic Hypertrophy Injury Date: Description of Injury: Occupation: Industry: Time Study Cereal County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024242 Patient Information Sex: Female Decedents Name: Mary E. Carothers Date of Birth: 06/23/1914 Date of Death: 03/31/1998 SSN: 283-07-1455 Spouses Name: Fathers Name: Gordon G. Bennett Mothers Name: Alice West Place of Birth: Ohio Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Widow, Widower Education: 4 years of college Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 3168 Elmwood Beach County: Barry Yankee Zip Code: 49333 Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: End Stage Renal Disease Line 2: Aorto- Femoral Bypass Line 3: Generalized Arteriosclerosis Line 4: t \ t’ t Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home \ �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063292 Sex: Male Decedents Name: Norman L. Carpenter Date of Birth: 06/29/913 SSN: 368-09-0435 Date of Death: 10/04/995 Spouses Name: Ardis M. Reed Fathers Name: Benjamin Carpenter Mothers Name: Ada Kilmer Place of Birth: Michigan Ancestry: Other Western European Race: White Armed Forces: No Education: Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 9461 Parmelee Rd. City: Thomapple Twp Manner of Death: Not Specified Line 1: Acute Renal Failure Line 2: Acute Pancreatitis Line 3: Line 4: Other Conditions: Hypertension, Emphysema Injury Date: Description of Injury: Occupation: Industry: Patent Engineer Lear Siegler Thomapple County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 042894 Decedents Name: Sex: Female Mary E. Carr Date of Birth: 11/05/923 Date of Death: 07/07/996 SSN: 311-18-4332 Spouses Name: Robert J. Carr Fathers Name: John Gibson Mothers Name: Bertha Wilhems Place of Birth: Indiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 7069 Division Ave. Prairieville Zip Code: 49046 City: Prairieville Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Renal Failure, Hyperkalemia, Stroke Injury Date: :,: ‘ i'ii; Description of Injury: Occupation: Industry: ■■ Homemaker At Home County: Barry ■ �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Ruth J. Carrier Date of Death: 01/31/994 Date of Birth: 01/31/908 Fathers Last Name: Scheiern Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Female Age: 8 6 SSN: 382-18-8544 Address: 5045 3rd St. Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 10 Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4280 Related Cause of Death (*) 114280 612859 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 9789 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �CERTIFICATE OF DEATH State Filo No. MICHIGAN DEPARTMENT OF HEALTH BIRTH No< Vital Records Section 1. PUCE OF DUTH a. COUNTY ~ b. CITY (If outside jerporate limits, write BUBAL and give C. TOWNSHIP, CITY OR VILUGE VILLAGE •L FULL NAME OF (If not in hospital or institution, rive street address or location) HOSPITAL OP INSTITUTION 3. NAME OF DECUSED a. (Flrat) 6. COLOR OR RACE 10a. USUAL OCCUPATION of work done d 4. DATE OF DUTH . MARRIED, NEVER MARRIED, WIDOWED, DIVORCED * (Bp< 13. FATHER'S (Give kind of work d. ii Residence within limits of a city or Incorporated viUaaof live location) .-n b. (Middle) < .(Name Gt) before admiss 0. STREET (Type or Print 5. SEX Local Filo No. . deceased lived. If institution: rosid b. COUNTY 2. USUAL RESIDENCE 0. STATE STL (Month) SyJATE OF BIRTH 10b. KIND OF BUSINESS OR IN . AGE (In years Uat birthday) 11. BIRTHPUCE (Year) (Day) If under1 year Mon tbs Days If under 24 Hrs. Hours Min. (St 12. CITIZEN OF WHAT COUNTRY? HE 15. 16. WAS DECEASED EVER IN U.S. ARMED FORCES? (Yes. no. or unimown) I (If yes, give war or dates of service) 17. SOCIAL SECURITY NO. OF HUSB SEO OR WIFE OF D I®. INFORMANT'S NAME MLUICAL CERTIFICATION 18. CAUSE OF DEATH Enter only one came per Uno for (a), (b). and <c) Between Onset and Death I. DISUSE OR CONDITION DIRECTLY LUDING TO DUTH*(a). ANTECEDENT CAUSES * This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease, Injury or complication which caused death. Morbid conditions, If any, giving DUE TO (b). rise to the above cause (a) stating the underlying cause last ^7 DUE TO (C) II. OTHER SIGNIFICANT CONDITIONS Conditions contributing to the death but not related to the disease or condition causing death. 19d. DATE OF OPERATION 19e. MAJOR FINDINGS OF OPERATION 20. AUTOPSY? z s Q. 218. ACCIDENT SUICIDE HOMICIDE tx 21 d. TIME OF INJURY O (Month) 21b. PUCE OF INJURY (o.it” in or about* 21c. (CITY. borne, farm, factory, street, office blds., etc.) (Specify) (Day) (Hour) (Year) m. IM a. 21 e. INJURY OCCURRED 21 f. HOW WNioat n No1 while rn Work l—l at Work LJ No Yes OR TOWNSHIP) (STATE) (COUNTY) OCCUR? 22. I hereby certify that I attended the decsesed from on 23a. SIGNATURE 18 ; ___ .. 19 _ and that death occurred at ! (Decree or title) 23b. ADDRESS that I last saw the deceased alive from the 23c. DATE SIGNED 24a. BURIAL, CREMATION. /REMOVAL (Sonify 24b. DATE DATE REC’D BY LOCAL REG. REGISTRAR'S SIGNATURE twp.. or county) B-38 ADDRESS (State) �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: June Chaffee Date of Death: 11/08/993 Date of Birth: 03/26/918 Fathers Last Name: Searles Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49073 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: High School Sex: Female Age: 75 County: Kalamazoo SSN: 364-24-5873 Address: #7 Thornapple Lake Road Marital Status: Married Race: White Underlying Cause of Death: 486 Related Cause of Death (*) 110389 21486 612500 62586 635698 Autopsy: No Findings Available: Unknown Actual Place; Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 69063 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036843 Decedents Name: Sex: Male Edwin Eugene Chambers Date of Birth: 03/22/925 Date of Death: 06/27/996 SSN: 350-12-5119 Spouses Name: Margaret Gillespie Fathers Name: Roy Lee Chambers Mothers Name: Ella Mabel Bier Place of Birth: Illinois Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 2271 Hickory Rd. County: Barry Johnstown Zip Code: 49017 City: Johnstown Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Respiratory Distress Line 3: Dementia Line 4: Hypertension Other Conditions: Osteoarthritis : . Injury Date: Description of Injury: ' Occupation: Maintenance Industry: Government \ .*//’.J *. , �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056550 Decedents Name: Sex: Male Claude F. Channells Date of Birth: 02/23/930 ♦ I' - SSN: 375-26-4172 ■ V- Date of Death: 09/21/995 Spouses Name: Barbara Randall Fathers Name: Clyde C. Channells Mothers Name: Florence Lockwood Place of Birth: Michigan Ancestry: Aimed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 09 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 11953 12 Mile Road County: Barry Orangeville Zip Code: 49344 City: Orangeville Twp Manner of Death: Not Specified Line 1: Cardiac Arrhythmia Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: . •,,;>•' ■' Injury Date: Description of Injury: Occupation: Industry: Carpenter Commercial Construction ! r < } �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 03/27/98 State of Residence: Michigan File Number: 072065 Patient Information Sex: Male Decedents Name: Charles E. Chapman Date of Death: Spouses Name: Fathers Name: Reeve Chapman Mothers Name: Date of Birth: 04/16/918 10/28/997 Carmen Johnson SSN: 299-09-9193 Adeline Merchant Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Yes Race: White Marital Status: Married High School Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death: Patient Status: Inpatient VA Med Cen - Ann Arbor Residence Address: City: 9945 Forest Ridge Middleville Middleville Manner of Death Manner: Not Specified Line 1: Cardiac Arrhythmia Line 2: Line 3: Line 4: Other Conditions: Surgery For Perforated ViscusInjury Date: Injury Description: Occupation: Management Industry: Retail Sales County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 002588 Decedents Name: Sex: Female Icie Lena Chewning Date of Death: 01/10/995 Spouses Name: Charles E. Chewning Date of Birth: 11/20/940 SSN: 234-68-5417 Fathers Name: Edgar Poling Mothers Name: Agnes Heater Place of Birth: West Virginia Hospital: Blodgett Mem Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No Marital Status: Married 08 Place of Death City: East Gmd Rapids County: Kent If Hospital: Inpatient Residence Address: 3079 Culbert Shore City: Carlton Twp Manner of Death: Not Specified Line 1: Intracerebral Hemorrhage Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Carlton County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036329 Patient Information Decedents Name: Date of Death: Sex: Male Marc 11 Harry Chilton Date of Birth: 04/17/975 06/21/997 SSN: 370-82-1344 Spouses Name: Fathers Name: Marc Chilton Mothers Name: Diane Anders Place of Birth: Ancestry: Armed Forces: Education: Michigan British, Scotch, Welsh, Scotch Irish No Race: White 11 Marital Status: Never Married Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 4920 Walldorff Rd. Hope Hope Twp Manner of Death Manner: Not Specified Linel: Intracranial Bleed Line 2: Acute Lymphoblastic Leukemia Line 3: Line 4: Other Conditions: Injury Date: 10/38/32 Injury Description: Occupation: Laborer Industry: Landscaping County: Bany Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 006813 Patient Information Sex: Male Decedents Name: Richard Sr William Chrzan Date of Birth: 03/10/1928 Date of Death: 01/30/1998 SSN: 385-22-4312 Spouses Name: Fathers Name: Phillip J. Chrzan Mothers Name: Louise Peer Place of Birth: Michigan Ancestry: Armed Forces: Polish Race: White Yes Marital Status: Divorced Education: High School Place of Death County: .Wayne City: Detroit Hospital or Other Place of Death: Patient Status: DOA with Hospital Named Enroute to the hospital with a hospital named Residence Address: City: 5150 E. Jordan Freeport County: Barry Zip Code: 49325 Irving Twp Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: ' Line 3: Line 4: Other Conditions: Injury Date: +: Injury Description: Occupation: Mechanic Industry: Automotive ', Sig �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Adam Chyrowski Date of Death: 03/04/994 Date of Birth: 08/12/921 Fathers Last Name: Chyrowski Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 72 County: Kent If Hospital: Unknown Residence County: Barry City: Middleville Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 5 years of college SSN: 376-18-3753 Address: 315 Whippoorwill Marital Status: Married Race: White Underlying Cause of Death: 1579 Related Cause of Death (*) 111579 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 16835 Six digits with the 1st digit being the line;, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 076121 Patient Information Decedents Name: Saris Cichy Sex: Male Date of Death: 12/18/997 Date of Birth: 08/29/905 SSN: 337-03-7310 Spouses Name: Fathers Name: John Cichy Mothers Name: Feliska Mandrake Place of Birth: Poland Ancestry: Polish Race: White Armed Forces: No Marital Status: Widow, Widower Education: 06 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 9144WertmanRd. Hope Hope Twp Manner of Death Manner: Not Specified Line): Coronary Artery Disease Line 2: Line 3: Line 4: Other Conditions: Renal Failure Injury Date: Injury Description: Occupation: Farmer Industry: Fanning County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Daniel Paul Cisler Date of Death: 01/18/994 Date of Birth: 11/28/927 Fathers Last Name: Cisler Sex: Male Age: 66 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent SSN: 380-26-2378 If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 Address: 421 Thornton St. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 2 years College Underlying Cause of Death: 486 Related Cause of Death (*) 11486 614280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 3145 ' (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063179 Decedents Name: Sex: Male Billy C. Clark Date of Death: 10/21/995 Spouses Name: Alice Jean Rooper Date of Birth: 08/29/926 SSN: 233-38-0946 Fathers Name: Albert Ray Clark Mothers Name: Nellie Alma Shank Place of Birth: West Virginia Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes High School Marital Status: Married Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: 1885 Starr School Road Hastings City: Hastings Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Renal Failure Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Driver/owner Trucking County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS Non-Resident Transcripts 02/02/98 State of Residence: Michigan File Number: 056095 Patient Information Sex: Male Decedents Name: Gerald F. Clark Date of Birth: 01/29/923 SSN: 155-18-5223 Date of Death: 09/18/997 Spouses Name: Fathers Name: Mary Zimmerman Henry D. Clark Mothers Name: Lillian Kik Place of B irth: New Jersey Ancestry: Armed Forces: German Race: White Yes Marital Status: Married Education: 2 years College Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: 7520 Noffke Dr. City: Thomapple Twp County: Barry Thornapple Zip Code: 49316 Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Salesman Industry: Mechanical Power Transmission ; ,t �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062887 Patient Information Sex: Male Decedents Name: Marvin Leroy Classic Date of Death: 10/08/997 Spouses Name: Joyce Brownfield Date of Birth: 08/29/932 SSN: 383-30-6723 Fathers Name: Harold E. Classic Mothers Name: Lucy E. Austin Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Marital Status: Married Education: High School Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: St Mary’s Health Services - Grand Rapids Residence Address: 6100VelteRd. City: Woodland Twp Woodland Manner of Death Manner: Not Specified Line 1: Acute Myelocytic Leukemia Line 2: Chronic Lymphocytic Leukemia Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Parts Manager Industry: General Electric Corp County: Barry Zip Code: 48897 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CAROLYN SUE CLAWSON Date of Death: 02/28/993 Date of Birth: 10/28/941 Fathers Last Name: KIRBY Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Female Age: 51 SSN: 377-42-8161 Address: 11070 E. SHORE DRIVE Place of Birth: Alabama Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 396 Related Cause of Death (*) 114274 21396 223970 313989 614273 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 42683 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076061 Decedents Name: Sex: Male Howard D. Clawson Date of Death: 11/28/996 Spouses Name: Date of Birth: 03/05/926 SSN: 366-30-2510 Fathers Name: Clement Clawson Mothers Name: Ada Wagner Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No 08 Marital Status: Divorced Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: Sprague Road, P.O. Box 33Barry City: Barry Twp Manner of Death: Not Specified Line 1: Unstable Angina (mi) Line 2: Diabetes Mellitus Line 3: Hypertension Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Worker Factories County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Rosa L. Cochran Date of Death: 04/10/994 Date of Birth: 08/31/912 Fathers Last Name: Councell Place of Death Hospital: Unknown City: Comstock Twp Sex: Female Age: 81 County: Kalamazoo If Hospital: SSN: 364-22-9917 Residence County: Barry City: Johnstown Twp Zip Code: 49046 Address: 10961 Manning Lake Road Place of Birth: Illinois Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 2030 Related Cause of Death (*) 112030 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 23662 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Herman Edward Coenen Date of Death: 06/18/993 Date of Birth: 03/15/935 Fathers Last Name: COENEN Sex: Male Age: 58 Place of Death Hospital: VA Medical Center - Battle Creek City: Bedford Twp County: Calhoun If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 10 SSN: 379-32-8355 Address: 4080 E. CENTER ROAD Marital Status: Married Race: White Underlying Cause of Death: 1991 Related Cause of Death (*) 111970 12436 131991 Autopsy: No Findings Available: Unknown Actual Place: Other Institution Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 48189 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON COUNTY RES I DENT THE STATE OF# Michigan Decedents Names ARTHUR C.. COGSWELL. Date of Death a 03/11/993 Date of Births 10/28/935 Fathers Last Names Cogswell Sex s Ma le Ages 57 Place of Death Hospitals Battle Creek Health Systems Citys Battle Creek Countys Calhoun If Hospitals Inpatient Residence Countys Barry Citys .Johnstown Twp Zip Codes 49050 SSNs 384-32-8225 Addresss 5043 Winans Dr. Place of Births Michigan Armed Forcess Yes Marital Statuss Married Ancestrys British., Scotch., Welsh., Scotch Races White Ed uc a 11 on s 08 Underlying Cause of Deaths 496 Related Cause of Death (Jfc> 114280 214169 31496 414439 612500 Autopsys No Findings Available:: Unknown Actual Places Hospital Medical Examiner Cases Unknown Mode of Deaths Natural Wo r k I nJ u r y :: L.oc a t i on s State File Numbers 13993 <#) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 030158 Decedents Name: Sex: Male Howard R. Colbum Date of Birth: 05/17/919 SSN: 384-10-1563 Date of Death: 05/26/996 Spouses Name: June Me Nee Fathers Name: Edward Colbum Mothers Name: Minnie Me Caul Place of Birth: Michigan Ancestry: Armed Forces: Education: Other North, Central and South American Race: White Yes Marital Status: Married 11 Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Blodgett Mem Med Cen Patient Status: Emergency Room/Outpatient Residence Address: 520 Sherman St. Middleville City: Middleville Manner of Death: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Operating Engineer Road Construction County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021617 Patient Information Decedents Name: Date of Death: Date of Birth: 03/10/997 SSN: 370-21-5498 04/24/997 Spouses Name: Fathers Name: Mothers Name: Sex: Female Aricka Jean Coleman Eric Michael Coleman Jennifer Kay Daniels Place of Birth: Michigan Ancestry: American Race: White Armed Forces: No Marital Status: Never Married Education: None Place of Death County: Eaton City: Charlotte Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Hayes Green Beach Hospital Residence Address: City: 724 Washington St. Nashville Nashville Manner of Death Manner: Not Specified Line 1: Congenital Heart Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: None Industry: None County: Barry Zip Code: 49073 �WiCHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS ^7'; ; ■' ''" • ■ Non-County Residents • 04/17/96 ?C State of Residence: Michigan File Number: 056854 Decedents Name: j Richard J. Collier Sex: Male Date of Birth: 03/03/928 SSN: 313-24-6015 Date of Death: 09/20/995 Spouses Name: Dorothy Stabnik Fathers Name: Charles Collier Mothers Name: f t Mildred Newton Place of Birth: Indiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 1360 Mary Dr., Lot 55 City: Yankee Springs Twp Manner of Death: Not Specified Linel: Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: SclfEmployed Industry: Auto Mechanic Yankee County: Barry t Zip Code: 49348 .' ‘ �MUCHTGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIS;an NOIM- COUNTY RESIDENT THE STATE OF:: Michigan Decedonts Names RICHARD CLARE COLLINS Date of Deaths 06/05/993 Date of Birth:: 06/.1.3/931 Fa t he r s La st Na me:: Co .11 i ris P I a c:e o f Dea t h 11 o sp i t a 1:: B o r g e s s M e d C e i1 C i ty s K a1amaz uo Cou) it y:: l< a 1 a na z oo I f I -losp i t a 1:: I rip a t 1 e n t SSN:: 312-2S-69S58 Reside it: e County:: Ba r ry C i t y:: Ya nkee Sp r i rig s Twp Zip Codes 49333 P1 a c e o f ft i r t h :: I nd :i a i ia A r med Fo r c es:: Yes Ancest ry:: I r xstt Education:: 4 years of college $ Jex:' Male i :ige:: 61 Ad d r ess s 11650 Ba«■>s Road Ma r i t a 1 St a t us:: D i vo reed; >' / Ra c e:: Ulh it e- 11 ridc- v 1 y i1 ig Cause o f Dea 111:: 410 Rtj 1 a t ed Cause o f Dea *th () 11410 Autopsy:: No F i nd :i ng s Ava i ’.I a b 1 e Un k nown Ac: t ua 1 P lac e Med i c a 1 F. x a n i ne r Ca sg? s Un l< nown Mod <e o f Dea t h :: Na tu r a 1 Wo r k I n j ur y:: Loc at i on« St .:11e F i 1 e Numbr :: Hospita1 36053 (>^) S.i x digits with the 1st digit being the line, the 2nd besing the position within the l:i.ne7 and positions 3-6 being the IC;'D code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 035527 Decedents Name: Sex: Male Darrell G. Combs Date of Birth: 03/02/953 Date of Death: 06/23/996 SSN: 378-56-2879 Spouses Name: Dawn Satterlee Fathers Name: Mothers Name: Ira Combs Edna Mae Maggard Place of Birth: Kentucky Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married High School. Place of Death City: Charlotte County: Eaton Hospital or Other Place of Death Patient Status: Unclassified Residence Address: Lot 79, Sundago Park City: Hastings Twp Manner of Death: Not Specified Line 1: Metastatic Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Malignant Melanoma Injury Date: Description of Injury: Occupation: Industry: Painter Painting Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Doris Roselia Comstock Date of Death: 04/15/994 Date of Birth: 12/23/917 Fathers Last Name: Martens Sex: Female Age: 76 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49046 SSN: 376-18-3325 Address: 8545 Norris Road Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 2028 Related Cause of Death (*) 112028 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 23613 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 027268 Patient Information Sex: Male Decedents Name: Jeffrey Alan Conklin Date of Birth: 03/10/1985 SSN: 378-96-0971 Date of Death: 03/31/1998 Spouses Name: Fathers Name: Bradley S. Conklin Mothers Name: Lisa Swinehart Place of Birth: Michigan Ancestry: American Race: White Armed Forces: No Marital Status: Never Married Education; 06 Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death: Patient Status: Inpatient University of Mich Hosps Residence Address: City: 926 S. Jefferson Hastings Hastings County: Barry Zip Code: 49058 Manner of Death Manner: Not Specified Line 1: Mixed Bacterial And Candidal Sepsis Line 2: Immunosuppression Secondary To Orthotopic Liver Transplantation Line 3: Biliary Atresia Line 4: Other Conditions: Post Transplant Lymphoproliferative Disorder Injury Date: Injury Description: Occupation: Student Industry: Education �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 000828 Decedents Name: Sex: Female Veda C. Conklin Date of Birth: 04/13/908 Date of Death: 01/17/996 SSN: 378-36-4828 Spouses Name: Fathers Name: Jesse E. Scudder Mothers Name: E. Gertrude Lake Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 3 years College Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 1991 Campground Road City: Hastings Twp Manner of Death: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Diabetes Meliitus Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Registered Nurse Nursing Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Larry Jack Conrad Date of Birth: 06/14/944 Date of Death: 05/06/994 Fathers Last Name: Conrad Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Male Age: 4 9 SSN: 363-46-8445 Address: 6973 S. Shore Drive Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Marital Status: Divorced Race: White Underlying Cause of Death: 2720 Related Cause of Death (*) 11436 212720 314010 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 30144 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �- MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 023151 Decedents Name: Sex: Female Helen B. Cook Date of Birth: 10/23/922 SSN: 375-42-9124 Date of Death: 04/12/995 Spouses Name: Fathers Name: Dennis Kelleher Mothers Name: Anna Pearl Logan Place of Birth: Massachusetts Hospital: Borgess Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower High School Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 320 Lakeside Drive Delton City: Barry Twp Manner of Death: Not Specified Line 1: Adenocarcinoma; Liver Metastases Line 2: Right Colon Adenocarcinoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker 1 Own Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 061893 Decedents Name: Sex: Male John E. Cook Date of Birth: 12/17/932 Date of Death: 10/07/996 SSN: 368-34-1058 Spouses Name: Fathers Name: John Cook Mothers Name: Doris Me Bain Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower High School Place of Death City: Traverse City County: Gd. Traverse Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Munson Medical Center Residence Address: 35 Lakeside Drive Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Probable Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Factory Worker Auto Parts Manufacturing County: Barry Zip Code: 49348 �FUNERAL NOTICE FOR TWEtSIHRia&D^YxJQURNAL Full name of deceased — First —^F_I Middle -— Age 50. .Q9P_k Last Address ..P13..£^FA?1L’„_TJ.xA11__________________________________________ Y___?_6 j 12.57 Day and time of death Where death occurred Cause Residence in Corpus Christi, Period of illness_____ _~Udden__daat.il.. I" J^^X^-S^Date of birth —. JjilXJ^-1597. Where born Child of whom .__^_®A_8Jlj__Cp_ra_(._j&rffl.9Jt£PJ3£._J._Qp_Qfc_____ (ixjth__d_ec_ea_ae_<l)____________ Places of residence for what perlods^SAL^A-L®---3-???.! ----------- years in Kalamazoo an? past 5 years in Texas. When married and to whom_________ __ _____ -__________ -________ .?9.—_ XlP-Ki..sLQhnspn__—------------------------------------------------------------------------------ where married REMARKS: (Life work, etc.) ——^?°.^__??_a_r__?J'-??_d«._______________________________ Veteran of World War 92 Member of what church Z_________________________________________________ Society affiliations Other information -^F_®__^®i_F£_F_®9_e-iy_?A_a_t_ th_e__Hen_tonZSipl_th.-FUIiaral_JIOJae___ ■beginning 'Friday . morning / 'Services will -be -condacted-:in...the^F’un9r^al__H_on]_e ty ,~ feturday afternoon at 2 qclock with the Rev, Isaac OsgQQd_of ficiat! ng. 1 I Interment will be in Prairieville Cemetery. Widow, one son Charles and 2 step-children Kathy and Greg at home in Surviving relatives ?—FdZus__C_hr_i 3t.lj__jtgX.t-.—6__br_QthQnaJL_RaLph*— Xil i ard , _Xal_tan-and— Burl of Cloverdale, Mich., Gerald of Scotts, Mich., and Don of Dowling, Mich, one sister Mrs. Ronald( Sarah ) Anders of Cloverdale., also several nelces and nephews. Place of funeral service ________________________________ o6tfa y/50 • 1957 • _____________________________ Hour Date of funeral___________________ . Clergyman .......... - / Place of burial ~ Undertaker 2 Dm -—JSL— | (Over) _________________________________________________________________________ / / �t■> Michigan department of public health y 04/28/97 State of Residence: DEATH TRANSCRIPTS Non-County Residents Michigan File Number: 067335 Decedents Name: Sex: Female Vera E. Cook Date of Birth: 12/14/906 Date of Death: 11/08/996 SSN: 369-38-4421 Spouses Name: Fred Cook Fathers Name: Clifford Morford Mothers Name: Vida Webster Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence . Address: City: Barry Twp Manner of Death: County: Barry 15585 Kellogg School Rd. Barry Zip Code: 49060 Not Specified Line 1: Myocardial Infarction Line 2: Arteriosclerosis Line 3: Line 4: Other Conditions: Stroke, Multi Infarct Dementia, Deep Vein Thrombosis Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: , Michigan Decedents Name: MARK NORMAN COOMBS Date of Death: 08/01/993 Date of Birth: 12/03/973 Fathers Last Name: Coombs Place of Death Hospital: Unknown City: Bedford Twp Sex: Male Age: 19 County: Calhoun SSN: 380-66-3211 If Hospital: Residence County: Barry City: Johnstown Twp Zip Code: 49017 Address: 1260 Hickory Rd Place of Birth: Florida Armed Forces: No Marital Status: Never Married Ancestry: Other Western European Race: White Education: 10 Underlying Cause of Death:’ 8161 Related Cause of Death (*) 11(69 12(03 318161 61)29 62887 Autopsy: Yes Findings Available: Yes Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Other specified places State File Number: 48194 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 020994 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Sex: Female Mary C. Cope Date of Birth: 01/21/915 04/13/997 SSN: 366-22-6436 None Guy V. Me Allister Mary M. Coyne Michigan Irish Race: White No Marital Status: Widow, Widower Education: High School Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 11595 Scott Park Road Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Hypertension Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Payroll Clerk Industry: Manufacturing County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: GILBERT J. CORKINS Date of Death: 12/18/993 Date of Birth: 04/07/919 Fathers Last Name: Corkins Sex: Male Age: 74 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Nashville Zip Code: 49073 SSN: 385-01-0865 Address: 330 Cleveland Street Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School Marital Status: Married Race: White Underlying Cause of Death: 436 Related Cause of Death (*) 11486 21436 614019 624149 634439 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 74370 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gregory Allen Couturier Date of Death: 03/27/993 Date of Birth: 04/17/968 Fathers Last Name: Couturier Sex: Male Age: 24 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Assyria Twp Zip Code: 49021 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: High School SSN: 374-90-9028 Address: 8565 Huff Rd. Marital Status: Never Married Race: White Underlying Cause of Death: 8150 Related Cause of Death (*) 11(54 21(54 22 (62 318150 617903 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 21446 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 017553 Patient Information Sex: Female Decedents Name: Gertrude Helene Crabb Date of Birth: 12/25/1902 SSN: 379-32-2050 Date of Death: 03/25/1998 Spouses Name: Fathers Name: William H. Bodell Mothers Name: Myrtal M. Clute Place of Birth: Michigan Ancestry: French Race: White Armed Forces: No Marital Status: Divorced Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient St Mary's Health Services - Grand Rapids Residence Address: City: 242 E. North St. Hastings Hastings Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049680 Decedents Name: Sex: Female Edna L. Craker Date of Birth: 01/23/914 SSN: 384-38-1505 Date of Death: 08/19/996 Spouses Name: Fathers Name: James Armstrong Mothers Name: Abigail Greenall Place of Birth: Iowa Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Emergency Room/Outpatient Residence Address: 4800 Walldorff Rd. City: Hope Twp Manner of Death: Not Specified Line 1: Intracranial Bleed Line 2: Line 3: Line 4: Other Conditions: Iddm; Ohd Injuty Date: Description of Injuty: Occupation: Industry: Homemaker At Home Hope County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Decedt^ntsi Name:: MARY ANN CRETSINGER Date of Deaths 05/14/993 Date of Births Fa t h e r S La st Na me k H i 11 a r d 11/13/939 Sex: Female Ag e:: 53 P1 a c: e u f Dea t h Hosp i t a 1 :: Ba t11 e C r ee l< Hea 11 h Sy st ems Cit yBa tt1 e C r ee k County « Ca1houn I f Hosp i t a 1:: I np a t i ent SSNs 373-38-2515 Residence Count y:: Ba r r y Ci ty s Assyr i a Twp Zip Code:: 49021 P1 ac:e of B:i rth :: Hit:h igan A r med Fo r c es:: No Ma r i t a 1 St a t us:: Ma r r i ed Anc fe?st ry:: B r i t i sh v S«.: u t c h,, We 1 •hjh 7 Sc: o t c:h Ra c: e:: Wh i t e fed uu”a11 oti :: 3 yea r s Co 11 eg e Undeilying Cause of Death 496 use of Death <>K) 117990 21496 Autopsy:: No Finding Avai 1 ab 3 e u Unk riown Actua 1 P1 ae:: Hosp i ta 1 Med i r. a 1 E x a pi i rie r Ca se « Un k nown Mod e o f Dea t h:: Na t u r a 1 Work Injury Location Sta te F i1e Number" 28315 Six digits with the 3st digit being the line, the 2nd being the position within the line, arid positions 3-6 being the I CD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lynn Francis Crilley Date of Death: 03/31/994 Date of Birth: 04/15/933 Fathers Last Name: Crilley Place of Death Hospital: Unknown City: Kalamazoo Sex: Male Age: 60 County: Kalamazoo If Hospital: DOA with hospital name SSN: 377-28-4019 Residence County: Barry City: Barry Twp Zip Code: 49046 Address: 10790 Stoney Point Rd. Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: High School Marital Status: Never Married Race: White Underlying Cause of Death: 485 Related Cause of Death (*.) 11485 \ Autopsy: Yes ■ Findings Available: Yes Actual Place: Ambulance Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 36734 (*) Six digits with the 1st digit being the line/ the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents /J t 04/28/97 State of Residence: Michigan File Number: 075710 Decedents Name: Sex: Female Lucille E. Crispin Date of Death: 12/11/996 Spouses Name: Date of Birth: 04/24/910 SSN: 376-46-2079 -■ Fathers Name: Artemas Taylor Mothers Name: Evangeline Me Inemy Place of Birth: Michigan Ancestry: . ' Armed Forces: Education: Irish Race: White No High School Marital Status: Widow, Widower Place of Death City: Lansing County: Ingham Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 3282 Elmwood Beach Rd. Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Colon Ca Line 2: Lung Ca Line 3: Chf Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 068094 Patient Information Decedents Name: Marines S. Cronk Date of Death; 11/05/997 Ch AH A. A n ■Spouses Name: Sharon Craig Sex: Male Date of Birth: 01/16/949 SSN: 371-48-2194 Fathers Name: Frank G. Cronk Mothers Name: Mary Barry Place of Birth: Michigan Ancestry: Armed Forces: Irish Yes Race: White Marital Status: Married Education: HighSchool Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 3620 Messer Road Carlton Carlton Twp Manner of Death Manner: Not Specified Line 1: Anoxic Encephalopathy Line 2: Cardiac Arrhythmia Line 3: Atherosclerotic Heart Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Maintenance Technician Industry: Hospital County: Barry Z'P Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Avald Fred Curths Date of Death: 05/31/994 Date of Birth: 05/23/920 Fathers Last Name: Curths Sex: Male Age: 74 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent SSN: 383-16-1894 If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Unknown Armed Forces: Yes Ancestry: German Education: 10 Address: 9410 Finkbeiner Rd, Marital Status: Married Race: White Underlying Cause of Death: 4149 Related Cause of Death (*) 114271 214149 611890 625509 635699 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 30574 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049692 Decedents Name: Sex: Female Edna M. Cushman Date of Death: 08/24/996 Date of Birth: 11/25/913 SSN: 370-18-6626 Spouses Name: Fathers Name: Edgar Wooden Mothers Name: Bertha Fuller Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No High School Marital Status: Widow, Widower Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: 14659 S. Kellogg School RBarry City: Barry Twp Manner of Death: Not Specified Line 1: Liver Failure Line 2: Cirrhosis Cryptogenic Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Laborer Food Manufacturing County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Nicholas B Czuk Date of Death: 07/16/994 Date of Birth: 12/06/913 Fathers Last Name: Czuk Sex: Male Age: 80 Place of Death Hospital: VA Medical Center - Battle Creek City: Bedford Twp County: Calhoun If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49060 Place of Birth: Michigan Armed Forces: Yes Ancestry: Polish Education: High School SSN: 368-01-9424 Address: 5282 Sheffield Road Marital Status: Married Race: White Underlying Cause of Death: 3320 Related Cause of Death (*) 113320 61492 625198 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42093 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002748 Decedents Name: Sex: Male Richard C. Dahlhouser Date of Birth: 05/30/931 Date of Death: 01/03/996 SSN: 372-26-9928 Spouses Name: Fathers Name: Charlie H. Dahlhouser Mothers Name: Mae Catherine Beck Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Divorced High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 1536 N. East St. #13 Hastings City: Hastings Manner of Death: Not Specified Line 1: Pneumonia Line 2: Congestive Heart Failure Line 3: Renal Failure Line 4: Hypertension Other Conditions: Emphysema, Hypertension, Atrial Fibrillation Injury Date: Description of Injury: Occupation: Industry: Salesman Clothing County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 059744 Patient Information Decedents Name: Paul R. Danis Sex: Male Date of Death: 09/19/997 Date of Birth: 06/18/952 SSN: 370-56-6400 Spouses Name: Christine S. Beck Fathers Name: Louis J. Danis Mothers Name: Alwilda G. Vanderbrook Place of Birth: Michigan Ancestry: French Armed Forces: Race: White No Marital Status: Married Education: 2 years College Place of Death County: Wexford City: Cadillac Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Mercy Hospital - Cadillac Residence Address: City: 1966 Yeckley Rd. Rutland Twp County: Barry Rutland Zip Code: 49058 Manner of Death Manner: Accidental Line 1: Multiple Head Trauma- Motor Vehicle Accident Line 2: Line 3: Line 4: Other Conditions: Injury Date: 09/19/1997 Injury Description: Automobile Accident Occupation: Quality Engineer Industry: Quality Controls �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - ST ATI::’. OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFx Michigan Decedwrits Name:: Dora E<. Davenport Date of Death:: 04/02/993 Date of Births 12/01/900 Fa t h e rs La st Na ne:: Boe11 g er PXa ce o f Dea t h Hosp i t a 1:: Un k nown City ft Lowell I f Hosp i 1a 1 Sexs Female Ages 92 Countys Kent I np a t i e nt SSNs 362-24-1333 Residence County:: Barry C1i*. y:: Th o r na pp 1B Twp Z i p Cod e;: 49333 P1 a c ( .• o f B i r 1. h :: 111 i no i s A r med Fo r c es:: No Anue^> 11• y s Gc? rman E cl i.t c: a t i o n:: 0 3 Ad cl r ess s 11710 Ga r b ow Marital Sta-t us:: W i d ow y W i cl owe r Race:: White U ri»d e r 1 y 5 ng Ca use o f Deat h:: 436 Related Cau.se of Death 11436 214370 Autop$>y:: No Findings Available;: No Actual Place:: Nursing Home Medical Examiner Cases Unknown M«.>d e o f Dea t h:: Na t u r a 1 Wenk Injui/ft Location:: Si*.ate? File Number" 23294 C#> Six digits with 1st digit, being the line., the 2nd being the posit ion witl’iiri the liney and•-positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 065716 Patient Information Sex: Female Decedents Name: Grace L. Davis Date of Death: 10/26/997 Date of Birth: 03/18/924 SSN: 362-26-0765 Spouses Name: Fathers Name: William Dollarhite Mothers Name: Irene Whittenbarger Place of Birth: Ohio Ancestry: Armed Forces: Education: Irish Race: White No 11 Marital Status: Widow, Widower Place of Death County: Shiawassee City: Owosso Hospital or Other Place of Death: Patient Status: Inpatient Memorial Health Care Center - Owosso Residence Address: City: 579 Thomapple Lake Road Castleton Twp Manner of Death Manner: Not Specified Line 1: Emphysema Line 2: Cigarette Smoking Line 3: Line 4: Other Conditions: Lung Cancer Injury Date: Injury Description: Occupation: Office Manager Industry: Check Reporting Service County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 061767 Decedents Name: Sex: Male Merle William Davis Date of Birth: 02/05/913 SSN: 366-09-3289 Date of Death: 10/22/995 Spouses Name: Ora E. Johnson Fathers Name: William Davis Mothers Name: Anna Miller Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Married High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 7100 Westlake Rd. City: Assyria Twp Manner of Death: Not Specified Line!: Gastrointestinal Bleeding Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Service Manager Automotive Assyria County: Barry Zip Code: 49021 . �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Nelson E. Davis Date of Death: 10/19/993 Date of Birth: 02/11/920 Fathers Last Name: Davis Sex: Male Age: 73 Place of Death Hospital: Michigan Capital Med. Ctr. - Greenlawn Campus City: Lansing County: Ingham If Hospital: Inpatient Residence County: Barry City: Unknown Zip Code: 48849 SSN: 369-16-4418 Address: 598 Eagle Point Road Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 09 Marital Status: Married Race: White Underlying Cause of Death: 4241 Related Cause of Death (*) 114289 214241 224140 23410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 61715 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH death -Transcript - state of NON-COUNTY RESIDENT THE STATE OF8 Michigan Decedents Names EMAGENE A« DeFIELDS Date of Births Date of Deaths 03/24/993 Fathers Last Names Norman Place of Death Hospitals Borgess Med Cen City:: Kalama zoo County" Ka 07/21/919 Sexs Female Ages 73 ma zoo SSNs 508-03-3226 If Hospita1s Inpatient Residence Countys Barry City s Ba rr y Twp Zip Code:: 49046 Michigan Addresss 2707 Circle Dr- Place of Births Missouri Ma r it a 1 St a t us s Ma r r iecl Armed Forces:: No Races White Ancest rys Br itish ,t Scotch , Welsh, Scotch Ed tic a t i on:: H i g h Sc: h oo 1 Underlying Cause of Deaths 4140 Related Cause of Death (#) 114280 214140 614449 Autopsy? No Findings Availablea Unknown Actual Places Hospital Med i c a 1 E x a m iner Ca se" Un k nown Mod e o f Dea t h s Na t u r a 1 Work Injury? Locations Sta t e Fi1e Numbe r s 15504 ($ > Six. digits with the 1st digit­ being the line, the 2nd being the position within the line? and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gladys C. Denniston Date of Death: 08/24/993 Date of Birth: 03/25/904 Fathers Last Name: Clawson Sex: Female Age: 89 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 08 SSN: 370-68-4183 Address: 12600 Marsh Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 486 Related Cause of Death (*) 11486 614029 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 49518 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Richard Harry Denny Date of Death: 06/21/994 Date of Birth: 06/17/927 Fathers Last Name: Denny Sex: Male Age: 67 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent ' SSN: 372-26-5497 If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 11 Address: 380 Meadow Lane Marital Status: Married Race: White Underlying Cause of Death: 585 Related Cause of Death (*) 117991 21514 31585 611539 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 36954 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024563 Patient Information Sex: Male Decedents Name: Edward Lee De Pew Date of Birth: 03/01/1932 Date of Death: 03/30/1998 Spouses Name: SSN: 363-32-8209 Mema Wilcox Fathers Name: Russell De Pew Mothers Name: Edith Pearl Place of Birth: Michigan Ancestry: French Armed Forces: Race: White Yes Marital Status: Married Education: High School Place of Death County: Kent City: BowneTwp Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: City: 2293 Barber Rd. Carlton Twp Carlton County: Barry Zip Code: 49085 Manner of Death Manner: Not Specified Line 1: Atherosclerotic And Hypertensive Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Machiniest Industry: Machine Repair �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002523 Patient Information Sex: Female Decedents Name: Lucille A. Derhammer Date of Death: 01/15/1998 Spouses Name: Ernest H. Derhammer Fathers Name: Clamece Baker Mothers Name: Florence Harvey Date of Birth: 07/18/1915 SSN: 368-03-5390 Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married Education: High School Place of Death City: Kalamazoo County: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Borgess Med Cen Residence Address: City: 11438 Oak Dr. Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Cerebrovascular Accident Line 2: Cerebrovascular Disease Line 3: Line 4: Other Conditions: Dm. Htn Injury Date: Injury Description: Occupation: Telephone Operator Industry: Telephone Company County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036422 Decedents Name: Sex: Female Gledis De Vine Date of Birth: 07/10/943 Date of Death: 04/27/996 SSN: 372-70-3291 Spouses Name: William De Vine Fathers Name: Homer Johnny Burton Mothers Name: Lonnie Rowe Place of Birth: West Virginia Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 02 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 3150 Cloverdale Rd. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Metastatic Cancer To Bones & Liver Line 2: Non Small Cell Cancer Of Lung Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062543 Decedents Name: Sex: Female Sydney M. De Vries Date of Birth: 06/10/936 Date of Death: 09/29/996 Spouses Name: Wilford DeVries Fathers Name: Louis Chenier Mothers Name: SSN: 385-36-2589 Lulu Price Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 10410 Cressey Rd. County: Barry Prairieville Zip Code: 49080 City: Prairieville Twp Manner of Death: Not Specified Line 1: Malignant Pleural Effusion Line 2: Breast Cancer Line 3: Line 4: Other Conditions: Cerehrovascular AcCiceriffi&iiw Insufficiency Injury Date: Description of Injury: Occupation: Industry: ' O* Sjl Homemaker At Home 'V'S > '■ �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055777 Patient Information Sex: Male Decedents Name: Roy V. Dewey Date of Death: 09/12/997 Spouses Name: Doris Lyle Fathers Name: Mothers Name: Date of Birth: 10/08/920 SSN: 703-07-6465 Clarence N. Dewey Bertha Rodgers Place of Birth: Illinois Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 11 Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Borgess Med Cen Residence Address: City: 310 Scribner St. Barry Twp County: Barry Barry Zip Code: 49046 Manner of Death Manner: Not Specified Linel: CHF Line2: IDDM Line 3: Renal Insufficiency Line 4: Severe Arteriosclerotic Coronary Artery Disease Other Conditions: Injury Date: Injury Description: Occupation: Milk Hauler Industry: Dairy �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 001202 Decedents Name: Sex: Female Clara G. Doty Date of Birth: 11/05/925 Date of Death: 01/07/996 SSN: 382-26-1705 Spouses Name: Fathers Name: Clyde Jordan Mothers Name: Lillian Hancock Place of Birth: Tennessee Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 10 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 14510 Jenkins Road City: Assyria Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Cerebrovascular Accident Line 3: Carotid Artery Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063393 Decedents Name: Sex: Female Susan Black Drummond Date of Death: 10/06/995 Spouses Name: Donald Drummond Date of Birth: 04/25/935 SSN: 330-28-3715 Fathers Name: William Z. Black Mothers Name: Gertrude Voris Place of Birth: Illinois Ancestry: \\ British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Married 5 years of college Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death 1 Patient Status: Inpatient Butterworth Hospital Residence Address: 1451 West Sisson Rd. City: Irving Twp Manner of Death: Not Specified Line 1: Metastatic Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Self-employed Publisher/farmer Irving County: Barry Zip Code: 49325 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056650 Decedents Name: Sex: Female , Helen E. Duffey Date of Birth: 06/02/907 Date of Death: 09/23/995 SSN: 374-20-4441 Spouses Name: Fathers Name: Urba Lawrence Mothers Name: Ethel Monks Place of Birth: Michigan Ancestry: Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower 08 X Place of Death City: East Gmd Rapids County: Kent" Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 6288 Stimson Road Thomapple City: Thomapple Twp Manner of Death: Accidental Line 1: Hypertensive Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Status Post Fracture Of Right Distal Femur 09/13/1995 Fell At Home Press Operator Automobile Parts Mfg. County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 01/15/98 State of Residence: Michigan File Number: 041565 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: 06/19/997 a ~ . Anne Coleman Snyder Bessie Bair Place of Birth: Ancestry: American Yes Education: Date of Birth: 01/09/925 SSN: 362-24-0166 Oscar C. Dunlap Michigan Armed Forces: Sex: Male Dale Estal Dunlap Race: White High School Marital Status: Married Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 14925 Assyria Road Assyria Zip Code: 49021 Assyria Twp Manner of Death Manner: Not Specified Line 1: Gangrene Of Gallbladder With Septicemia Line 2: Line 3: Line4: County: Barry ; Other Conditions: Injury Date: Injury Description: Occupation: Millwright Industry: Cereal Industry. ; ; �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 017090 Patient Information Sex: Male Decedents Name: David G. Durkee Date of Death: 03/11/1998 Date of Birth: 04/29/1930 SSN: 371-30-6250 Spouses Name: Fathers Name: Gordie Durkee Mothers Name: Vina Willison Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: No Education: 10 Race: White Marital Status: Widow, Widower Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: City: 11137 S. Wall Lake Rd Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Renal Failure Line 2: Congestive Heart Failure Line 3: Line 4: Other Conditions: L Compression Fracture Injury Date: Injury Description: Occupation: Mechanic Industry: Farm Implements County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002982 Decedents Name: Sex: Male David Duron Date of Death: 01/19/996 Date of Birth: 08/23/951 SSN: 366-54-5655 Spouses Name: Jorja Howland Fathers Name: Jose C. Duron Mothers Name: Petra J. Jimenez Place of Birth: Ohio Ancestry: Armed Forces: Education: Mexican Race: White Yes High School Marital Status: Married Place of Death City: Wyoming County: Kent Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 12560 West 9 Mile Rd. City: Orangeville Twp Manner of Death: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: InjuiyDate: Description of Injury: Occupation: Industry: 01/19/1996 struck By Out Of Control Hi- Lo Truck. Lift Truck Operator Concrete Manufacturing County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/] 6/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029558 Patient Information Sex: Female Decedents Name: Ethel C. Doud Date of Birth: 12/07/1907 Date of Death: 04/28/1998 SSN: 377-54-1868 Spouses Name: Fathers Name: Herert Sheldon Mothers Name: Mabie Gott Place of Birth: Michigan Ancestry: Armed Forces: American Race: White No Marital Status: Widow, Widower Education: 08 Place of Death City: Battle Creek County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 25060 Battle Creek HighwaAssyria Zip Code: 49021 Assyria Twp Manner of Death Manner: Not Specified Line 1: Congestive Heart Failure Line 2: Gastrointestinal Bleed Line 3: Line 4: Ollier Conditions: , ’> ‘ Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry ,* �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Elmer Dyer Date of Death: 03/01/994 Fathers Last Name: Dyer Date of Birth: 02/15/925 Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 368-24-3312 If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49080 Sex: Male Age: 69 Address: 6883 Marsh Road Place of Birth: Kentucky Marital Status: Married Armed Forces: No Race: White Ancestry: British, Scotch, Welsh, Scotch Education: 06 Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 61496 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 16594 (*) Six digits with the 1st digit being the line,, the 2nd being the position within the line, and positions 3-6. being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: HENRY DYKSTRA Date of Death: 12/28/993 Date of Birth: 05/12/914 Fathers Last Name: Dykstra Sex: Male Age: 79 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent SSN: 386-10-5212 If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Address: 4395 Bender Rd. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 08 Underlying Cause of Death: 4241 Related Cause of Death (*) 114275 124274 21)967 318781 414241 424280 614299 Autopsy: No Findings Available: No Medical Examiner Case: Yes I Mode of Death: Natural . ? Location: Work Injury: State File Number: Actual Place: Hospital 76288 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 2) of Barry County Residents who died outside of Barry County, 1900-1998. Cainder to Dykstra Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 2) of Barry County Residents who died outside of Barry County. Cainder to Dykstra Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/855/Death_Transcripts_Barry_County_Vol._3.pdf b7c8f94827b912c6992d0a66fd8bec0b PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 3) begins with Eagen and ends with Gross �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 068591 Decedents Name: Sex: Female Joan M. Eagen Date of Birth: 07/14/907 Date of Death: 10/29/995 SSN: 358-05-0916 Spouses Name: Fathers Name: Warren Harris Mothers Name: Ava Stevens Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower 2 years College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 11681 Scott Park Road City: Barry Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Hypertension Line 3: Line 4: Other Conditions: Multi- Infarct Dementia Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: GARY JOHN EARL Date of Death: 11/19/993 Date of Birth: 09/17/931 Fathers Last Name: Earl Sex: Male Age: 62 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun SSN: 377-30-3046 If Hospital: Emergency Room/Outpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Address: 107 Woodridge Dr. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4254 Related Cause of Death (*) 114254 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 67674 Six digits with the 1st digit being the line; ' the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 030900 Patient Information Decedents Name: Sex: Male Maurice E. Eaton Date of Birth: 12/13/1935 Date of Death: 05/12/1998 Spouses Name: SSN: 365-34-2682 Deborah G. Vliek Fathers Name: Earl Eaton Mothers Name: Alice R. Golden Place of Birth: Michigan Ancestry: Armed Forces: French Race: White No Marital Status: Married Education: 08 Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: 8245 Butler Road City: Maple Grove Twp Maple Grove Manner of Death Manner: Not Specified Line 1: Ruptured Thoracic Aorta Line 2: Line 3: Line 4: Other Conditions: Acute Right Carotid Artery Obstruction Injury Date: Injury Description: Occupation: Fork Lift Driver Industry: Autmobile Manufacturing County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022751 Patient Information Decedents Name: Monica J. Ediger Sex: Female Date of Death: 04/10/1998 „ . y D . Spouses Name: Kevin L, Butcher Date of Birth: 08/22/1960 SSN: 381-76-3725 Fathers Name: James E. Cook Mothers Name: Nancy L. Butcher Place of Birth: Michigan Ancestry: American Indian Race: White Armed Forces: Marital Statu si Mamed Education: 2 years College Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 4095 Mud Lake Road Johnston Johnstown Twp Manner of Death Manner: Not Specified Line 1: Cardiac Arrest Line 2: Line 3: Line 4: Other Conditions: Metastatic Carcinoma Of Uterus Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002858 Decedents Name: Rosalyn Lee Eggebrecht Sex: Female Date of Birth: 05/08/951 Date of Death: 01/20/996 SSN: 516’62-2248 Spouses Name: None Fathers Name: Wayne Snyder Mothers Name: Melva Lockwood Place of Birth: Montana Ancestry: Armed Forces: Education: German No Race: White Marital Status: Divorced High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Unknown Residence Address: 12171 Saddler Rd. Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Large Cell Carcinoma Of The Lung Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Nurses Aide Nursing Home County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RAYMOND C. EGGLESTON Date of Death: 10/01/993 Date of Birth: 12/07/930 Fathers Last Name: Eggleston Sex: Male Age: 62 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent SSN; 380-28-4335 If Hospital: Inpatient Residence County: Barry City: Rutland Twp Zip Code: 49058 Address: 14 N. Irving Road Place of Birth: Michigan Armed Forces: Yes Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 0622 Related Cause of Death (*) 110622 614019 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 62177 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RITA EGGLESTON Date of Death: 11/25/993 Date of Birth: 08/12/930 Fathers Last Name: Rodrigues Sex: Female Age: 63 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Freeport Zip Code: 49325 SSN: 015-24-1949 Address: 228 Green St. Place of Birth: Rhode Island Armed Forces: No Marital Status: Married Ancestry: Other Southern European Race: White Education: High School Underlying Cause of Death: 410 Related Cause of Death (*) 114279 21410 314149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 76007 (*) Six digits with the 1st digit being the line/ the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan 1 File Number: 068649 Decedents Name: Sex: Female Marie F. Eliredt Date of Birth: 03/01/913 SSN: 369-52-6306 Date of Death: 11/23/995 Spouses Name: Fathers Name: William Schultz Mothers Name: Wilhelmina Schmidt Place of Birth: Illinois Ancestry: German Race: White Armed Forces: No Education: Marital Status: Widow, Widower 09 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence * Address: 5250 Lacey Road City: Assyria Twp Manner of Death: Assyria County: Barry Zip Code: 49050 Not Specified *1 Line 1: Acute Mi r.: Line 2: Line 3: Line 4: Other Conditions: Cva With Expressive And Comprehensive Asphasia; Anemia; Comatose State Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Charles R. Eldred Date of Death: 03/09/994 Date of Birth: 09/03/934 Fathers Last Name: Eldred Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Assyria Twp Zip Code: 49021 Sex: Male Age: 59 SSN: 377-30-8566 Address: 9760 East Cox Rd. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4413 Related Cause of Death (*) 114413 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 16630 Six digits with the 1st digit being the line, the .2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: IRENE A. ELIASON Date of Death: 06/13/993 Date of Birth: 02/26/910 Fathers Last Name: Longlais Sex: Female Age: 83 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient SSN: 370-10-6067 Residence County: Barry City: Johnstown Twp Zip Code: 49050 Address: 5172 Long Lake Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: Norwegian, Swedi.sh Danish Race: White Education: High School Underlying Cause of Death: 4329 Related Cause of Death (*) 114329 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 48061 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3—6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024307 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Robert Warren Elkey Date of Birth: 08/19/1923 04/02/1998 SSN: 008-12-3490 Phyllis E. Herrick Fathers Name: George P. Elkey Mothers Name: Dorothy Pelkey Place of Birth: Vermont Ancestry: Armed Forces: Education: French Race: White Yes Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient Metropolitan Hospital Residence Address: City: 403 West Walnut St. Hastings Hastings Manner of Death Manner: Not Specified Line 1: Respiratory Failure Line 2: Pneumonia Line 3: Aspiration Line 4: Hydrocephalus Other Conditions: Injury Date: Injury Description: Occupation: Military Personnel-retired Industry: U.S. Army County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 069468 Patient Information Sex: Male Decedents Name: Pat B. Elliott Date of Death: Spouses Name: Date of Birth: 02/15/948 11/23/997 SSN: 370-46-9125 Sharie Lee Hurless Fathers Name: Bert Elliott Mothers Name: Eunice Hull Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married Education: High School Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: County: Barry 225 North Irving Road Rutland Zip Code: 49058 Rutland Twp Manner of Death Manner: Not Specified Line 1: Acute Inferior Posterior Myocardial Infarction Line 2: Coronary Atherosclerosis Line 3: Diabetes Mellitus 7 i/y:' Line4: Other Conditions: Event Occurred After Bypass Graft Stenting -j Injury Date: Injury Description: Occupation: Factory Worker Industry: Automatic Sprinkler Mfg. , ' �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11Z27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 023103 Sex: Male Laban John Ellis Decedents Name: Date of Birth: 01/23/927 Date of Death: 03/30/995 SSN: 365-20-4971 Spouses Name: Frances Wheatley Fathers Name: Milton Ward Ellis Mothers Name: Zaidee May Decker Place of Birth: Michigan Hospital: Bronson Methodist Hospital Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Yes Education: Marital Status: Married 11 Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 11904 Scott Park Rd. City: Barry Twp Maimer of Death: Not Specified Line 1: Hepatic Failure Line 2: Cryptogenic Cirrhosis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Painter Manufacturing Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan r>***r« sk SwJisiiS! is! is:! issiisitn ns ;x jus !ss si! ns .i. Decedents Names MARY ELIZABETH ELMER Date of Deaths 03/09/993 Date of Births 09/21/927 Fathers Last Names Marcellus Place of Death Hosp ita 1 s Bo r g ess Mecl Cen Citys Kalamazoo I f Hosp i t a 1:: I np at i ent Residence Count y:: Ba r ry C ity s Johnstown Twp Zi p Cod e:: 490.1.7 Sexs Female Ages 65 County:: Kalamazoo SSN 8 366-22-5125 Ad d r ess:: 1799 Hic k o r y Rd N Place of Birth:: Michigan Armed Forces:: No Marital Statuss Widow, Widower Ancestry; British, Scotc:h,t We 1 sh, Scotch Races White Ed uc: a ’I ion:: Hi gh Sc: h oo 1 Underlying Cause of Deaths 4140 Related* Cause of Death OK) 115672 21 )967 318782 324479 614140 627860 Autopsy:: No Findings Available^ Unknown Actual Places Hospital Medical Examiner Cases Unknown Mode of Deaths Natural Work Injury® Locations State File Numbers 15457 OX) S i x d i g i t s w i t h the 1st digit b>ing the line, the 2nd being the pos11 i on w i t h i n the line., and Positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Samantha Jo Ely Date of Death: 12/15/994 Date of Birth; Fathers Name: Lavern Ely Mothers Name: Carolyn Burhans Spouses Name: Place of Death Hospital: Unknown City: Berlin Twp Sex: Female 01/18/972 County: Ionia If Hospital: SSN: 363-78-8033 Residence County: Barry City: Woodland Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School Address: 384 N. Main St. Marital Status: Never Married Race: White Underlying Cause of Death: 8129 Related Cause of Death 11(54 12 (62 618129 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 076322 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068643 Decedents Name: Sex: Male Tracy Hugh Engler Date of Birth: 10/19/952 SSN: 383-58-1475 Date of Death: 10/30/996 Spouses Name: Fathers Name: Andy Franklin Engler Mothers Name: Barbara Jean Vandenburg Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Divorced 11 Place of Death City: Prairie Ronde Twp County:' Kalamazoo Hospital Or Other Place of Death Patient Status: Unclassified Residence Address: 10860 Ford Road County: Barry Orangeville City: Orangeville Twp Manner of Death: Zip Code: 49080 Accidental Line 1: Massive Head And Chest Trauma Line 2: Line 3: Line 4: InjuryDate: Description of Injury: Occupation: Industry: . f Other Conditions: r / 10/30/1996 Two- Car Accident At Intersection. Diesel Mechanic Excavating Contractors > ‘ >• : �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Stell M. Engle Date of Death: 01/18/994 Date of Birth: 07/18/925 Fathers Last Name: Jordan Sex: Female Age: 68 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Woodland Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School SSN: 366-20-6366 Address: 6980 N. Woodland Rd. Marital Status: Married Race: White Underlying Cause of Death: 4279 Related Cause of Death (*) 117860 214279 611990 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 3177 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Arabelle J. Erway Date of Death: 05/25/994 Date of Birth: 06/01/913 Fathers Last Name: Bivens Sex: Female Age: 80 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient SSN: 378-14-9537 Residence County: Barry City: Johnstown Twp Zip Code: 49050 Address: 14000 Hutchinson Road Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 1579 Related Cause of Death (*) 11486 211579 614019 625621 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 28848 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 009512 Decedents Name: Sex: Male William Edward Evans Date of Birth: 01/06/933 Date of Death: 02/02/997 SSN: 384-30-1473 Spouses Name: Grace Margaret Miller Fathers Name: Carl D. Evans Mothers Name: Dena Hildebrand Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 4210 Trails End Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Metastatic Carcinoma- Esophagogastric Junction Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Plumber/pipefitter . Construction County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 030202 Patient Information Decedents Name: Date of Death: Mary Waldo Fathers Name: Not Available Mothers Name: Pauline Moore Ancestry: Armed Forces: Education: Date of Birth: 12/03/943 04/26/997 Spouses Name: Place of Birth: Sex: Male Charles William Everitt SSN: 377-42-3246 Michigan German Race: White Yes Marital Status: Married 10 Place of Death County: Kent City: Caledonia Twp Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: City: 535 Donna Drive Woodland Twp Manner of Death Manner: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Crane Operator Industry: Construction Woodland County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: LILLIAN B. FESSENDEN Date of Death: 07/31/993 Date of Birth: 05/22/928 Fathers Last Name: Korevec, Sr. Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Female Age: 65 County: Kaiamazoo SSN: 355-22-2388 Address: 630 Scotts Dr. Place of Birth: Illinois Armed Forces: No Ancestry: German Education: High School Marital Status: Married Race: White Underlying Cause of Death: 1749 Related Cause of Death (*) 111749 121985 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 49423 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and. positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022409 Patient Information Sex: Male Decedents Name: Daniel J. Fetters Date of Birth: 11/02/1910 Date of Death: 03/28/1998 Spouses Name: SSN: 370-07-1745 Gertrude N. Tiedeman Fathers Name: Elmer Fetters Mothers Name: Pearl Homing Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 10 Place of Death City: Wayland County: Allegan Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 497 Tanglewood Drive Middleville Manner of Death Manner: Not Specified Line 1: End Stage Cardiomyopathy Line 2: Congestive Heart Failure Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Worker Industry: Oil Fields County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016524 Decedents Name: Sex: Female Marie M. Findlay Date of Birth: 06/19/910 SSN: 386-10-3122 Date of Death: 03/21/995 Spouses Name: Fathers Name: John Miltgen Mothers Name: Myrtle Henninger Place of Birth: Wisconsin Hospital: Butterworth Hospital Ancestry: German Armed Forces: Education: Race: White No Marital Status: Widow, Widower 1 year College Place of Death County: Kent City: Grand Rapids If Hospital: Inpatient Residence Address: 500 N. Lincoln Middleville City: Middleville Manner of Death: Not Specified Line 1: Hypoxia Line 2: Severe Obstructive Lung Disease Line 3: Heart Failure Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker/dental Assistant Home/dental Office County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Decedents Name;: SHIRLEY JEAN FINK Date of Deaths 03/21/993 Date of Births 02/29/928 Fa thers st Name :: l< 11t r idge Sexs Female Ages 65 P1 ace of Death Hospitals St Lawrence Hospital Cxtys Lansing Countys Ingham If Hospitals SSNs 368-26-6676 Inpatient Residence Countys Barry Citys Hast ings Twp Zip Codes: 49058 Add ressC 70 Sundago Pa r l< P1ace of Birth a Michigan Armed Forces:: No Marital St at us s Married Ancestrys British, Scotch, Welsh, Scotch Races White Ed uc a t i on:: Hi g h Sc: h oo 1 Underlying Cause of Deaths 2730 Related Cause of Death ($) 110381 217071 312730 614140 Autopsy:: No Findings Avail ah les Unknown Actual Places Hospital Medical Examiner Cases Unknown Mode of Deaths Natural Wo r k I nJu r y s Loca t i on s./ State File Numbers 15119 (#> Six digits with the 1st digit being the line, the 2nd beit’g the position within the line, and positions 3-6 being the 1CD code- �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RODNEY WARD FINKBEINER Date of Death: 11/28/993 Date of Birth: 11/09/928 Fathers Last Name: Finkbeiner Place of Death Hospital: Unknown City: Wyoming Sex: Male Age: 65 County: Kent If Hospital: SSN: 378-22-9093 Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 4 years of college Address: 50 Harwood Lake Road Marital Status: Married Race: White Underlying Cause of Death: 4292 Related Cause of Death (*) 114284 612500 624029 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 76347 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: PHILOMENA M. FINNEGAN Date of Death: 07/17/993 Date of Birth: 04/26/913 Fathers Last Name: Thiemer Place of Death Hospital: Borgess Med Cen City: Kalamazoo Sex: Female Age: 8 0 County: Kalamazoo If Hospital: Inpatient SSN: 130-20-6086 Residence County: Barry City: Barry Twp Zip Code: 49046 Address: 5641 Orchard Street Place of Birth: New York Armed Forces: No Ancestry: Italian Education: 2 years College Marital Status: Widow, Widower Race: White Underlying Cause of Death: 496 Related Cause of Death (*) 114289 21496 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42759 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 030028 Patient Information Decedents Name: Sex: Female Fem Jeannette Finnie Date of Birth: 09/25/913 SSN: 380-01-9627 Date of Death: 05/12/997 Spouses Name: Fathers Name: Mothers Name: Harry Drolema Trintje Heun Place of Birth: Illinois Ancestry: Armed Forces: Other Western European Race: White No Marital Status: Widow, Widower Education: High School Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Unknown Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 411 Thomapple Lake Road Castleton Twp Manner of Death Manner: Not Specified Line 1: Parkinson Plus Syndrome Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Self-employed Industry: Grocery County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 031226 Patient Information Decedents Name: Sex: Female Doris Fisher Date of Birth: 05/11/1916 Date of Death: 05/15/1998 Spouses Name: SSN: 370-10-8368 Fay Fisher Fathers Name: Howard Kelly Mothers Name: Kathryn Riley Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No Marital Status: Married 10 Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death: Patient Status: Unknown Convalescent home, nursing home, medical care facil ity or hospice Residence Address: City: 6445 Thomapple Lk. Rd. Castleton Castleton Twp Manner of Death Manner: Not Specified Line 1: Multi Infarct Dementia Line 2: Line 3: Line 4: Other Conditions: Malnutrition Injury Date: Injury Description: Occupation: Cook Industry: Restaurant County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 003014 Patient Information Sex: Female Decedents Name: Marjorie C. Fitch Date of Birth: 12/31/1907 Date of Death: 01/21/1998 SSN: 377-68-7193 Spouses Name: Fathers Name: Clayton Carter Mothers Name: Edith Keeney Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: High School Place of Death City: Kentwood County: Kent Hospital or Other Place of Death: Patient Status: Unknown Convalescent home, nursing home, medical care facility or hospice Residence Address: 6703 Nolike Dr. City: Thomapple Twp Thomapple Manner of Death Manner: Not Specified Line 1: Terminal Severe Aortic Stenosis Line 2: Congestive Heart Failure Line 3: Pulmonary Hypertension Line 4: Other Conditions: Anemia Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49316 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Eleanor Ruth Foote Date of Death: 12/26/994 Date of Birth: Fathers Name: Frank Sessink Mothers Name: Elizabeth De Laat Spouses Name: Robert H. Foote Sex: Female 01/02/923 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 SSN: 381-16-6595 Address: 1555 Yankee Springs Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 4049 Related Cause of Death 114280 21586 314019 611629 625742 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 077011 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Maurice Edwin Ford Date of Death: 05/06/994 Date of Birth: 06/07/912 Fathers Last Name: Ford Place of Death Hospital: Unknown City: Kalamazoo Sex: Male Age: 81 County: Kalamazoo If Hospital: DOA with hospital name Residence County: Barry City: Barry Twp Zip Code: 49046 SSN: 385-10-3549 Address: 606 S. Grove St. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4415 Related Cause of Death (*) 114590 214415 314416 614019 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 30143 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 049178 Patient Information Decedents Name: Date of Death: Edith A. Fosburg Sex: Female Date of Birth: 05/25/920 07/28/997 SSN: 380-26-2173 Spouses Name: Fathers Name: Charles Phillips Mothers Name: Bertha Sowers Place of Birth: Ancestry: Armed Forces: Education: Michigan German N0 Race: White Marital Status: Widow, Widower 10 Place of Death County: Ionia City: Ionia Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Ionia County Memorial Hospital Residence Address: City: 483 Pollard Dr Woodland Woodland Twp Manner of Death Manner: Not Specified Line 1: Acute Myocardial Infarction Line 2: Arteriosclerotic Heart Dx Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Self Employed County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: FRANK W. FRANCISCO Date of Death: 07/12/993 Date of Birth: 03/20/909 Fathers Last Name: Francisco Place of Death Hospital: Borgess Med Cen City: Kalamazoo Sex: Male Age: 84 County: Kalamazoo If Hospital: Inpatient SSN: 368-01-8465 Residence County: Barry City: Barry Twp Zip Code: 49046 Address: 221 Scribner St. Place of Birth: Michigan Armed Forces: No Ancestry: French Education: 10 Marital Status: Married Race: White Underlying Cause of Death: 4148 Related Cause of Death (*) 114280 214148 614241 625789 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42743 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �PERMIT FOR DISPOSITION OF HUMAN REMAINS STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC HEALTH NAME On DECEDENT | DATE OF DEATH December 24, I960 MART ELLENFREED_________________ DECEDENT "\DATA BIRTHPLACE (state COLOR OR RACE SEX white Female or foreign country) Illinois May 6, 1893 PLACE OF DEATH—COUNTY cos PLACE OF DEATH—CITY OR TOWN DISPOSITION FUNERAL DIRECTOR AND INFORMANT X state if hot in California) San Bernardino Upland CH ECK ONE: DATE OF BIRTH — — — CREMATION ENTOMBMENT BURIAL NAME OF FUNERAL DIRECTOR (or NAME AND ADDRESS OF CEMETERY OR COLUMBARIUM WHERE REMAINS ARE TO BE INTERRED DISINTERMENT AND REINTERMENT Ee Hickory Corner Genu Hickory Corner Mich. NAME OF SPOUSE OR OTHER INFORMANT person actino as such) Griffith Mortuary ADDRESS OF SPOUSE OR OTHER INFORMANT John Freed Jr* p 9998 Benson Ave* Montclair, In accordance with provisions of the California Health and Safety Code permission is hereby granted for disposition as specified in this permit. LOCAL REGISTRAR CEMETERY OR COLUMBARIUM ft OATS'PERMIT ISSUED SIGNATURE OF LOCAL^REGJSTRAR, DATE CREMATED OR I SIGNATURE OF PERSON IN CHARGE OF CEMETERY OR COLUMBARIUM SEE INSTRUCTIONS ON REVERSE REV. 1*1.57. FORM RftS-9 COMMONWEALTH OF KENTUCKY REV. 1-56 federal security agency IJ. S. PUBLIC HEALTH SERVICE NATIONAL OFFICE VITAL STATISTICS DEPARTMENT OF HEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH FILE NO. 116 REGISTRAR'S NO. Primary Registration District No.. Registration District No. (Where deceased lived. 2. USUAL RESIDENCJ 1. PLACE OF DEATH a. COUNTY h CITY (If outside corporate limits, write RURAL and D* '"1 J glvo township) c. LENGTH OF STAY 0,13 pUC®> c. CITY OR TOWN hospital or institution, give street address or d. STREET ADDRESS C/ K TOWN (I/ not d. FULL NAME OF * HOSPITAL OR If institution: residence e admission) b. COUNTY a. STATE ENCE ON A FARM? IS RESIDENCE INSIDE CHY LIMITS? INSTITUTION 3. Name of (Last) a. (71 4. DATE OF DEATH DECEASED (Type or Print) 5. SEX 3: „ T frtofoR or race m fs. Xas Deceased (Yes. no. or unknown) 14. MOTHER'S eyerIn u. s. arm£d46rci rces? 12. CITIZEN OF WHAT. COUNTRY? AIDEN NAME 14. SOCIAL SECURITY NO. z Aedical c PART I. DEATH WAS CAUSED BYi IMMEDIATE CAUSE m or foreign cods KIND OF BUSINESS OR IN­ DUSTRY 18. CAUSE OF DEATH 3 (Year) nr __________ 13. 13. FATHER'S'-^AME rATrlER 5‘-NAME o (Day) 9. AGE (in yean If Under 1 Year If Under 24 Hrs. Mln. last birthday) Hours Months Days lit* La EDyDIVORCED (Specify) tfSUXL OCCUPATION OCCUPATION (QJV® kind of <------10a. USUAL (Olve kind work done during katTkt of working Ufo. even it retired) .f 7 z (Month) Conditions, if any, which gave rise to above cause (a) stating the under­ lying oause last. DUE TO INTERVAL BETWEEN ONSET AND DEATH (a). 0) DUE TO PART II. OTHER SIGNIFICANT CONDITIONS .CONTRIBUTING JO DEATH BUT NOT RELATED JQ JHE TERMINAL DISEASE CONDITION GIVEN JN PART 1(a) 19. WAS AUTOPSY PERFORMED? YES NO 20. ACCIDENT SUICIDE HOMICIDE 21a. DESCRIBE HOW INJURY OCCURRED! (.Enicr nature of injury in Part I or Part II of item IS.) a Ul 21b. TIME OF INJURY Hour a. m. p. m. Month, Day, Year 21c. INJURY OCCURRED WHILE AT i—i WORK l—l NOT WHILE i—1 AT WORK 1—1 21d. PLACE OF INJURY (a. g., in or about home, farm, factory, street, office bldg., etc.) 22. I hereby certify that I attended the deceased from. 21 e. CITY, TOWN, OR LOCATION 12 to. COUNTY , 12. STATE that I last saw the deceased alive on____________________________ ,19_____ , and tha 23a. DATE SIGNED 23b. ADDRESS 24a. BURIAL, CREMA24 b. D, TION, REMOVAL (Specify) 23c. SIGNATURE AME OF CEMETERY OR CREMATORY (Degree or title) 24d. LOCATION (Cl1** u»wn- or county) (State) �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Adolph Reginald Freedlund Date of Death: 12/19/993 Date of Birth: 11/13/902 Fathers Last Name: Freedlund Sex: Male Age: 91 Place of Death Hospital: Ionia County Memorial Hospital City: Ionia County: Ionia If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 SSN: 378-05-8608 Address: 500 Lincoln Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: Norwegian, Swedish Danish Race: White Education: High School Underlying Cause of Death: 486 Related Cause of Death (*) 11486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: (*) 75467 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 009705 Decedents Name: Sex: Female Samara Lee Freeman Date of Death: 01/30/997 Date of Birth: 01/30/997 SSN: Spouses Name: Fathers Name: Mothers Name: Jon E. Freeman Leslie J Alma Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No None Marital Status: Never Married Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Butterworth Hospital Patient Status: Inpatient Residence Address: 6405 N. Middleville Rd. Rutland City: Rutland Twp Manner of Death: County: Barry Zip Code: 49058 Not Specified Line I: Respiratory Failure Line 2: Probable Hypoplastic Lungs Line 3: Suspected Diaphragmatic Hernia Line 4: Other Conditions: Two Vessel Cord, Rib And Vertebral Anomalies Pneumoperitoneum, Pneumothorax Injury Date: Description of Injury: Occupation: Industry: Never Employed �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan ===============================—======================================== Decedents Name: BARBARA F. FREY Date of Death: 12/22/993 Date of Birth: 12/04/932 Fathers Last Name: WEST Sex: Female Age; 61 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient SSN: 261-42-4486 Residence County: Barry City: Carlton Twp Zip Code: 49058 Place of Birth: Florida Armed Forces: No Ancestry: Irish Education: High School Address: 158 CARLTON CENTER RD Marital Status: Married Race: White Underlying Cause of Death: 2028 Related Cause of Death (*) 112028 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 75943 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 025452 Decedents Name: Sex: Female Ruth Wilma Freyling Date of Birth: 02/07/927 SSN: 384-24-6512 Date of Death: 04/08/996 Spouses Name: Fathers Name: John Goodblood Mothers Name: Lena Marsman Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Widow, Widower 08 Place of Death City: Georgetown Twp County: Ottawa Hospital or Other Place of Death Unclassified Patient Status: Residence Address: 1314 Lynn Middleville City: Middleville Manner of Death: . Not Specified Line 1: Amyotrophic Lateral Sclerosis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker/park Employee Own Home County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 042841 Sex: Female Mara Anne Frye Decedents Name: Date of Birth: 06/26/996 Date of Death: 06/27/996 SSN: Spouses Name: Roger Frye Fathers Name: Mothers Name: De Ann Ball Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Unkn Race: White Education: None Marital Status: Never Married Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 14604 Lockshore Rd. City: Prairieville Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Line 3: Line 4: Other Conditions: Prematurity Injury Date: Description of Injury: Occupation: Industry: Never Employed Prairieville County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RUTH L. FURHOFF Date of Death: 11/15/993 Date of Birth: 09/15/915 Fathers Last Name: Gobatt Sex: Female Age: 78 Place of Death Hospital: Ionia County Memorial Hospital City: Ionia County: Ionia If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49073 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 368-38-2574 Address: 6265 Thornapple Lk Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 115789 211629 31725 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location; State File Number: 68768 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 056004 Decedents Name: Sex: Male Gary M. Gahan Date of Death: 09/27/996 Spouses Name: Patricia A. Andrews Date of Birth: 03/16/941 SSN: 376-40-1461 Fathers Name: Paul Gahan Mothers Name: Donna Bogerd Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White No Marital Status: Married 2 years College Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 1540 Liberty Lane Hastings City: Hastings Manner of Death: Not Specified Line 1: Metastatic Squamous Cell Carcinoma Of Lung Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Vice President Insurance County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009146 Decedents Name: Sex: Male Douglas M Gainder Date of Birth: 02/26/916 SSN: 366-38-2451 Date of Death: 01/30/996 „ ■ w M Spouses Name: Dorris Me iIntyre Fathers Name: Alfred Gainder Mothers Name: Bernice Me Martin Place of Birth: Michigan . Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Education: Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient ' Residence Address: 11863 Scott Park Rd. City: Barry Twp Manner of Death: Not Specified Line 1: Renal Failure Line 2: Multiple Myeloma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Carpenter Self-employed Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ALICE I. GALLAGHER Date of Death: 03/27/993 Date of Birth: 07/12/912 Fathers Last Name: Carpenter Place of Death Hospital: Unknown City: Battle Creek Sex: Female Age: 80 County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 365-20-2568 Address: 15821 Uldriks Drive Marital Status: Married Race: White Underlying Cause of Death: 887 Related Cause of Death (*) 110389 21)588 617872 62 (20 63887 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Accident Work Injury: Unknown Location: Unknown State File Number: 14032 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �FUNERAL NOTICE FOR THE STURGIS DAILY JOURNAL Full name of deceased — First Address /^Day and time of death Last Middle Cause «*Where death occurred - v-Period of illness -Date of birth Where born Child of whom — Places of residence for what periods — When married and to whom « where married REMARKS: (Life work, etc.) Member of what church Society affiliations Other information Surviving relatives - I™ Place of funeral service —-Zt> Date of funeral Clergyman Undertaker Place of burial Z �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 009830 Patient Information Decedents Name: Sex: Female Vera E. Gardner Date of Birth: 03/02/1909 Date of Death: 02/16/1998 SSN: 367-22-6570 Spouses Name: Fathers Name: Edgar Durst Mothers Name: Annie Jane Spence Place of Birth: Michigan Ancestry: Armed Forces: Other North, Central and South American Race: White No Marital Status: Widow, Widower Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: City: 12574 Park Drive Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Cardiac Arrest Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Receptionist Industry: Medical Doctor's Office County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH * DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043430 Decedents Name: Sex: Female Georgia Marion Ganns Date of Birth: 08/31/918 SSN: 366-18-5618 Date of Death: 07/16/995 Spouses Name: Fathers Name: George Taylor Mothers Name: Agnes Crawford Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower 2 years College Place of Death City: RossTwp County: Kalamazoo Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 525 West Hobbs Road Johnstown City: Johnstown Twp Manner of Death: Accidental Line 1: Multiple Trauma (body & Head) Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 07/16/1995 Auto Vs Pick-up P.i. Accident Registered Nurse Hospital County: Barry . v Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Richard E. Garrett Date of Death: 11/28/994 Date of Birth: Fathers Name: Jim Garrett Mothers Name: Mary Wilson Spouses Name: Place of Death Hospital: Borgess Med Cen City: Kalamazoo Sex: Male 11/06/948 County: Kalamazoo If Hospital: Emergency Room/Outpatient Residence County: Barry City: Barry Twp Zip Code: 49046 SSN: 366-54-0762 Address: 11583 Scott Park Road Place of Birth: Tennessee Armed Forces: Yes Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 11 Underlying Cause of Death: 410 Related Cause of Death 11410 214140 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 076504 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Larita Pearl George Date of Death: 11/14/994 Date of Birth: Fathers Name: Charles Earl Pratt Mothers Name: Fern Parks Spouses Name: Sex: Female 08/10/943 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 2 years College SSN: 375-42-0684 Address: PO Box 381 235 High St. Marital Status: Divorced Race: White Underlying Cause of Death: 1729 Related Cause of Death 111990 211729 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 070073 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 016238 Decedents Name: Sex: Male Richrd L. George Date of Birth: 09/08/923 Date of Death: 03/16/997 SSN: 379-12-4753 Spouses Name: Evelyn M. White Fathers Name: Lloyd Dealton George Mothers Name: Marvel May Harvey Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 08 Place of Death City: Grand Rapids County: Kent Hospital dr Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 1526 Pinedale Dr. Hastings Zip Code: 49058 City: Hastings Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Arrhythmia Line 3: Cardiomyopathy Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Delivering Delivery Service County: Barry : �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11Z27/95 NON-COUNTY RESIDENT State: Michigan File Number: 023534 Decedents Name: Sex: Male Paul L. Gibson Date of Birth: 08/05/913 SSN: 368-18-7135 Date of Death: 04/22/995 Spouses Name: Ethel M. Prentice Fathers Name: Loren Gibson Mothers Name: Rhoda Wesbrook Place of Birth: Michigan Hospital: Unknown Ancestry: British, Scotch, Welsh, Scotch Irish Race* White Armed Forces: No Education: Marital Status: Married High School Place of Death County: Kent City: Grand Rapids If Hospital: Inpatient Residence Address: 4631 Robertson Rd. Thomapple City: Thomapple Twp Manner of Death: Not Specified Line 1: Parkinson's Disease Line 2: Prostate Ca With Metastasis Line 3: Coronary Artery Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Fanner Fanning County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Jack Gilbert Date of Death: 12/12/993 Date of Birth: 11/22/918 Fathers Last Name: Gilbert Sex: Male Age: 7 5 Place of Death Hospital: St Mary* s Health Services - Grand Rapids City: Grand Rapids County: Kent SSN: 018-05-5427 If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Address: 7328 Robertson Place of Birth: Massachusetts Armed Forces: Yes Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 486 Related Cause of Death (*) 11486 612989 4 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location;'' State File Number: (*) 76152 ■ Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Jo Ann M. Gilbert Date of Death: 06/01/994 Date of Birth: Fathers Name: Douglas Rose Mothers Name: Katrina Fenner Spouses Name: Sex: Female 01/13/976 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 367-86-1590 Residence County: Barry City: Castleton Twp Zip Code: 49073 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 10 Address: 6405 Thornapple Lake Rd. Marital Status: Never Married Race: White Underlying Cause of Death: 8160 Related Cause of Death 11)598 618160 319290 615900 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 036988 (*) Six digits with the 1st digit being the line;.the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS 12/02/97 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022963 Patient Information Decedents Name: Date of Death: Sex: Female Leta Rose Gillette Date of Birth: 09/13/920 04/03/997 SSN: 383-07-0637 Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Harry Bond Martha Bowers Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Metropolitan Hospital Residence Address: City: 308 Larkin St. Middleville Middleville Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Ovarian & Renal Carcinoma- Treated Injury Date: Injury Description: Occupation: Owner-operator Industry: Restaurant County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 000899 Decedents Name: Sex: Female Dora M. Glass Date of Birth: 09/01/916 SSN: 363-16-4090 Date of Death: 01/08/995 Spouses Name: Fathers Name: Dan Thom Mothers Name: Ruby Houck Place of Birth: Indiana Hospital: Ancestry: Armed Forces: Education: Unknown German Race: White No Marital Status: Widow, Widower High School Place of Death City: Wayland County: Allegan If Hospital: Inpatient Residence Address: Zip Code: 49333 City: Yankee Springs Twp Manner of Death: County: Barry 725 S. Bassett Lake Rd. Yankee Not Specified Line 1: Arteriosclerotic Vascular Disease Line 2: Line 3: Line 4: Other Conditions: Insulin Dependent Diabetes Mellitus, Hypothyroidism Injury Date: Description of Injury: Occupation: Industry. Housewife Home .■ �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Clara Alice Gleesing Date of Birth: 11/26/942 Date of Death: 10/09/993 Fathers Last Name: Willson Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 371-44-8048 If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49060 Sex: Female Age: 5 0 Address: 5201 M-43 Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 1410 Related Cause of Death (*) 117991 211410 612500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work In j ury: Location: '. State File Number: \, 61992 (*) Six digits with the 1st digit being the line,', the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: M. Clark Goebel Date of Death: 05/16/994 Date of Birth: 04/16/924 Fathers Last Name: Goebel Sex: Male Age: 70 Place of Death Hospital: VA Med Cen - Ann Arbor City: Ann Arbor County: Washtenaw If Hospital: Inpatient SSN: 385-14-2249 Residence County: Barry City: Hope Twp Zip Code: 49035 Address: 7687 S. Wall Lake Road Place of Birth: Illinois Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 1619 Related Cause of Death (*) 211619 614349 Autopsy: Yes Findings Available: Yes Actual Place: Other Instituti Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 32943 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line,1 and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 012495 Decedents Name: Sex: Female Alice Mae Gollnick Date of Birth: 12/13/923 Date of Death: 02/14/996 SSN: 362-28-6902 Spouses Name: Fathers Name: Luther Ford Mothers Name: Anna Louise Knute Place of Birth: Iowa Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower High School Place of Death County: Wayne City: Garden City Hospital or Other Place of Death Patient Status: Inpatient Garden City Osteopathic Hospital Residence Address: 1024 Charlton Drive Hasting City: Hastings Manner of Death: Not Specified Line 1: Hepatic Encephalopathy Line 2: Adenocarcinoma Breast With Metastasis To Liver Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Type Setter Printing County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 063096 Patient Information Sex: Female Decedents Name: Nancy Jo Goodacre Date of Birth: 03/15/950 Date of Death: 10/05/997 SSN: 380-54-7401 Spouses Name: None Fathers Name: James Martin Riemens Mothers Name: Vivian Louise Crawford Place of Birth: Michigan Ancestry: Other Western European Race: White Armed Forces: No Marital Status: Divorced Education: High School Place of Death City: Caledonia Twp County: Kent Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: City: Yankee Springs Home Yankee Springs Twp Manner of Death Manner: Accidental Line 1: Multiple Systems Trauma Line 2: Line 3: , ? Line 4: Other Conditions: Injury Date: 10/05/1997 Injury Description: Tow Car Front Crash Occupation: Homemaker Industry: Home County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 022772 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Male George, Jr A. Goretzka Date of Birth: 11/10/923 04/23/997 SSN: 370-12-7464 Jeanette Corsiglia George A. Goretzka Mary Ballman Michigan German Race: White Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 3869 England Drive City: Yankee Springs Twp Yankee County: Barry Zip Code: 49344 Manner of Death Manner: Not Specified Line 1: Metastatic Lung Carcinoma Line 2: Line 3: Line 4: Other Conditions: Right Middle Lobe & Lower Lobe Pneumonia, Dehydration; Hypothyroidism Injury Date: ■ Injury Description: Occupation: Supervisor Industry: Pharmaceutical ' �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 002965 Decedents Name: Sex: Male Arlo Dean Graham Date of Birth: 09/19/915 SSN: 380-05-2954 Date of Death: 01/03/997 Spouses Name: Fathers Name: Orval Graham Mothers Name: Bertha Wise Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 1018 Reed Street Nashville City: Nashville Manner of Death: Zip Code: 49073 Not Specified Line 1: Acute Myocardial Infarction Line 2: Ventricular Arrhythmia Line 3: Coronary Artery Disease Line 4: Other Conditions: Diabetes Mellitus. Injury Date: Description of Injury: Occupation: Industry: Concrete County: Bany • Cheney Concrete Co \ �MICHIGAN DEPARTMENT OF’ PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT ’THE STATE OF':: Mich igan Deceden ts Name:: HELEN M.> GRAY Date of Birth:: Date of Death:: 05/10/993 Fathers Last Name:: Marple P1 a c: e o f Dea t h H o sp i t a 1:: B o r g e s s M ecl C e n C i t y:: l< a I a ma 1 oo County « Ka 1aMz oo SSNs 363”56”3613 I f Hosp i t a 1:: I rip a t i en t Res .i donee Count y:: Ba r r y C i t y:: P r a i r i e v i 11 e T wp Z:i.p Cod e n 49080 1:1/28/909 Sexs Female Age:: 83 Addressk 12241 Oakridge Rcl F1 ace of Bi r th r T11 inois r med Fo r c es:: No Ma r i1 a 1 St a t us:: Ma r r i eel Ancest ry:: British#, Scotch, Welsh#, Scotch Races White E cl u c: a t i o n:: 2 y e a r s C o 11 e g e IJ nd e r 3 y i ng Ca use o f Dea t111 1629 Re 1 a t ed Cause o f Dea th (>X > 111970 211629 614019 Ai.itopsy:: No F i rid x rigs Ava x 1 ab 1 e :: Unk nown Actua 1 P1 ace:: Hosp ita 1 Med ica 1 Exam im? r Case:: IJnk nown Mod e o f Dea t h :: Na t u r a 1 Wo r k I n j ur y | Loe a t i on:: State File Number:: <^- > 29584 . /■> S i x d i g 11 s w x t h t h e 1 1 d x g x t being the line-,••/the 2nd being the t h e 1CD c o cl e <■ position within the line., and p o 'is i t i o ns 3 ••• 6 b e �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 007924 Decedents Name: Sex: Male Robert H. Gray Date of Birth: 11/23/907 SSN: 368-34-2750 Date of Death: 02/03/997 Spouses Name: N/A Fathers Name: Edward Lee Gray Mothers Name: Francis Humbert Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 3 years College Place of Death County: Allegan City: Otsego Hospital or Other Place of Death Patient Status: Unknown Residence Address: 12241 Oakridge Lane Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Dementia- Multiple Microvascular Infarction Line 2: Arteriosclerotic Vascular Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Self Employed Electrician County: Bany Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Roger LeRoy Green Date of Death: 07/24/994 Date of Birth: 04/13/940 Fathers Last Name: Green Place of Death Hospital: Unknown City: Richland Twp Sex: Male Age: 54 County: Kalamazoo If Hospital: SSN: 378-38-3741 Residence County: Barry City: Prairieville Twp Zip Code: 49046 Address: 11452 Peninsular Dr. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 8199 Related Cause of Death (*) 11 (69 618199 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 43351 (*) Six digits with the 1st "'digit being the line, the 2nd being the position within the lineand positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 074553 Patient Information Sex: Male Decedents Name: Howard W Grein Date of Birth: 11/28/926 SSN: 368-26-2182 Date of Death: 12/02/997 Spouses Name: Mary M. Hejl Fathers Name: Walter John Grein Mothers Name: Mildred Jackson Place of Birth: Michigan Ancestry: Armed Forces: German Race: White Yes . Marital Status: Married Education: 08 Place of Death City: Bedford Twp County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: VA Medical Center - Battle Creek Residence Address: City: 277 Lakeside Dr. Hope Zip Code: 49046 Hope Twp Manner of Death Manner: Not Specified Line 1: Chronic Obstructive Pulmonary Disease Line 2: Coronary Artery Disease Line 3: Polyneuropathy •.? Line 4: Other Conditions: Injury Date: ,.?.7 Injury Description: Occupation: Laborer Industry: Construction County: Barry ■ �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055917 Patient Information Sex: Female Decedents Name: Greta S. Greiner Date of Death: Date of Birth: 09/14/916 09/13/997 SSN: 076-22-1976 Spouses Name: Fathers Name: Mothers Name: Lambert Sal Jennie Termeer Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Widow, Widower 08 Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: 6510 Noffke Dr. City: Thomapple Twp Thomapple Zip Code: 49316 Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: ' Other Conditions: Injury Date: Injury Description: Occupation: Housewife Industry: Own Home County: Barry •. ' . » .\ ' ;<///.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Peggie Eileen Grewett Date of Death: 04/16/994 Date of Birth: 01/13/938 Fathers Last Name: Millikin Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient SSN: 288-34-5988 Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Ohio Armed Forces: No Ancestry: British, Scotch Education: High School Sex: Female Age: 56 Address: 14247 Burchett Road Marital Status: Married Welsh, Scotch Race: White Underlying Cause of Death: 1749 Related Cause of Death (*) 115729 211749 311977 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 23622 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Kathryn Christena Griffeth Date of Death: 08/27/994 Date of Birth: 04/17/919 Fathers Last Name: Eggleston Place of Death Hospital: Unknown City: Kentwood Sex: Female Age: 75 County: Kent If Hospital: SSN: 384-24-5224 Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 305 N. Norris Rd. Marital Status: Married Race: White Underlying Cause of Death: 1539 Related Cause of Death (*) 111977 211539 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 50200 .siA', Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 017050 Patient Information Sex: Male Decedents Name: Carl Wayne Griffith Date of Birth: 08/02/1965 SSN: 362-70-6918 Date of Death: 03/02/1998 Spouses Name: Fathers Name: Carl J. Griffith Mothers Name: Shelby Dean Hand Place of Birth: Michigan Ancestry: Irish Race: White Armed Forces: No Marital Status: Divorced Education: 11 Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: 202 South Grove Barry Twp Manner of Death Manner: Not Specified Linel: Subdural Empyema Line 2: Meningitis Line 3: Sinusitis Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Roofing Industry: Construction Delton County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lawrence Griswold Date of Death: 09/17/994 Date of Birth: Fathers Name: Mortimer Griswold . Mothers Name: Millie Hillard Spouses Name: Sex: Male 07/02/914 Place of Death Hospital: McLaren Gen Hospital City: Flint County: Genesee If Hospital: Inpatient Residence County: Barry City: Maple Grove Twp Zip Code: 48457 SSN: 379-05-7942 Address: 1715 W. Gary Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4149 Related Cause of Death 114280 214019 224149 61586 62496 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 055838 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Hie: h igan Deuedi?nts Names Todd Dewitt Gr i.nage Da t e o f Bi r t h:: Date of Deaths 06/05/993 Fa t h e r s La s t Na ne | G r i na g e P1 a c e o f D e a th Ho sp i t a I:: B t • onso n Me t h od i s t Ho s» p i t a 1 C :t t y:: K a a ma z ou Coco it y Ka lama zoo I f Hosp i t a 1:: I npa t i. e n t RorJ den ice Co u n t y » Ba r r y C i t y:: Na-;>i i v i. 11 e Zip Codes 49073 12/03/968 Se x:: Male Ages 24 SSN:: 378-96-4834 Ad dresss 218 C1eve1a nd St n Place-' of Births Michigan A r mecl Fo r c es:: No Ant:«??••>t ry s fr i c: an Educations High School Marita1 Sta t uss Neve r Ma rr i ed Races White Unde) ly:i ng Cause of Deaths Re 1 a t ed Ca i ise o f Dea 111 Aut.opsys No F i nd :i ng s Ava i 1 a b 1 e s Ui i k nown Actua1 Place s Has pita 1 Med ic a 1 Exam i ne r Cace s Hn knowri Mod w o f, pea p s Na t u r a 1 Wonk Injurys L.oc a t i o-ri:: St a t e F i 1 e Numb e r ” .;; - , • 37>062 S.i x d:» g :i ts wi th t he 1 st d:»g:i t b e i i ig t he 1 i ne <> . t-h e 2rjd b e i ng p c.»s 11 i o n w i t h .*< v > t h e 1 :i ne ,f a nd positions 3-6 being the ICD co �MICHIGAN DEPARTMENT OF PUBLIC HEALTH. DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 072506 Decedents Name: Sex: Male Eugene Victor Grochowski Date of Death: 10/27/995 Spouses Name: None Date of Birth: 09/04/966 SSN: 341-50-6985 Fathers Name: Eugene C. Grochowski Mothers Name: Francine Wiktor Place of Birth: Illinois Ancestry: Armed Forces: Education: Polish Race: White No 2 years College Marital Status: Never Married Place of Death City: Grand Haven County: Ottawa Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 3090 Big Cedar Lake Road Barry City: Barry Twp Manner of Death: Accidental Linel: Asphyxiation Line 2: Drowning Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 10/27/1995 Drowning - Swept Off Pier Dispatcher Hospital County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: David Gross Date of Death: 12/22/994 Date of Birth: Fathers Name: David Gross Mothers Name: Merle Skidmore Spouses Name: Frances Warner Sex: Male 04/16/923 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Irving Twp Zip Code: 49058 Place of Birth: West Virginia Armed Forces: Yes Ancestry: German Education: 05 SSN: 236-24-0007 Address: 4725 Buehler Rd. Marital Status: Married Race: White Underlying Cause of Death: 4919 Related Cause of Death 114919 614280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 076959 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 3) of Barry County Residents who died outside of Barry County, 1900-1998. Eagen to Gross. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 3) of Barry County Residents who died outside of Barry County. Eagen to Gross Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/856/Death_Transcripts_Barry_County_Vol._4.pdf 0977948a8c7b05af34ef1c0481c9dd8d PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 4) begins with Guthrie and ends with Jurisic �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 001378 Decedents Name: Sex: Female Patricia Lou Guthrie Date of Birth: 09/25/939 Date of Death: 01/19/997 SSN: 371-62-9518 Spouses Name: Fathers Name: La Vem C. Guthrie Mothers Name: Josephine M. Michalski Place of Birth: Michigan Ancestry: Armed Forces: Education: Polish Race: White No Marital Status: Never Married 11 Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 11905 North Avenue Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Adult Respiratory Distress Syndrome. Line 2: Pneumonia. Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036534 Patient Information Date of Death: Spouses Name: Sex: Male Dakota Allen Hale Decedents Name: Date of Birth: 06/08/997 06/08/997 SSN: None Fathers Name: Mothers Name: Roger Hale Nicole Horton Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Never Married Education: None Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Metropolitan Hospital Residence Address: City: 5890 Marsh Rd. Orangeville Twp Manner of Death Manner: Not Specified Line 1: Extreme Prematurity Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Never Worked Industry: None Orangeville County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 007640 Patient Information Sex: Male Decedents Name: Grover C. Hall Date of Birth: 01/23/1914 SSN: 401-14-5224 Date of Death: 02/14/1998 Spouses Name: None Fathers Name: Oscar Hall Mothers Name: Rose Blair Place of Birth: Kentucky Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Widow, Widower Education: 04 Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death: Patient Status: Inpatient Pipp Community Hospital Residence Address: 11887 Lewis Rd. City: Orangeville Twp Orangeville Manner of Death Manner: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Onion Farmer Industry: Farm County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Johanna Hamlett Date of Death: 11/19/993 Date of Birth; 10/22/904 Fathers Last Name: Moerland Sex: Female Age: 89 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49302 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 08 SSN: 379-32-1995 Address: 7236 Noffke Dr. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214140 613580 621820 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Locat ion: State File Number: 75892 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-^6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Betty Jo Hammond Date of Death: 05/16/994 Date of Birth: 05/03/921 Fathers Last Name: Riley Sex: Female Age: 73 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 370-18-3517 If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 1003 North Taffee Drive Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 4 years of college Marital Status: Married Race: White Underlying Cause of Death: 4140 Related Cause of Death (*) 115184 214240 314140 Autopsy: No Findings Available: Unknown Medical Examiner Case: Unknown Work Injury: State File Number: Actual Place: Hospital Mode of Death: Natural i^Sjibeations 30312 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Frank Hammond, Jr. Date of Death: 12/30/993 Date of Birth: 03/25/929 Fathers Last Name: Hammond Place of Death Hospital: Unknown City: Battle Creek Sex: Male Age: 64 County: Calhoun If Hospital: DOA with hospital name Residence County: Barry City: Assyria Twp Zip Code: 49021 SSN: 377-28-2372 Address: 14980 Jenkins Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214149 Autopsy: No Findings Available: Unknown Actual Place: Unknown Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 80519 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 023735 Patient Information Sex: Male Decedents Name: James A. Hardin Date of Birth: 02/04/1925 SSN: 426-30-3138 Date of Death: 04/05/1998 Spouses Name: Helen J. De Boer Fathers Name: Amos C. Hardin,sr. Mothers Name: Mackie A. Mills Place of Birth: Mississippi Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Married 10 Place of Death County: Ingham City: Lansing Patient Status: Inpatient Hospital or Other Place of Death: Michigan Capital Med. Ctr. - Greenlawn Campus Residence Address: City: 8638 Lawrence Rd Maple County: Barry Zip Code: 49073 Maple Grove Twp Manner of Death Manner: Not Specified Line 1: Ventricular Fibrillation Line 2: Myocardial Infarction Line 3: Coronary Artery Disease Line 4: Other Conditions: S/p Coronary Artery Bypass Injury Date: Injury Description: Occupation: General Supervisor Industry: Fisher Body/ General Motors ' ft: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 034894 Decedents Name: Sex: Female Goldie E. Nmn Harper Date of Birth: 08/25/908 Date of Death: 06/21/996 SSN: 368-48-2889 Spouses Name: Fathers Name: Lester Nathan Hoyt Mothers Name: Anna Gilbert Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Allegan County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 10378 S. Norris Rd. City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Advanced Dementia Injury Date: Description of Injury: Occupation: Industry: Homemaker Prairieville County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o- County of Occurrence 12/02/97 State of Residence: M ichigan File Number: 0219734 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Male Roy J. Harleston Date of Birth: 11/22/931 05/11/997 SSN: 377-30-7723 Vivian L. Brott Carl W. Harleston Vera L. Swartz Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 3625 Strickland Road Johnston Johnstown Twp County: Barry Zip Code: 49017 Manner of Death Manner: Not Specified Line 1: Anoxic Brain Encephalopathy Line 2: Ventricular Fibrillation Line 3: Atherosclerotic Heart Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Machine Operator Industry: Cereal Manufacturing Company ,;££: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062605 Decedents Name: Sex: Female Joanne May Hartman Date of Birth: 02/01/938 Date of Death: 10/14/996 SSN: 293-32-2111 Spouses Name: Fathers Name: Fred Phillips Mothers Name: Bemice Me Nett Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 11 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 1142 Hickory Rd. Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Metastatic Lung Ca- Pulmonary Edema Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Cook Restaurant County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MARY C. HARTHY Date of Death: 09/04/993 Date of Birth: 04/15/912 Fathers Last Name: Bishop Sex: Female Age: 81 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 381-24-9195 Address: 502 E. South Street Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 4 years of college Underlying Cause of Death: 1629 Related Cause of Death (*) 11486 211629 614939 Autopsy: No Actual Place: Hospital Findings Available: Unknown Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 54645 \ (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 01/15/98 State of Residence: Michigan File Number: 046101 Patient Information Decedents Name: Date of Death: Clarence V. Hartwell Sex: Male Date of Birth: 03/21/920 07/16/997 SSN: 378-01-1013 Spouses Name: Fathers Name: Unknown Mothers Name: Uva Bonn Place of Birth: Ancestry: Armed Forces: Education: Michigan British, Scotch, Welsh, Scotch Irish Yes Race: White Marital Status: Divorced High School Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death: Patient Status: Inpatient VA Med Cen - Ann Arbor Residence Address: City: 8335 Hayward Rd. Orangeville Orangeville Twp Manner of Death Manner: / Not Specified Line 1: Pulmonary Interstitial Fibrosis Line 2: Line 3: Line 4: Other Conditions: Congestive Heart Failure, Diabetes Mellitus Injury Date: Injury Description: Occupation: Technician Industry: Hospital County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 021265 Decedents Name: Sex: Female Thelma M. Harvath Date of Birth: 07/31/920 Date of Death: 03/30/996 SSN: 369-16-4533 Spouses Name: Fathers Name: Walter P. Jackway Mothers Name: Grace Parker Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 1250 Leinaar Rd. City: Barry Twp Manner of Death: Not Specified Linel: Myocardial Infarction Line 2: Hypertension Line 3: Shock Line 4: Other Conditions: Injuiy Date: Description of Injury: Occupation: Industry: Homemaker At Home Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048301 Decedents Name: Sex: Female Elsie Elizabeth Haskin Date of Birth: 10/22/927 Date of Death: 08/25/996 SSN: 381-24‘9312 Spouses Name: Morley Edward Haskin Fathers Name: Homer Neal Sexton Mothers Name: Mary Alfaretta Chaney Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish jq0 High School Race: White Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Emergency Room/Outpatient Residence Address: 12738 North Avenue City: Assyria Twp Manner of Death: Not Specified Line 1: Cardiac Arrhythmia Line 2: Dilated Cardiomyopathy Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Export Manager Press Manufacturing Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041539 Decedents Name: Sex: Male Marvin Duane Hathaway Date of Birth: 06/27/929 SSN: 375-24-8297 Date of Death: 07/01/996 Spouses Name: Betty L. Moon Fathers Name: Robert Hathaway Mothers Name: Eva Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married 2 years College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Battle Creek Health Systems Residence Address: 10304 Huff Rd. Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Hodgkin's Disease Line 2: Line 3: Line 4: Other Conditions: Hypertension, Cva, Seizure Disorder Injury Date: Description of Injury: Occupation: Industry: Printer Printing County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055533 Patient Information Sex: Male Decedents Name: Clarence Russell Hawkins Date of Death: 09/20/997 Spouses Name: Sandra Crampton Date of Birth: 04/25/945 SSN: 385-44-4892 Fathers Name: Roy Albert Hawkins Mothers Name: Mary Elizabeth Buxton Place of Birth: Michigan Ancestry: Armed Forces: American Race: White Yes Marital Status: Married Education: 2 years College Place of Death County: Ionia City: Berlin Twp Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: 7818 Scott Rd. City: Castleton Twp Manner of Death Manner: Accidental Line 1: Drowning Line 2: Line 3: Line 4: Other Conditions: Injury Date: 09/20/1997 Injury Description: Drowning Occupation: Self Employed Industry: Construction Castleton County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048334 Decedents Name: Bernice L. Hayes Sex: Female Date of Death: 08/01/996 Spouses Name: Date of Birth: 05/26/916 William F. Hayes SSN: 364-5°-7805 Fathers Name: Charles Rose Mothers Name: Lenora Kime Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish N0 Race: White Marital Status: Married High School Place of Death City: Emmet Twp County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 5640 Woodschool Road City: Irving Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Atherosclerosis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Irving County: Barry Zip Code: 49058 �(Ji" FUDL..1.C HI::.AL. 11rl H i’CH EGAN DF.PAR f HI::.N T DE ATH TRANSCR j PT - STAT IE OF NON- COUNTY RI-TJTDFNT the: state: ofs Michigan MXCHlGA N x:: Male e:: 51 Decedents Narons ROBFRI Da te o f Dea t h:: 01 /22 /993 F a t h e t s La c t Na roe:*. I- la yes Place? of Death I iosp i i*. a 1:: Un known C i t y :: A '11 eg a n T wp C o i a r1t y:: X f Hosp i ta I. s SSN:: Residence County:: Dai vy C i ty s 0 r a ng gv i 11 e. T wp Zip Code?:: 47Of30 Unknown Work Injury:: 81 a t o F i 1 o Nurob o r :: St a t. us:: Findings Av a i 1 a b 1 e r. U n k nown Mv?u i.ea I. E.xaro.i.ns?r Case?:: 406 - 5*0 • 8263 Ad d r©«»«>:: 8489 Ma r sh Rd Ma t i t a .1 Autopsys fc A 3 1 eg a n Neve r Ma r v i ed Race:: White A c t. u a 1 P1 a e:: Horoe Hude? of Death;: Natural L ot. a t i on:: 85’3 S i x d i g :i t s us :i L11 t! i e 1 <:, t d i g :i t b £• i v ig t h e 11 no v t h e 2nd b «:• i ng the po«>:i t i ori w :i t l i i r i the 1 :i ne,, a rid posit juris 3-6 being the I CD code i. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gloria N. Hayward Date of Death: 05/09/994 Date of Birth: 07/08/933 Fathers Last Name: Mathews Sex: Female Age: 60 Place of Death Hospital: Ionia County Memorial Hospital City: Ionia County: Ionia If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 SSN: 366-32-8491 Address: 2100 Yankee Springs Road Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 06 Underlying Cause of Death: 3051 Related Cause of Death (*) 113051 121629 21586 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 29920 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 048775 Decedents Name: Sex: Male Arthur J. Haywood Date of Birth: 05/02/900 Date of Death: 08/27/995 SSN; 366-20-4404 Spouses Name: Fathers Name: Alfred Haywood Mothers Name: Lydia Ruckle Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White A No Marital Status: Widow, Widower Unknown Place of Death County: Eaton City: Charlotte Hospital or Other Place of Death Patient Statuftlnpatient Hayes Green Beach Hospital Residence Address: 411E. Green St City: Hastings Manner of Death: Hastings County: Barry , Zip Code: 49058 Not Specified Line 1: Peritonitis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injuiy: Occupation*. Industry: •jjp Self Employed Farming X-M- • .i '• �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015784 Decedents Name: Sex: Female Patricia Julia Hazen Date of Birth: 05/18/940 Date of Death: 03/16/996 SSN: 381-38-8921 Spouses Name: Fathers Name: Alexander Gorman Mothers Name: Clara Wolschon Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Divorced High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4005 S. Shore Cloverdale City: Hope Twp Manner of Death: Not Specified Line 1: Metastatic Breast Carcinoma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Accounting Clerk County Government County: Barry Zip Code: 49035 �FUNERAL NOTICE FOR THE STURGIS DAILY JOURNAL ii-Ii------------First Full name of deceased 207 oscond St., ... Address ------------------------ Age __j2.--------------Middle Last Trufant, xich. 1-------------------------------------------------------------------------------------- Day and time of death ?-J.1?— -1-—--—I—2’£i._1.’_.1£'.Zf— Cause------------------------------------------------------- Where death occurred ..iL0.?® .°.L±-3ZrX_-C12.usen .in Period of illness ___________________________________ x.SdtS- Where bornF£rA£l?yALl=jL__^rry__Oo .^_Mich_.„„Date of birth___ IL1.?-------------------------------------Child of whom .^LL.-L-.L^ .*r^L-^121HL.L ^LL1. Places of residence for what perio^°2^L?l®£^L£®-w?s^spent Jn_Kalainazoo_._Jioyed _tp..._. Trufant Just one week ajo. When married and to whom -------------------------------------------------------- ---------------------------------------------------------------------- where married —^31333322------------------------- ------------- REMARKS: (Life work, etc.) -JL2J£32J£1££ Member of what church -21-2L----------------------------- —------------------------------------- “ . . XXX .... .. . .a Loyalty Chapter # 497 0. S. 3. of Kalamazo^o------------------ C2-C--------- ------ - ------------------------------------------------------- Society affiliations Friends are be inc? received at the HentonX.A31ife—------- Home where services will be conducted_aLt__2__oc_loc_k_-Tu_es-t_-^.fisrJ295.&-*--------------- wil 1_bejLn^^Pr^airis.yXlls^JDejnet_ery A____________________ ________________ ,, ... Husband of Trufant, Mich., 2 brothers: Rpll_inj^p_f_Kala!nazop_t— Richard of Doster, 3 sisters: Mrs. Lyle (_La;jm)_JFr_an_cis_cp__of__Do_sterj__Mrs_’— Arthur ( Frances ) Paul of Kalamazoo, and Mrs. Kirby( --------- of Richland, Mich, also her parents Mr and Mrs Myron JjL_Hall_p.f__Lp_3t£E.*-----Place of funeral service Hour Undertaker �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063123 Decedents Name: Sex: Male Raymond John Helrigel Date of Birth: 09/11/925 Date of Death: 10/05/995 SSN: 365-22-2530 Spouses Name: Lila M. Babcock Fathers Name: Arthur Helrigel Mothers Name: Bernice Johnson Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married 3 years College Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 4545 Scott Road City: Hastings Twp Manner of Death: Hastings County: Barry Zip Code: 49058 if.: ‘ Accidental ■ Line 1: Multiple Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 10/05/1995 Auto Hit Tree Worker Various Factories �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Donald James Hermenitt Date of Death: 12/08/993 Date of Birth: 05/08/9-27 Fathers Last Name: Hermenitt Place of Death Hospital: Unknown City: Plainwell Sex: Male Age: 66 County: Allegan If Hospital: DOA with hospital name Residence County: Barry City: Orangeville Twp Zip Code: 49344 SSN: 380-28-4372 Address: 12120 Marsh Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 4140 Related Cause of Death (*) 114140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 73906 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068772 Decedents Name: Sex: Female Stephanie Gail Heykoop Date of Birth: 10/09/943 Date of Death: ] 0/31 /996 SSN: 382-42-3769 Spouses Name: Timothy J. Heykoop Fathers Name: Gerald Me Coy Brown Mothers Name: Alzada M. Me Kown Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 5590 N. Irving Drive City: Irving Twp Manner of Death: Not Specified Line 1: Non Hodgkins Lymphoma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Housewife Industry: Own Home Irving County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024384 Patient Information Sex: Male Decedents Name: Johnnie Richard Hicks Date of Birth: 03/23/1947 SSN: 278-44-9003 Date of Death: 04/10/1998 Spouses Name: Fathers Name: Johnnie Hicks Mothers Name: Lorenia May Keown Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Kent Comm Hospital Complex Residence Address: City: 4545 Walldorff Road Hope Hope Twp Manner of Death Manner: Not Specified Line 1: Chronic Renal Failure Line 2: Line 3: Line 4: Other Conditions: Cardiomyopathy, Cirrhosis With Ascites Injury Date: Injury Description: Occupation: Laborer Industry: Factories County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gordon Leroy Hill Date of Death: 09/23/994 Date of Birth: Fathers Name: Samuel Raymond Hill Mothers Name: Myrtie Wyckoff Spouses Name: Dora E. Ogden Place of Death Hospital: Unknown City: Grand Rapids If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 Sex: Male 09/26/912 County: Kent SSN: 380-01-1377 Address: 10561 Garbow Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 436 Related Cause of Death 11586 21436 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 056972 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 041540 Patient Information Decedents Name: Date of Death: Sex: Female Mildred B. Hill 06/02/997 Date of Birth: 02/07/909 SSN: 376-22-9342 Spouses Name: Fathers Name: Mothers Name: John Miller Eltie Cheesman Place of Birth: Michigan Ancestry: American Armed Forces: Education: Race: White No 08 Marital Status: Widow, Widower Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 2605 S. Charlton Park Rd.Hastings Hastings Twp Manner of Death Manner: Not Specified Line 1: Dementia Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Nurse’s Aid Industry: Home Health Care County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Delores Hinds Date of Death: 05/26/993 Date of Birth: 01/17/914 Fathers Last Name: Wright Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 79 County: Kent If Hospital: Inpatient SSN: 368-09-2320 Residence County: Barry City: Orangeville Twp Zip Code: 49340 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: High School Address: 11980 Marsh Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 3310 Related Cause of Death (*) 113310 127994 Autopsy: Yes Findings Available: No Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 29982 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055933 Patient Information Sex: Male Decedents Name: Kenneth L. Hirst Date of Death: Date of Birth: 05/25/915 SSN: 368-10-9824 09/28/997 Spouses Name: Fathers Name: Frank H. Hirst Mothers Name: VeraB. Moxom Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower Education: High School Place of Death County: Kent City: East Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: City: C-210 Barlow Lake Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Cerebrovascular Accident (Stroke) Line 2: Hypertension Line 3: Carotid Artery Occlusive Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Maintenance Industry: Rapistan County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 001251 Decedents Name: Sex: Female Daisy Mae Hoag Date of Birth: 08/17/941 Date of Death: 01/28/996 SSN: 384-40-9453 Spouses Name: Fathers Name: Mothers Name: George Danke, Sr. Christine Brown Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Divorced 2 years College Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 14125 M-66 City: Assyria Twp Manner of Death: Not Specified Line I: Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Beautician Beauty Salon Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022735 Patient Information Sex: Female Decedents Name: Evelyn M. Hodgden Date of Birth: 08/16/1913 SSN: 382-38-6141 Date of Death: 03/27/1998 Spouses Name: Roger T. Hodgden Fathers Name: Emest Smith Mothers Name: Martha Ferrari Place of Birth: Pennsylvania Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Married Education: 4 years of college Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 4182 Bristol Oakes Drive Johnstown Twp Manner of Death Manner: Not Specified Line 1: Senile Dementia Alzheimers Type Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Teacher Industry: Public School System County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 070081 Decedents Name: Sex: Male Rudolph George Hodgemire Date of Birth: 09/15/916 SSN: 366-10-6431 Date of Death: 11/26/995 Spouses Name: Fathers Name: Fred Hodgemire Mothers Name: Maybelle Youngs Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Widow, Widower 08 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 11045 Gilkey Road City: Prairieville Twp Manner of Death: Prairieville County: Barry Zip Code: 49080 Not Specified Line 1: Acute Myocardial Infarct Line 2: Coronary Heart Disease Line 3: Line 4: Other Conditions: Hyperlipidemia | /a - »,, Injury Date: * Description of Injury: Occupation: Industry: Foreman Paper Manufacturing *■' �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Decedents Names LAWRENCE ELLWYN HOLCOMB Date of Deaths 02/16/993 Date of Births 05/22/896 Fa there Last Names: HOLCOMB Place of Death Hosp ita 1 s Un l< nown City:: Sp ri ng field County s Ca1h oun I f Hosp i t a 1 n I rip a t ient Residence Count y s Ba r r y C ity a Assyr ia Twp Zip Code s 4902.1 Place of Births Michigan A r med Fo r c es:: No Ancestrys No r th Afrlean Ed uc a t i on:: Hi g h Sc h oo 1 Sexs Male Ages 96 SSNs 366-07-3638 Addresss 9520 Tasker Road Ma r i t a 1 St a t us:: Ma r r ied Races White Underlying Cause of Deaths 410 Related Cause of Death <$> 11410 61436 627845 632699 Autop sys No Findings Available.*: Unknown Actual Places Nursing Home Med ic a1 Examine r Ca se s Un k nown Mo cl e o f Dea t h s Na t u r a 1 Work Injurys Locations 81 a t e F i 1 e Numb e r7377 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 001147 Patient Information Sex: Female Decedents Name: Ruth Charlotte Holder Date of Death: 01/06/1998 Date of Birth: 04/16/1907 SSN: 370-10-9297 Spouses Name: Fathers Name: Williaim Bryans Mothers Name: Lydia Garrison Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: 2 years College Marital Status: Widow, Widower Place of Death City: Battle Creek Hospital or Other Place of Death: County: Calhoun Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 25060 Battle Creek Hwy. Assyria Assyria Twp Manner of Death Manner: Not Specified Line 1: Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Dementia Injury Date: Injury Description: Occupation: Secretary Industry: Legal Insurance County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 000893 Decedents Name: Sex: Male William C. Holloway Date of Birth: 11/09/927 Date of Death: 01/18/997 SSN: 375-20-8110 Spouses Name: None Fathers Name: Mothers Name: Unknown Mildred Unknown Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Widow, Widower 08 Place of Death County: Allegan City: Allegan Hospital or Otheir Place of Death Patient Status: Inpatient Unknown Residence Address: 12430 Anson Point City: Prairieville Twp Manner of Death: Not Specified Line 1: Advanced Copd Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Truck Driver Trucking Prairieville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 048213 Patient Information Decedents Name: Date of Death: Sex: Female Hazel Catherine Hommerding Date of Birth: 11/14/904 08/23/997 SSN: 366-07-5333 Spouses Name: Fathers Name: Henry E. Turner Mothers Name: Emma A. Howald Place of Birth: Ancestry: Armed Forces: Education: Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: 9211 Keller Road City: Orangeville Twp Orangeville County: Barry Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Pneumonia With Aspiration Line 2: Line 3: Line 4: Other Conditions: Multi-factorial Dementia, Chf, Hypertension, Psychiatric Disturbance With Agitation Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015768 Decedents Name: Sex: Male Reynold George Homrich Date of Birth: 06/30/910 Date of Death: 03/10/996 SSN: 384-16-6675 Spouses Name: Caroline Steffes Fathers Name: Matt Homrich Mothers Name: Emma Schmidt Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 08 Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 7084 S. Shore Dr. City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Truck Broker Trucking Prairieville County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 058255 Decedents Name: Sex: Male Vernon J. Hooper Date of Birth: 07/13/903 Date of Death: 08/08/996 SSN: 380-05-8352 Spouses Name: Helen J. Smith Fathers Name: Curtis B. Hooper Mothers Name: Lolah M. Reed Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Tallmadge Twp County: Ottawa Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 512 Briarwood Dr. City: Middleville Manner of Death: Not Specified Line 1: Metastatic Prostate Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Customer Service Bradford White Corp. Middleville County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lawton R. Horne Date of Death: 09/19/994 Date of Birth: Fathers Name: George Horne Mothers Name: Rosa Blount Spouses Name: Helen L. Newton Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Male 08/17/917 County: Kalamazoo SSN: 408-28-6109 Address: 505 Harrington Place of Birth: Tennessee Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 492 Related Cause of Death 117855 217860 227990 31496 41492 615750 625768 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Locat ion: State File Number: 56650 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Donald E. Hough Date of Death: 03/25/994 Date of Birth: 02/11/935 Fathers Last Name: Hough Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 59 County: Kent If Hospital: Inpatient Residence County: Barry City: Irving Twp Zip Code: 49058 SSN: 372-32-4526' Address: 2555 Buehler Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 09 Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 214280 312500 417169 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 16982 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041607 Decedents Name: Sex: Male Darwin C. Houston Date of Birth: 10/09/948 Date of Death: 07/05/996 SSN: 363-50-8818 Spouses Name: Jacqueline L. Waidelich Fathers Name: Coy Dar Houston Mothers Name: Clarabelle Van Nocker Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 1 year College Place of Death County: Calhoun City: Bedford Twp Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 1182 Cherry Lane Johnstown City: Johnstown Twp Manner of Death: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Inj ury: Occupation: Industry: 07/05/1996 Bicycle- Motorvehicle Accident Packing Line Operator Cereal Manufacturing County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 008234 Decedents Name: Sex: Female Edna M. Howard Date of Death: 01/17/997 Date of Birth: 04/13/910 SSN: 381-32-5592 Spouses Name: Fathers Name: Mothers Name: Clarence A. Guilford Ethel Rice Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No 1 year College Marital Status: Divorced Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 6334 Thom Apple Lake City: Castleton Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Gangrene Of Right Foot Line 3: Diabetes Mellitus Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Dietery Department Hospital County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 29/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 028090 Decedents Name: Sex: Male Ronald Ray Howard Date of Death: 05/10/995 Spouses Name: Bethany Carmoney Date of Birth: 08/23/955 SSN: 381-62-7539 Fathers Name: Agnew Howard Mothers Name: Marian Keeler Place of Birth: Michigan Hospital: Unknown Ancestry: American Armed Forces: Education: Race: White No Marital Status: Married 11 Place of Death County: Calhoun City: Penfield Twp If Hospital: Inpatient Residence Address: 6900 Bird Rd. Baltimore City: Baltimore Twp Manner of Death: Not Specified Line 1: Brain Cancer (astrocytoma) Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Laborer Iron Industry County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Wiley Howard Date of Birth: 05/14/914 Date of Death: 02/10/994 Fathers Last Name: Howard Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Kentucky Armed Forces: No Ancestry: American Education: 04 Sex: Male Age: 7 9 County: Kalamazoo SSN: 407-07-8699 Address: 5797 Marsh Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 114279 21410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 9834 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076307 Decedents Name: Sex: Male William, J D. Hubbell Date of Death: 12/25/996 Spouses Name: Donna J. Polhemus Date of Birth: 03/01/926 SSN: 378-22-2533 Fathers Name: William D. Hubbell Mothers Name: Gladys D. Wolcott Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 810 S. Broadway City: Hastings Manner of Death: Not Specified Line 1: Ventricular Tachycardia Line 2: Myocardial Infarction Line 3: Coronary Heart Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Area Manager Consumers Power Co. Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 069456 Patient Information Sex: Female Decedents Name: Mildred F. Hull Date of Death: Spouses Name: Date of Birth: 12/23/910 SSN: 383-50-4783 11/10/997 Sidney Hull Fathers Name: Charles Bert Graft Mothers Name: Alvina Buchholz Place of Birth: Missouri Ancestry: Armed Forces: German Race: White No Marital Status: Married Education: 08 Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 3866 Brass Road Rutland Rutland Twp Manner of Death Manner: Not Specified Line 1: Atherosclerotic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Respiratory Failurejrenal Failure Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: John Jr. Date of Death: 01/28/994 Fathers Last Name: Hulst Place of Death Hospital: Borgess Med Cen City: Kalamazoo Hulst Date of Birth: 03/24/915 County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Sex: Male Age: 78 SSN: 380-03-8987 Address: 11671 Marsh Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: 08 Underlying Cause of Death: 185 Related Cause of Death (*) 11185 215966 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 9782 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 29/95 NON-COUNTY RESIDENT State: Michigan File Number: 029568 Decedents Name: Sex: Female Sami Jo Hunsberger Date of Birth: 10/17/990 SSN: 386-11-0211 Date of Death: 05/06/995 Spouses Name: Fathers Name: David Thomas Hunsberger, Sr. Mothers Name: Carrie Louise Hoffman Place of Birth: Michigan Hospital: Butterworth Hospital Ancestry: American Race: White Armed Forces: No Education: Marital Status: Never Married None Place of Death City: Grand Rapids County: Kent If Hospital: Inpatient Residence Address: 5914 W. Osborne Road Barry City: Barry Twp Manner of Death: Accidental Line 1: Asphyxia By Drowning Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 05/05/1995 Found In Neighbors Swimming Pool Never Employed County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043696 Decedents Name: Sex: Male Paul C Husman Date of Birth: 04/03/936 Date of Death: 07/14/995 SSN: 376-38-3999 Spouses Name: Fathers Name: Henry Husman Mothers Name: Eula Guy Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: Marital Status: Divorced 07 Place of Death County: Kent City: Grand Rapids Hospital or Ollier Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 170 Florence St. City: Woodland Manner of Death: Not Specified Line 1: Small Cell Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: General Labor Factory Woodland County: Barry Zip Code: 48897 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 070296 Decedents Name: , Sex: Male Daniel C. Hutchings Date of Death: 11/12/995 Spouses Name: Date of Birth: 08/24/971 SSN:-372-02-3517 Fathers Name: Daniel E. Hutchings Mothers Name: Suze A. Sherrington Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No High School Marital Status: Never Married Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Butterworth Hospital Patient Status: Inpatient Residence Address: 11126 Chief Noon- Day RoaYankee City: Yankee Springs Twp Manner of Death: Accidental Line 1: Craniocerebral Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 11/11/1995 Struck By Car That Crossed Centerline Technician Plumbing & Heating County: Barry Zip Code: 49333 �State File No? CERTIFICATE OF DEATH MICHIGAN DEPARTMENT OF HEALTH Vital Records Section BIRTH No. _________ Odlhoun____________ __ b. CITY (if outside corporate limits, write BUBAL and give o o OR village ui township) ----------_____ C. TOWNSHIP. Michigan (Name &) c. LENGTH OF STAY (in thia place) Battle Creek________ CITY OR VILLAGE 26 Yra. '8. TFlrst) (Type or Print) MARGIN RESERVED FOR BINDING Housewife___________ 13. FATHER'S NAME x W 9. AGE (In years last birthday) 8. DATE OF BIRTH 10b. KIND OF BUSINESS OR INDUSTRY 11. BIRTHPLACE (State or f Home________ 1 I 14. MOTHER'S MAIDEN NAME Lafeyette________________ IVAS DECEASED 16. WAS ---------------- EVER IN U.S. ARMED FORCES? (Yes. no. or unknown) (If yes. giro war or dates of service) (Day) (Month) (Year) OF DEATH IAug» 7» 1878 Widowed White FemdL e 1 I « 4.2$ PlaRsantviftW Dr 4. OATt Irving B> Hattie __________________ 10a. USUAL OCCUPATION (Give kind of work done during moat of working life, even If retired) x C. (Last) 7. MARRIED. NEVER MARRIED, WIDOWED, DIVORCED (Specify) , ADDRESS b. (Middle) 6. COLOR OR RACE 5. SEX „ „ -Cal houn—------ 0. Is Besldence within limits of a city or Incorporated village T Yes No — —Battle. .Creek STREET (if rural, give location) d. FULL NAME OF (If not in hospital or institution, five street address or location) HOSPITAL OR INSTITUTION m 3. NAME OF DECEASED local Filo No. 2. USUAL RESIDENCE (Where deceased lived. If Institution: residence before admission.) a. STATE b. COUNTY 1. PLACE OF DEATH a. COUNTY 79 sign country) If under 1 rear Days Months 1253 If under 24 Hrs, Hours 12. CITIZEN OF WHAT COUNTRY? Mic USA Igaa_________ NXftE OF HUSBAND OR WIFE OF DECEASED Henrietta Frost ________ ----------------lg |HF0RMAMrs mnn Charles Trying RFD # 1 ABDRKS Averett" Trying___ Augusta JLLnhlgai Nodjs._______ MEDICAL CERTIFICATION 17. SOCIAL SECURITY NO. No Interval Between 19. CAUSE OF DEATH I. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH*(a). Enter only one cause per lino for (a), (b). and (c) ANTECEDENT CAUSES o * This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease. Injury or complication which caused death. Morbid conditions. If any, giving DUE TO (b) rise to the above cause (a) stating the underlying cause last. --------------------------------------------------------- DUE TO (0 II. OTHER SIGNIFICANT CONDITIONS Conditions contributing to the death but not related to the disease or condition causing death, 19d. DATE OF OPERATION 19o. MAJOR FINDINGS OF OPERATION 20. AUTOPSY? X Tea 21a. ACCIDENT SUICIDE HOMICIDE o ui (Specify) 21b. PLACE OF INJURY (e.g.. In or about home. farm, factory, street, office bldg., etc.) /7^ & , 19i£j£7and that death occurred atj ? • on ■ tn to 1 AM~^ “---------- '--------------------------- 1 1 1 n (Decree or title) 23b. ADDRESS 23a. SIGNATURE/ B-38 (STATE) While at f-1 Not While f“| Work LJ at Work LJ 22. I hereby certify that I attended the deceased from REMOVAL (COUNTY) INJURY OCCUR? OF INJURY DAl? 21 c. (CITY, VILLAGE. OR TOWNSHIP) •19—that I last saw the deceased alive the causes and on the date stated above. 23c. DATE SIGNED (Specify) H?A?lIjUaL REG. REGISTRARS SIGHATtHfE-7^ Hlckory Cemetery _____ Hickory Corners, Mich 25. FUNERAL DIRECTOR’S SIGNATURE , NeaaaTifM ADDRESS Clyde B* Schimmel �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Laverne Joel Jackson Date of Death: 03/22/994 Date of Birth: 04/20/930 Fathers Last Name: Jackson Place of Death Hospital: Unknown City: Lowell Sex: Male Age: 63 County: Kent SSN: 384-38-0435 If Hospital: Inpatient Residence County: Barry City: Woodland Twp Zip Code: 48849 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 9691 Brown Rd. Marital Status: Married Race: White Underlying Cause of Death: 2901 Related Cause of Death (*) 112901 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 17037 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 054660 Decedents Name: Sex: Male Gordon Andrew 0. Jerome Date of Birth: 08/23/915 Date of Death: 09/14/996 SSN: 373-07-6905 Spouses Name: Fathers Name: Andrew Jerome Mothers Name: Anna Johnson Place of Birth: North Dakota Ancestry: Armed Forces: Education: French Race: White No Marital Status: Widow, Widower 3 years College Place of Death City: Springfield County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4351 Indian Isle Johnstown City: Johnstown Twp Manner of Death: County: Barry Zip Code: 49017 Not Specified Line 1: Acute Myocardial Infarction Line 2: Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Adult Onset Diabetes; Congestive Heart Failure; Peripheral Vascular Disease. Injury Date: Description of Injury: Occupation: Industry: Pharmacist Self-employed/retail Pharmacy �„n MICHIGAN DEPARTMENT OF PUBLIC HEALTH 27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016176 Decedents Name: Sex: Male Richard L. Jelinek Date of Birth: 09/08/928 SSN: 366-22-9642 Date of Death: 03/24/995 Spouses Name: Frances Beatty Fathers Name: Frank Jelinek Mothers Name: Evangeline Gilbert Place of Birth: Michigan Hospital: Borgess Med Cen Ancestry: Other Easter European Armed Forces: Education: Race: White Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 8840 Wertman Rd. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Intracerebral Hemorrhage Line 2: Acute Myocardial Infarction Line 3: Dementia Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Machine Operator Manufacturing County: Barry Zip Code: 49064 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 028646 Decedents Name: Sex: Male Walter E. Jodon Date of Birth: 01/24/918 SSN: 377-14-9716 Date of Death: 05/14/996 Spouses Name: Margaret M. Armour Fathers Name: Walter B. Jodon Mothers Name: | Grace Bolyen Place of Birth: Michigan Ancestry: Armed Forces: Education: French Race: White Yes High School Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 5021 W. Sheffield Road Barry City: Barry Twp Manner of Death: Not Specified Line 1: Ischemic Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Cerebral Embolism Injury Date: Description of Injury: Occupation: Industry: Facilities Maintenance Supervi State Of Michigan County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o County of Occurrence 12/02/97 State of Residence: Michigan File Number: 022722 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Carrol W. Johnson Sex: Male 04/09/997 Date of Birth: 03/20/917 SSN: 397-01-4174 Kathleen Johnson Me Kinley Johnson Esther Jackson Ohio British, Scotch, Welsh, Scotch Irish Y Race: White Marital Status: Married Education: High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 5754 Mckibbin Rd. Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Gangrene Of Lower Extremity Line 2: Line 3: Line 4: Other Conditions: Diabetes Mellitus Injury Date: Injury Description: Occupation: Supervisor Industry: Automobile County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CLIFFORD IRVIN JOHNSON Date of Death: 08/02/993 Date of Birth: 01/10/911 Fathers Last Name: JOHNSON Place of Death Hospital: Unknown City: Athens Twp Sex: Age: County: Calhoun SSN: 366-07-2260 If Hospital: Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces; No Ancestry: American Education: 10 Address: 2341 FINE LAKE Marital Status: Divorced Race: White Underlying Cause of Death: 7999 Related Cause of Death (*) 117997 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury:. Location: * State File Number: 48193 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062875 Patient Information Sex: Male Decedents Name: Gerry Eguene Johnson Date of Birth: 08/30/958 Date of Death: 10/11/997 SSN: 307-64-6259 Spouses Name: Fathers Name: Gerald C. Johnson Mothers Name: Alice M. Hughett Place of Birth: Indiana Ancestry: American Indian Armed Forces: No Education: 10 Race: White Marital Status: Never Married Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Butterworth Hospital Residence Address: 812 Greenwood Middleville City: , Middleville Manner of Death Manner: Accidental Line 1: Medical Complications Of Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: 10/03/1997 Injury Description: Pedestrian Hit By Vehicle Occupation: Painter Industry: Construction County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JANICE MARIE JORDAN Date of Birth: 05/15/940 Date of Death: 07/01/993 Fathers Last Name: Boulter Place of Death Hospital: Unknown City: Grand Rapids Sex: Age: County: Kent SSN: 365-40-4822 If Hospital: Unknown Residence County: Barry City: Woodland Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 7617 Jordan Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 1579 Related Cause of Death (*) 111579 Autopsy: No Findings Available: Unknown Actual Place: Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42955 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Anton Jurisic Date of Death: 04/09/994 Date of Birth: 12/01/902 Fathers Last Name: Jurisic Sex: Male Age: 91 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Baltimore Twp Zip Code: 49058 SSN: 297-14-1813 Address: 3506 Lawrence Road Place of Birth: Pennsylvania Armed Forces: No Marital Status: Widow, Widower Ancestry: Other Southern European Race: White Education: Unknown Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 22254 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 4) of Barry County Residents who died outside of Barry County, 1900-1998. Guthrie to Jurisic. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 4) of Barry County Residents who died outside of Barry County. Guthrie to Jurisic Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/857/Death_Transcripts_Barry_County_Vol._5.pdf 6d22966a9efff8658cd5bb7844ac5d05 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 5) begins with Kahl and ends with Lynd �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Austin Kahle Date of Death: 10/05/994 Date of Birth: Fathers Name: Robert Kahle Mothers Name: Christina Clay Spouses Name: Sex: Male 10/05/994 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: None SSN: Address: 1095 Briggs Road Marital Status: Never Married Race: White Underlying Cause of Death: 7650 Related Cause of Death 117650 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 063332 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043628 Sex: Female Decedents Name: Bailey Kate Karcher Date of Birth: 07/02/995 Date of Death: 07/02/995 SSN: Spouses Name: Fathers Name: William J Karcher Mothers Name: Teri L Kitchen Place of Birth: Michigan Ancestry: German Race: White Armed Forces: Nd Marital Status: Never Married Education: None Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Metropolitan Hospital Residence Address: 1014 Greenwood Middleville City: Middleville Manner of Death: County: Barry Zip Code: 49333 Not Specified Line 1: Premature Delivery (21 Wks) ••• Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Never Employed �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 009196 Decedents Name: Sex: Female Elizabeth E. Kauffman Date of Birth: 09/29/910 Date of Death: 01/02/997 SSN: 364-62-8377. Spouses Name: Gayl E. Kauffman Fathers Name: Monte Norris Mothers Name: Lucy McEIdowney Place of Birth: Indiana Ancestry: Armed Forces: Education: Irish Race: White No Marital Status: Married High School Place of Death City: Lansing County: Ingham Hospital or Other Place of Death Michigan Capital Med. Ctr. - Greenlawn Campus Patient Status: Inpatient Residence Address: 5124 Saddle Bag Road Woodland City: Woodland Manner of Death: Not Specified Line 1: Cardiopulmonary Arrest Line 2: Pneumonia Line 3: Atherosclerotic Heart DiseaseLine 4: Other Conditions: Dementia, Malnutrition. Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 48897 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MAYNARD D. KAUFFMAN Date of Death; 08/07/993 Date of Birth: 05/02/903 Fathers Last Name: KAUFFMAN Sex: Male Age: 90 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: BarryCity: Baltimore Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 08 SSN: 365-40-0769 Address: 3506 LAWRENCE RD. Marital Status: Never Married Race: White Underlying Cause of Death: 7990 Related Cause of Death (*) 117990 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 48108 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 014683 Decedents Name: Sex: Female Jacqueline E. Kearney Date of Birth: 06/11/926 Date of Death: 03/09/995 SSN: 369-22-8494 Spouses Name: Roy A. Kearney Fathers Name: Arthur A. Tomes Mothers Name: Violet V. Kelly Place of Birth: Michigan Hospital: Unknown Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No Marital Status: Married 4 years of college Place of Death County: Calhoun City: Emmet Twp If Hospital: Residence Address: 7203 Bird Road City: Baltimore Twp Manner of Death: Baltimore County: Barry , Zip Code: 49058 Not Specified Line 1: Carcinoma Of Lung Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Inj uiy: Occupation: Industry: Homemaker Own Home Page 1 ’^99^9999999^99999 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF5 Michigan Decedents Names ALICE R« KEIHL Date of Deaths 02/04/993 Date of Birth: 06/26/905 Fathers Last Names Munch P1 a c: e o f Dea th Hosp ita1s Unknown City: Grand Rapids Sexs Female Age: 87 Countys Kent I f Hosp i t a 1 s I rip at i ent Rasi d enc e Countys Barry C i Iy s Na sh v i 1 le Zip Codes 49073 SSN: 380-05-2868 Address: 204 Maple St. Place of Births Michigan Armed Forcess No Ancest rys Nor th A frlean Educations 2 years College Marital Status: Widow, Widower Race: White Under lying Cause of Deaths 4299 Re1a ted Ca use o f Dea th (X ) 114299 Autopsys No Findings Available: Unknown Actual Places Nursing Home Medic a1 E x a m i ner Ca se s Unknown Mode of Deaths Natural Work Injury: Loe a t i on s State File Number: 8739 (#> Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 056163 Patient Information Sex: Male Decedents Name: Charles W. Kelchner Date of Death: 09/27/997 Date of Birth: 07/26/923 SSN: 166-14-8311 Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Raymond Kelchner Susan Duke Pennsylvania German Race: White Yes High School Marital Status: Widow, Widower Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Inpatient Kent Comm Hospital Complex Residence Address: City: 529 North Jefferson St. Hastings Hastings Manner of Death Manner Not Specified Line 1: Cardiac Arrhythmia Line 2: Arteriosclerosis Line 3: Line 4: Other Conditions: Renal Insufficiency, Cgpgeslive Heart Failure Injury Date: Injury Description: Occupation: Sales Representative Industry: Cable Products Manufacturing County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Kendall Hart Keller Date of Death: 03/04/994 Date of Birth: 02/28/920 Fathers Last Name: Keller Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex; Male Age: 74 County: Kalamazoo SSN: 383-14-8224 Address: 4501 Walldorff Rd. Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: 10 Marital Status: Married Race: White Underlying Cause of Death: 436 Related Cause of Death (*) 11436 215070 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 16621 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002476 Patient Information Sex: Male Decedents Name: Charles L. Kelley Date of Death: o 1/03/1998 Spouses Name: Helen L. Lewis Date of Birth: 05/02/1918 SSN: 368-10-4728 Fathers Name: William Kelley Mothers Name: Lula Balke Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: High School Marital Status: Married Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: City: 6190 Cherry Valley Rd. Thomapple Twp Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: 8joumeyman Industry: Office Furnishings Manufacture County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH, DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 030273 Decedents Name: Sex: Female Edna L. Kemp Date of Death: 05/11/996 Date of Birth: 05/11/907 SSN: 362-38-5332 Spouses Name: Fathers Name: George Whitman Mothers Name: Alice Warner Place of Birth: Minnesota Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 821 Pine Creek Drive City: Middleville Manner of Death: Not Specified Line 1: Pneumonia Line 2: Urinary Tract Infection Line 3: Line 4: Other Conditions: Congestive Heart Failure Injury Date: Description of Injury: Occupation: Industry: Page 1 Retail Sales Store Owner Middleville County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 054546 Patient Information Sex: Male Decedents Name: John Jr. Earl Kennedy Date of Birth: 10/25/926 SSN: 377-22-6653 Date of Death: 09/08/997 Spouses Name: Fathers Name: John Earl Kennedy Mothers Name: Reva Aurelia Barbee Place of Birth: Michigan Ancestry: French Race: White Armed Forces: Yes Marital Status: Never Married Education: 10 Place of Death County: Calhoun City: Bedford Twp Patient Status: Inpatient Hospital or Other Place of Death: VA Medical Center - Battle Creek Residence Address: City: 11680 Case Road Assyria Assyria Twp Manner of Death Manner: Not Specified Line 1: Chronic Obstructive Pulmonary Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Clerk Industry: Post Office County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Ralph S. Kenyon Date of Death: 05/22/994 Date of Birth: 07/07/907 Fathers Last Name: Kenyon Sex: Male Age: 86 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Emergency Room/Outpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 SSN: 363-42-2175 Address: 12007 Green Lake Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4292 Related Cause of Death (*) 114279 214279 314284 612512 627802 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: No Location: Residential Institution State File Number: ) (* 30507 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Thelma Grace Ketchum Date of Birth: 02/22/943 Date of Death: 08/15/994 Fathers Last Name: Robinson Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient SSN: 362-44-7613 Residence County: Barry City: Orangeville Twp Zip Code: 49080 Place of Birth: Kentucky Armed Forces: No Ancestry: American Education: 10 Sex: Female Age: 51 Address: 7755 Lindsey Road Marital Status: Married Race: White Underlying Cause of Death: 1729 Related Cause of Death (*) 115701 211729 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 49745 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EVERETT R. KETTLE Date of Death: 09/28/993 Date of Birth: 02/03/918 Fathers Last Name: Kettle Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Emergency Room/Outpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Male Age: 75 SSN: 384-10-0343 Address: 11911 Gurd Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4149 Related Cause of Death (*) 114275 214279 314149 612500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 61956 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 024333 Patient Information Sex: Male Decedents Name: Raymond L. Kidder Date of Birth: 02/07/1927 Date of Death: 04/04/1998 SSN: 378-28-0975 Spouses Name: Fathers Name: Arthur Kidder Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Mina Debar Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced 10 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 2740 Heath Road Rutland Rutland Twp Manner of Death Manner: Not Specified Line 1: Renal Failure Line 2: Diabetes Mellitus, 11, Insulin Dependent Line 3: Line 4: Other Conditions: Chf, Old Cva, Anemia Injury Date: Injury Description: Occupation: Driver Industry: Trucking County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 043164 Decedents Name: Sex: Male Piet Kingma Date of Birth: 05/18/926 Date of Death: 07/08/996 SSN: 373-82-0100 Spouses Name: Hennie A. M. Pen Fathers Name: Ate Kingma Mothers Name: Janna Vander Vaart Place of Birth: Unknown Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Married 5 years of college Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital t Residence Address: 7625 Parmalee Road Thomapple City: Thomapple Twp Manner of Death: Not Specified Line 1: Heart Failure Line 2: Bowel Obstruction With Strangulated Bowel Line 3: Line 4: Other Conditions: Colon Cancer With Metastasis To Liver Injury Date: Description of Injury: Occupation: Industry: Page 1 Minister American Reformed Church County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: SHERMAN JUNIOR KISTLER Date of Death: 11/05/993 Date of Birth: 08/03/917 Fathers Last Name: Kistler Place of Death Hospital: Unknown City: Oshtemo Twp Sex: Male Age: 76 County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 SSN: 368-01-4541 Address: 11295 Sunset Point Dr. Place of Birth: Indiana Marital Status: Widow, Widower Armed Forces: Yes Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4280 Related Cause of Death (*) 114280 61492 622859 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 69153 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Harvey Moses Knapp Date of Death: 11/19/994 Date of Birth: Fathers Name: Ralph Knapp Mothers Name: Edna Quinsey Spouses Name: Myrna Baker Sex: Male 03/09/926 Place of Death Hospital: Gratiot Community Hospital City: Alma County: Gratiot If Hospital: Emergency Room/Outpatient Residence County: Barry City: Prairieville Twp Zip Code: 49060 SSN: 385-24-2913 Address: 189 E. Shore Dr. Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education : High School Underlying Cause of Death: 410 Related Cause of Death 11410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 069172(*) (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 040159 Decedents Name: Sex: Male Richard W. Knauss Date of Death: 06/11/996 Spouses Name: Shirley F. Boerema Date of Birth: 01/21/934 SSN: 382-26-0764 Fathers Name: Douglas Knauss Mothers Name: Lois Schmidt Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Cadillac County: Wexford Hospital or Other Place of Death Patient Status: Inpatient Mercy Hospital - Cadillac Residence Address: 911 Greenwood Middleville City: Middleville Manner of Death: Not Specified Line 1: Ventricular Fibrillation Line 2: Recent Myocardial Infarction Line 3: Line 4: Other Conditions: Subarachnoid Hemorrhage Injury Date: Description of Injury: Occupation: Industry: Page 1 Semi-driver Van Waters & Rogers Inc. County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Anna Marie Knorr Date of Death: 08/08/994 Date of Birth: 02/22/910 Fathers Last Name: Seeley Place of Death Hospital: Unknown City: Cooper Twp Sex: Female Age: 84 County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Ohio Armed Forces: No Ancestry; German Education: High School SSN: 291-26-0110 Address: 12009 Doster Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 436 Related Cause of Death (*) 115849 21436 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49809 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Clyde, Jr. John Koopman Date of Death: 04/29/994 Date of Birth: 08/24/937 Fathers Last Name: Koopman, Sr. Sex: Male Age: 56 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 373-34-8437 Residence County: Barry City: Hope Twp Zip Code: 49058 Address: 1475 W. Sager Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 1539 Related Cause of Death (*) 111539 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 30338 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 076668 Patient Information Sex: Male Decedents Name: Jonathan L. Koops Date of Death: Date of Birth: 08/31/985 12/22/997 SSN: 384-06-6935 Spouses Name: Fathers Name: Larry L. Koops Mothers Name: Jean F. Tucker Place of Birth: Michigan Ancestry: Armed Forces: Other Western European Race: White No Marital Status: Never Married Education: 05 Place of Death County: Kent City: Caledonia Twp Hospital or Other Place of Death: Patient Status: Not Classifiable Residence Address: City: 2248 Parker Drive Yankee Yankee Springs Twp Manner of Death Manner: Accidental Linel: Multiple Systems Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: 12/22/1997 Injury Description: Two Car Broadside Accident Occupation: Student Industry: Education County: Barry Zip Code: 49348 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 009557 Patient Information Decedents Name: Sex: Female Geraldine Eva Kramer Date of Birth: 06/23/1912 Date of Death: 02/22/1998 SSN: 382-03-6200 Spouses Name: Fathers Name: Fred Tunnell Mothers Name: Mary Gwizdala Place of Birth: Michigan Ancestry: French Race: White Armed Forces: Marital Status: Widow, Widower Education: Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: 7172 Lindsey Road Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Acute Cerebrovascular Thrombosis Line 2: Line 3: Line 4: Other Conditions: Atherosclerotic Cardiovascular Disease Injury Date: Injury Description: Occupation: Automotive Industiy: Factory County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 062764 Decedents Name: Sex: Female Denise A. Krouse Date of Birth: 08/13/965 Date of Death: 09/29/995 SSN: 364-62-6246 Spouses Name: Fathers Name: Lawrence Snowden Mothers Name: Kay Jarrard Place of Birth: Michigan Ancestry: American Armed Forces: Education: Race: White No Marital Status: Divorced 1 year College Place of Death .4’ ' City: Lansing County: Ingham Hospital or Other Place of Death Patient Status: DOA with hospital name Enroute to Hospital Residence Address: 512 E. Walnut Hastings City: Hastings Manner of Death: Accidental Line 1: Multiple Injuries From Auto Accident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 09/29/1995 One Car Accident Originator Mortgage Company County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Clarence E. Kruger Date of Death: 04/08/994 Date of Birth: 07/06/920 Fathers Last Name: Kruger Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 7 3 County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 11 SSN: 371-18-7702 Address: 2520 E. Quimby Road Marital Status: Married Race: White Underlying Cause of Death: 2500 Related Cause of Death (*) 11486 21436 314149 412500 617872 625929 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death:• Natural Work Injury: Location: State File Number: (*) 23815 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/29/95 NON-COUNTY RESIDENT State: Michigan File Number: 029477 Decedents Name: Sex: Male Clarence C, La Bin Date of Birth: 07/19/918 Date of Death: 05/21/995 SSN: 366-14-7531 Spouses Name: Evelyn M. VanDeusen Fathers Name: Charles LaBin Mothers Name: Pauline Peltier Place of Birth: Michigan Hospital: Ancestry: Armed Forces: Education: Blodgett Mem Med Cen French Race: White Yes Marital Status: Married 09 Place of Death County: Kent City: East Gmd Rapids If Hospital: Inpatient Residence Address: 5140 W. Barnum Rd. Irving City: Irving Twp Manner of Death: Not Specified Line 1: Mesenteric Ischemia Line 2: Embolism To Superior Mesenteric Artery Line 3: Atrial Fibrillation Line 4: Other Conditions: Recurrent Colon Cancer Injury Date: Description of Injury: Occupation: Industry: Page 1 Janitor-maintenance General Motors County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 030046 Patient Information Sex: Female Decedents Name: Rica La Fleur Date of Birth: 04/14/903 Date of Death: 05/15/997 SSN: 374-42-3157 Spouses Name: Fathers Name: Tenis Gelder Mothers Name: Alice Bergsma Place of Birth: New York Ancestry: Other Western European Race: White Armed Forces: No Marital Status: Widow, Widower Education: 08 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 13608 Bedford Rd. Johnstown Johnstown Twp Manner of Death Manner: Not Specified Line 1: Acute Renal Failure Line 2: Congestive Heart Failure Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFa Michigan Decedents Names FLORENCE VIOLET LAKE Date of Death:: 03/01/993 Date of Births 01/16/899 Fathers Last Names Crumpacker P1 a c e o f Dea t h Hosp ita 1:: Un known Citys Grand Rapids If Hospitals Sexs Female Ages 94 Countys Kent SSNs 380-38-8480 Inpatient Residence Countys Barry Citys Yankee Springs Twp Zip Codes 4905'8 Place of Births Michigan A r med Fo r c es s No A nc: es t r y s F r enc h Education:: 08 Addresss 4525 Chief Noonday Rd, Ma ri t a1 S t a t us s Widow, Widower Races White Under 1 ying Cause o f Deat h s 486 Related Cause of Death 11486 Autopsy: No Findings Available:: Unknown Actual Places Nursing Home Medical Examiner Cases Unknown Mode of Deaths Natural Wo rk I n jury 8 Locat i on s Stat e Fi1e Numbers 15642 the 1 st d ig i t bei rig t he 1 ine, the 2nd beiti<J (#> Six digits with the line, and posit ions 3-6 being the I CD coce... pos iti on w i thi n �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 016168 Decedents Name: Sex: Male Claude La Londe Date of Birth: 04/09/932 Date of Death: 03/24/996 SSN: 383-30-4603 Spouses Name: Fathers Name: Unknown Mothers Name: Margaret Me Cormick Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Never Married Unknown Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 121 N. Washington Hastings City: Hastings Manner of Death: Accidental Line 1: Medical Complications Of Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Page 1 Acute Ethanol Intoxication 03/17/1996 Struck By Car While Walking Along Street Occupation: Unknown Industry: Unknown County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 076289 Patient Information Sex: Female Decedents Name: Marcia Dawn Lampert Date of Death: Date of Birth: 03/28/951 SSN: 363-56-3668 12/07/997 Spouses Name: Robert Lampert Fathers Name: Kenneth E. Bray Sr. Mothers Name: Mary A. Burleson Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Married Education: High School Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 1973 North Broadway Hastings Twp County: Barry Hastings Zip Code: 49058 Manner of Death Manner: Not Specified Linel: Metastatic Small Cell Cancer, Unknown Primary Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002570 Patient Information Decedents Name: Wilbur I. Lane Sex: Male Date of Birth: 08/03/1912 SSN: 368-03-8244 Date of Death: 01/25/1998 Spouses Name: Wilma Kabbe Fathers Name: Charlie Lane Mothers Name: Caddie Temple Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Married Education: High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 1809PiferRd. Bany Barry Twp Manner of Death Manner: Not Specified Line 1: Abdominal Carcinomatosis Line 2: Intestinal Cancer Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Payroll Clerk Industiy: Fans County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CHARLES ALBERT LANGNER Date of Death: 07/29/993 Date of Birth: 02/07/905 Fathers Last Name: Langner Sex: Male Age: 88 Place of Death Hospital: Metropolitan Hospital City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 335-09-4978 Residence County: Barry City: Yankee Springs Twp Zip Code: 49348 Place of Birth: Illinois Armed Forces: No Ancestry: German Education: 08 Address: 12725 Park Dr. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 436 Related Cause of Death ( ) * ’ 11436 123314 132901 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 49648 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS 05/13/98 County of Residence o County of Occurrence State of Residence: Michigan File Number: 076377 Patient Information Decedents Name: Jesse Owen Laubaugh Sex: Male Date of Birth: 06/15/996 SSN: 363-21-7655 Date of Death: 12/04/997 Spouses Name: Fathers Name: Lynn L. Laubaugh Mothers Name: Martha L. Wolfe Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Armed Forces: No Ancestry: Race: White Education: None Marital Status: Never Married Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Butterworth Hospital Residence Address: City: 154 E. Broadway Woodland Woodland County: Barry Zip Code: 48897 Manner of Death Manner: Not Specified Line 1: Cardiopulmonary Failure Line 2: Progressive Neurometabolic Degenerative Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Never Employed Industry: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 014224 Decedents Name: Sex: Female Leona M. Lawrence Date of Birth: 08/23/908 Date of Death: 03/06/997 SSN: 374-40-6956 Spouses Name: Curtis Lawrence Fathers Name: Fred Hart Mothers Name: Edla Lloyd Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Gunplain Twp County: Allegan Hospital or Other Place of Death Patient Status: Unknown Residence Address: 14475 Brook Lodge Rd. Barry City: Barry Twp Manner of Death: Not Specified Line 1: Aspiration Secondary Alzheimer's Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 009148 Patient Information Decedents Name: Sex: Male Gordon Kendall Lehman Date of Birth: 05/24/1956 Date of Death: 02/11/1998 Spouses Name: SSN: 375-56-6588 Pamela J. Bell Fathers Name: George Lehman Mothers Name: Helen Sue Henderlite Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Marital Status: Married Education: High School Place of Death County: Ingham City: Lansing Patient Status: Inpatient Hospital or Other Place of Death: Sparrow, Edward W Hospital Residence Address: City: 6500 Gurd Road County: Barry Hope Zip Code: 49058 Hope Twp Manner of Death Manner: Not Specified Line 1: Cardiac Arrest Line 2: Pulmonary Embolism Line 3: Line 4: Other Conditions: Myocardial Infarction Injury Date: Injury Description: Occupation: Master Plumber Industry: Self Employed 7k '4 4' 41 * j. M. i.1. * W J & 1. k A a X. «L 4. ~ - Xx �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036561 Sex: Female Eda Anna Leinaar Decedents Name: Date of Birth: 06/16/895 Date of Death: 06/15/996 SSN: 379-24-0582 Spouses Name: Christian Hartman Fathers Name: Mothers Name: Elizabeth Swankoff Place of Birth: Michigan German Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death City: Kalamazoo Twp County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 145 Bush St. City: Barry Twp Manner of Death: Not Specified Line 1: Uremia Line 2: Nephrosclerosis Line 3: Atherosclerosis Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Homemaker At Home Barry Mi County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents hkmes CLIFFORD EUGENE LEONARD Date of Deaths 02/03/993 Date of Births Fathers Last Names LEONARD Place of Death Hosp i t a 1Un l< nown C i t y: G r a nd Ra p i d s 10/11/928 Sex: Male Age: 64 County: Kent I f Hosp i t a 1:: Un known SSN: 377-22-5742 Residence County:: Barry C i t y: F r a 1 r i e v i 11 e Twp Zip Code:: 49080 P1 a ce o f B i r th:: Mi c h i g a n Armed Forces:: No A ricest ry : No r th A f r i c: a n E d u c a t i on:: 0 8 Address: 12438 SUNSET PT- Ma r i t a1 Status: Ma rr ied Race: White Underlying Cause of Death: 1629 Re 1 a ted Ca use o f Dea t h (>K) 111629 Autopsy:: No Findings Available: Unknown Actual Place: Nursing Hoi» Medical Examiner Case: Unknown Mode? of Death: Natural Wotk Injury: Location: St a t e F i1e Numbe r: 8732 (#> Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 018849 Decedents Name: Sex: Female Kimberley Sue Lester Date of Birth: 01/29/963 SSN: 368-80-6288 Date of Death: 03/03/996 Spouses Name: Fathers Name: Larry Lester Mothers Name: Sandra Hook Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Never Married High School Place of Death City: Ann Arbor County: Washtenaw Hospital or Other Place of Death Patient Status: Inpatient University of Mich Hosps Residence Address: 8830 Wertman Road City: Hope Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Pneumonia Line 3: Line 4: Other Conditions: Injuiy Date: Description of Injury: Occupation: Industry: Page 1 Never Worked Hope County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CLIFFORD BURDETTE LEWIS Date of Death: 12/30/993 Date of Birth: 11/08/917 Fathers Last Name: Lewis Sex: Male Age: 76 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 08 SSN: 368-18-6258 Address: 526 Bluff Drive Marital Status: Married Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11431 219345 61410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 75956 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 069446 Patient Information Sex: Male Decedents Name: Vemor Max Lictka Date of Death: Date of Birth: 06/08/907 SSN: 380-03-8802 11/05/997 Spouses Name: Fathers Name: William C. Lictka Mothers Name: Mattie H. Thompson Place of Birth: Michigan Ancestry: German Race: White Armed Forces: Yes Marital Status: Widow, Widower Education: High School Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 133 Arnold St. Middleville Middleville Manner of Death Manner: Not Specified Line 1: Ventricular Tachycardia Line 2: Arteriosclerotic Heart Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Laborer Industry: Factory County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH . DEATH TRANSCRIPTS Non-County Residents i• • 04/17/96 State of Residence: Michigan File Number: 063383 Decedents Name: Sex: Female Lillian Irene Ligman Date of Death: 10/02/995 Date of Birth: 11/24/900 Spouses Name: 377-22-4775 Fathers Name: Arthur William Tusch Mothers Name: Sara Jane Lazenbe Place of Birth: Michigan Ancestry: German Armed Forces: No Education: Race: White Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Butterworth Hospital Patient Status: Inpatient Residence < Address: 412 Westwood Lawn Hastings City: Hastings Manner of Death: County: Barry Zip Code: 49058 ■ , Not Specified Line 1: Atherosclerotic Vascular Disease Line 2: Chronic Atrial Fibrillation Line 3: Renal Insufficiency . Line 4: Diabetes Mellitus , Other Conditions: Injury Date: Description of Injury: Occupation: Homemaker Industry: Own Home , V’ Page 1 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: FLORENCE F. LIND Date of Birth: 06/12/910 Date of Death: 08/15/993 Fathers Last Name: Brearley Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 83 County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 08 SSN: 378-34-0956 Address: 5555 Whitneyville Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4140 Related Cause of Death (*)• 114259 214140 612500 627854 63436 644019 652859 665939 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 49779 Six digits with the 1st digit being the line, the 2nd being the position within the lijie, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022776 Patient Information Sex: Female Decedents Name: Marilyn B. Lindberg Date of Death: 04/23/1998 Spouses Name: Date of Birth: 06/08/1926 SSN: 384-24-3089 Ernest E. Lindberg Fathers Name: E. Earl Bristol Mothers Name: Dorothy D. Clark Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish A ,— XT Armed Forces: No Race: White Education: High School Marital Status: Married Place of Death City: Battle Creek r > County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 2025 Lacey Road Johnstown Johnstown Twp County: Barry Zip Code: 49050 Manner of Death Manner: Not Specified Line 1: Carcinomatosis Whole Abdomen, Bowel Obstruction Line 2: Carcinoma Of The Colon Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 043092 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Sex: Male Jerry Harvey Lindberry Date of Birth: 06/29/936 07/10/997 SSN: 378-34-4863 Jeanie Baldus Arnold Harvey Lindberry Irma Clara Landauer Michigan German Race: White No Marital Status: Married Education: High School Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 11545 Winchester Dr. Orangeville Twp Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Emphysema Line 3: Coronary Pulmonale Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Sales Industry: Printing Orangeville County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062833 Decedents Name: Sex: Female Mary Alice Linderman Date of Birth: 05/23/919 Date of Death: 10/04/996 SSN: 383-09-5269 Spouses Name: Fathers Name: Chester Allerding Mothers Name: Mary Alice Wrench Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower 11 Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 290 N. Whitmore Rd. Rutland City: Rutland Twp Manner of Death: Not Specified Line 1: Diffuse Lymphoproliferative Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Page 1 Self Employed Linderman Polish & Buff County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 061781 Decedents Name: Sex: Male Herbert Chester Lindsey Date of Birth: 07/28/930 SSN: 373-28-3264 Date of Death: 10/29/995 Spouses Name: Fathers Name: Chester Lindsey Mothers Name: Zelpha Nickloy Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No Marital Status: Divorced 1 year College Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 1800 Stamm Road Johnstown City: Johnstown Twp Manner of Death: County: Barry Zip Code: 49050 Not Specified Line 1: Adult - Respiratory Distress Syndrome Line 2: Pneumonia. Line 3: Line 4: Other Conditions: Metastatic Lung Cancer. t Injury Date: Description of Injury: Occupation: Industry: Page 1 < Systems Analyst Government �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT 11/27/95 State: Michigan File Number: 023213 Decedents Name: Sex: Male Eugene R. Lingholm Date of Death: 04/25/995 Spouses Name: Winifred Hutchison Date of Birth: 05/31/929 SSN: 352-14-9598 Fathers Name: John Lingholm Mothers Name: Rita Nelson Place of Birth: Illinois Hospital: Borgess Med Cen Ancestry: American Armed Forces: Education: Race: White Yes Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 927 Bridge Street Nashville City: Nashville Manner of Death: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Coronary Atherosclerosis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry. Page 1 Computer System Analyst Federal Government County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029564 Patient Information Sex: Male Decedents Name: Clark E. Lipscomb Date of Birth: 07/10/1924 SSN: 373-20-8459 Date of Death: 05/03/1998 Spouses Name: Norma J. Quick Fathers Name: Leonard T. Lipscomb Mothers Name: Eva B. Clark Place of Birth: Michigan Ancestry: Armed Forces: German Race: White Yes Marital Status: Married Education: High School Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 1585 Lacye Road Johnstown Johnstown Twp Manner of Death Maimer: Not Specified Line 1: Ischemic Cardiomyopathy Line 2: Coronaiy Artery Disease Line 3: Diabetes Mellitus li Line 4: Other Conditions: Idiopathic Vasculitis Injuiy Date: Injuiy Description: Occupation: Production Industry: United Steel & Wire County: Bany Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Rodney K. Little Date of Death: 06/25/994 Date of Birth: 07/01/954 Fathers Last Name: Little Sex: Male Age: 39 Place of Death Hospital: Michigan Capital Med. Ctr. - S. Pennsylvania Campus City: Lansing County: Ingham If Hospital: Inpatient Residence County: Barry City: Nashville Zip Code: 49073 SSN: 365-60-5643 Address: 401 State Street Place of Birth: Illinois Armed Forces: Yes Ancestry: American Education: 10 Marital Status: Divorced Race: White Underlying Cause of Death: 0429 Related Cause of Death (*) 117991 213209 310429 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42832 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number 024166 Patient Information Sex: Female Decedents Name: Velma M. Long Date of Birth: 03/19/1915 Date of Death: 04/22/1998 SSN: 384-34-5358 Spouses Name: Fathers Name: George G. Moore Mothers Name: Isola Baker Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Aimed Forces: No Marital Status: Widow, Widower Education: High School Place of Death City: Kalamazoo County: Kalamazoo Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: 8520 Cory Drive City: Orangeville Twp Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Cva Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home Orangeville County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036698 Decedents Name: Sex: Male Peter Lopez Date of Birth: 01/18/943 Date of Death: 06/07/996 SSN: 265-76-0216 Spouses Name: Ruth Helen Corlee Fathers Name: Juan Lopez Mothers Name: Santa Flores Place of Birth: Unknown Ancestry: Armed Forces: Education: Cuban Race: White Yes Marital Status: Married High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Butterworth Hospital Residence Address: 6060 Wolverine Dr. Middleville City: Middleville Manner of Death: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Finishing Engineer Office Furniture County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 043356 Sex: Female Christy Lynn Lortie Decedents Name: Date of Birth: 05/27/974 Date of Death: 07/02/996 SSN: 216-23-9556 Spouses Name: Fathers Name: Dennis James Lortie Margaret Ann Robbins Mothers Name: Place of Birth: Illinois Ancestry: Aimed Forces: Education: French Race: White No Marital Status: Never Married High School Place of Death City: Lowell Twp County: Kent Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 2715 Ragla Road Carlton City: Carlton Twp Manner of Death: County: Barry Zip Code: 49058 Accidental Line 1: Multiple Traumatic Injuries Line 2: Line 3: Line 4: Other Conditions: InjuiyDate: Description of Injury: Occupation: Industry: 07/02/1996 Car Rear Ended By Semi Truck, Pushed, Then Burned. Student �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Charles Duane Love Date of Death: 12/11/994 Date of Birth: Fathers Name: Willard L. Love Mothers Name: Vivian M. Marshall Spouses Name: Sex: Male 02/06/945 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient SSN: 378-48-6646 Residence County: Barry City: Assyria Twp Zip Code: 49021 Address: 10817 Lacey Road Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 410 Related Cause of Death 11410 214140 61486 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 075254 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068551 Decedents Name: Sex: Male Richard Lee Lovely Date of Birth: 11/29/940 SSN: 366-42-5487 Date of Death: 11/02/996 Spouses Name: June Smith Fathers Name: Bernie Lovely Mothers Name: Edna Conley Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 11829 Cedar Street Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Apprentice Printer Paper Manufacturing County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 045767 Decedents Name: Sex: Female Betty Marie Ludescher Date of Birth: 10/26/920 Date of Death: 07/20/996 SSN: 380-20-8383 Spouses Name: William Ludescher Fathers Name: Frank Quigley Dolly Logan Mothers Name: Place of Birth: Minnesota Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: St. Clan- City: Yale Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 1050 Charlton Dr. Hastings City: Hastings Manner of Death: Not Specified Line 1: Cancer Of Pancreas-metastasis To Liver Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Marion Jean Lynch, Jr. Date of Death: 07/23/993 Date of Birth: 03/15/924 Fathers Last Name: Lynch, Sr. Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 69 County: Kent If Hospital: Inpatient SSN: 317-14-7740 • Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Illinois Armed Forces: No Ancestry: Irish Education: High School Address: 8115 Shaw Lake Road Marital Status: Married Race: White Underlying Cause of Death: 496 Related Cause of Death (*) 11436 217813 31496 611629 62185 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 43080 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009202 Decedents Name: Sex: Male Thomas L. Lynd Date of Birth: 01/12/959 Date of Death: 02/14/996 SSN: 381-46-6703 Spouses Name: Sharon Farmer Fathers Name: Fed Winans Mothers Name: Margaret Lynd Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 135 W. Orchard St. Barry City: Barry Twp Manner of Death: Not Specified Line 1: Pneumonia (Streptococcal) Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Sales Auto Parts County: Barry Zip Code: 49046 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 5) of Barry County Residents who died outside of Barry County, 1900-1998. Kahl to Lynd Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 5) of Barry County Residents who died outside of Barry County. Kahl to Lynd Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/858/Death_Transcripts_Barry_County_Vol._6.pdf 03a375f7b9bbc6a21f7a1d4a3f36c3c0 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 6) begins with Mac Iver and ends with McVey * Note: "M" and "Me" are separate letter categories * �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076293 Decedents Name: Sex: Female Mildred Maclver Date of Birth: 11/14/902 DateofDeath: 12/15/996 SSN: 375-18-0835 Spouses Name: Fathers Name: Joseph Schnurr Mothers Name: Mabel Me Cloud Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: Marital Status: Widow, Widower 2 years College Place of Death County: Kent City: East Gmd Rapids Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 9336 Parmelee Rd. Thomapple City: Thomapple Twp Manner of Death: Accidental Line I: Medical Complications Of Fractured Hip Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: 12/13/1996 Fell At Home Occupation: Housewife Industry: Own Home County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 043066 Patient Information Decedents Name: Date of Death: Carol Thorton Fathers Name: Harry Mackey Place of Birth: Ancestry: Armed Forces: Education: Date of Birth: 10/24/920 07/24/997 Spouses Name: Mothers Name: Sex: Male Jessie Eldon Mackey SSN: 379-18-7356 Lola May Weimer Michigan German Race: White Yes Marital Status: Married High School Place of Death City: Galesburg County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 5112 W. Hickory Rd. Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Cerebral Vascular Accident Line 2: Pneumonia Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Rikk Checker Industry: Paper Industry County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 016869 Patient Information Sex: Male Decedents Name: Lawrence E. Main Date of Death: 03/12/1998 Spouses Name: Barbara A. Rozema Date of Birth: 09/03/1933 SSN: 366-30-3923 Fathers Name: William C. Main Mothers Name: Bertha Larkin Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Yes Education: Marital Status: Married 11 Place of Death County: Isabella City: Mt Pleasant Patient Status: Inpatient Hospital or Other Place of Death: Central Michigan Community Hospital Residence Address: City: 3288 Barber Rd. Carlton Carlton Twp Manner of Death Manner: Not Specified Line 1: Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Maintenance Department Industry: Factory County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS . . Non-County Residents O3/25/97 State of Residence: Michigan File Number: 036734 Decedents Name: Sex: Female Agnes I. Mallison Date of Birth: 06/14/910 Date of Death: 06/06/996 SSN: 385-18-0588 Spouses Name: Fathers Name: Milo Blizzard Mothers Name: Thresa Westmorland Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 547 Lake Drive Woodland City: Woodland Twp Manner of Death: Not Specified Line 1: Chronic Obstructive Pulmonary Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Inspector U. S. Government County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 024263 Patient Information Sex: Female Decedents Name: Florence Mampreian Date of Death: 04/28/1998 Spouses Name: Edward Mampreian Date of Birth: 02/24/1921 SSN: 392-12-7309 Fathers Name: Seymore Pittsley Mothers Name: Viola Girard Place of Birth: Wisconsin Ancestry: German Race: White Armed Forces: No Marital Status: Married Education: 11 Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 7265 S. Broadway Rd. Baltimore Baltimore Twp Manner of Death Manner Not Specified Line 1: Anoxic Brain Damage Line 2: Cardiogenic Shock Line 3: Pericardial Tamponade Line 4: Pericardial Effusion Other Conditions: Acute Inferior Myocardial Infarction Injury Date: Injury Description: Occupation: Clerk Industry: Retail Store County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009430 Decedents Name: Sex: Male Keith Devere Marlow Date of Birth: 01/18/909 Date of Death: 02/08/996 SSN: 366-38-2346 Spouses Name: Lois Helrigel Fathers Name: Wade Marlow Mothers Name: Orpha Yarger Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 2730 Jordan Rd Carlton City: Carlton Twp Manner of Death: Not Specified Line 1: Respiratory Failure Line 2: Ascites, Pleural Effusion Line 3: Anaplastic Metastatic Carcinoma, Uncertain Primary Line 4: Other Conditions: Impaired Glucose Tolerance Injury Date: Description of Injury: Occupation: Industry: Farmer Self Employed County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 054162 Patient Information Sex: Male Decedents Name: Eddie Marshall Date of Birth: 11/03/904 Date of Death: 09/18/997 SSN: 407-01-1884 Spouses Name: Fathers Name: Estel Marshall Mothers Name: Josephine Risner Place of Birth: Kentucky Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: 08 Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: 11753 Lewis Rd. City: Orangeville Twp Orangeville Manner of Death Manner: Not Specified Line 1: Bronchiolitis Obliterans Line 2: Chronic Obstructive Pulmonary Disease Line 3: Congestive Cardiomyopathy Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Logger Industry: Logging County: Barry Zip Code: 49083 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: OMA JEAN MARTIN Date of Death: 10/22/993 Date of Birth: 10/10/920 Fathers Last Name: Garrison Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Female Age: 73 County: Kalamazoo SSN: 377-18-4001 Address: 5045 First Street Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 2 years College Underlying Cause of Death: 5621 Related Cause of Death (*) 117855 215621 31436 417860 614140 622500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 62052 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Julius Foster Martz Date of Birth: 03/25/924 Date of Death: 08/26/994 Fathers Last Name: Martz Place of Death Hospital: Unknown City: Grand Rapids If Hospital: Sex: Male Age: 70 County: Kent Inpatient SSN: 385-14-1761 Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Address: 315 High Street Marital Status: Divorced Race: White Underlying Cause of Death: 2901 Related Cause of Death (*) 11486 217872 312901 614409 Autopsy: No Findings Available: No Actual Place: Other Instituti Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 50119 Six digits with the 1st digit being the line, the 2nd being- the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Charles Masacek Date of Death: 07/29/994 Date of Birth: 12/04/904 Fathers Last Name: Masacek Sex: Male Age: 89 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 373-07-7584 Address: 3874 McNaughton Hills Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4539 Related Cause of Death (*) 114289 21586 314539 414539 612989 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 43407 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049811 Decedents Name: Sex: Female Esther J. Mathias Date of Birth: 02/02/928 Date of Death: 08/27/996 SSN: 292-22-2067 Spouses Name: Philip A. Mathias Fathers Name: Albert E. Karl Mothers Name: Julia M. Bartha Place of Birth: West Virginia Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen . Residence Address: 515 Cider Mill Drive City: Middleville Manner of Death: Not Specified Line 1: Gastrointestinal Bleeding Line 2: Peptic Ulcer Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Housewife Own Home Middleville County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 08/26/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 017082 Patient Information Sex: Male Decedents Name: Khristophe John Matson Date of Death: 03/10/1998 Spouses Name: Date of Birth: 03/23/1978 SSN: 368-88-3418 Fathers Name: Randall Matson Mothers Name: Peggy Palmatier Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No 1 year College Marital Status: Never Married Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Bronson Methodist Hospital Residence Address: City: 13435 S. Wall Lake Road Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Respiratory Failure Line 2: Chronic Pneumonia Line 3: Cystic Fibrosis Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Security Guard Industry: Manufacturing Company County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Belle Matteson Date of Death: 05/26/994 Date of Birth: 05/05/895 Fathers Last Name: Sovereign Place of Death Hospital: Unknown City: Wayland If Hospital: Sex: Female Age: 99 County: Allegan Inpatient Residence County: Barry City; Yankee Springs Twp Zip Code: 49333 SSN: 385-46-0531 Address: 143 Dorice Ave. Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214149 614019 62585 633109 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 28501 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 001209 Patient Information Sex: Male Decedents Name: Keith C. Mead Date of Birth: 07/27/1919 Date of Death: 01/26/1998 SSN: 362-18-3046 Spouses Name: Fathers Name: Edward C. Mead Mothers Name: Charlotte Main Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower Education: High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 1834 Cogswell Road Castleton Twp Manner of Death Manner: Not Specified Line 1: Emphysema Line 2: Line 3: Line 4: Other Conditions: Congestive Heart Failure Injury Date: Injury Description: Occupation: Journeyman Welder Industry: Lift Truck Manufacturer Castleton County: Bany Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Rachel Isabella Merring Date of Death: 04/30/994 Date of Birth: 04/28/994 Fathers Last Name: Merring Sex: Female Age: 02 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: Address: 804 E. Mill St. Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: None Marital Status: Never Married Race: White Underlying Cause of Death: 7450 Related Cause of Death (*) 117798 217469 227450 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 30120 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 067735 Patient Information Sex: Male Decedents Name: Russell B. Metheny Date of Death: Date of Birth: 09/21/909 11/24/997 SSN: 413-07-0491 Spouses Name: Fathers Name: Leonard George Metheny Mothers Name: Kitty P. Wiseman Place of Birth: Kentucky Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower Education: High School Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 303 E. Orchard St. Barry Twp Manner of Death Manner: Not Specified Line 1: Prostate Cancer Line 2: Sepsis Questionable Line 3: Pancytopenia Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Laborer Industry: State Home Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Henry R. Meyers Date of Death: 12/17/994 Date of Birth; Fathers Name: Leonard Meyers Mothers Name: Bessie Schuur Spouses Name: Elizabeth Meyers Sex: Male 05/02/922 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 336-12-7401 If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49348 Address: 2061 Archwood Dr. Place of Birth: Illinois Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 888 Related Cause of Death 11(54 612089 62492 634284 64888 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 076699 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lois I. Middleton Date of Death: 03/15/994 Date of Birth: 11/19/926 Fathers Last Name: Sherk Sex: Female Age: 67 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School SSN: 384-24-4529 Address: 705 S. Briggs Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 8784 Related Cause of Death (*) 115185 21)974 318784 61138 623599 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Accident Work Injury: Location: State File Number: 16761 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON- COUNTY RESIDENT THE STATE OFs Mich igan ■»•••••• •••• • aMS •••»•••• •••• •••• ■••• »••• Decadents Names KARL. M,. MILL.ARD,t SR„ Date of Deaths 04/23/993 Date of Births 05/07/939 Fa t h e rs La st Na ne:: M i 11 a r d PI a c e o f De a t h Hosp i ta 1:: Un l< nown C i t y:: K a 1 a ma x uu **i •••• •••• •••••••• ••••••«• •••••••• •••••••••••••••••••• it!* ••••«•• Sex s Male Ages 53 County:: Kalamazoo If Hospita1s DOA w it h hospita1 na me Resi denee County:: Ba r ry C11 y:: P rair i e v i 11 e Twp Zip Codes 49046 SSN s 385-38-6386 Add ress:: 7370 S.. C rooked La l< e Dr.. Place of Births Michigan Armed Forces:: No Ma r i t a 1 St $ t u s:: Ma r r i ed Race:: White Ancest i*y" B r i.t ish,, Scotch ? We1sh, Suotc h Ed uc: at ion:: H i g h Sc: h oo 1 Underlying Cause of Death ft 41.49 Rt? 1 a t ed Ca use o f DeatLt ($ > 1.14279 214149 614280 Autopsy:: No Findings Available:: Unknown Actual Places Home Med ic a I E x a m 1 ne r Case:: Yes Mod e of Dea t h :: Na t u r a 1 Wor k Injurys Locat ions S t a t e F i 1 e Numb e r:: («> 920 S i x d :i g i ts w :> th th e 1 st d i g i t be i ng t h e 1 i n@, t he 2nd b e ing t he position within the line, and positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Clara Lucille Miller Date of Birth: 05/15/922 Date of Death: 03/20/994 Fathers Last Name: Augustine Place of Death Hospital: Unknown City: Battle Creek Sex: Female Age: 71 County: Calhoun If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School SSN: 383-16-7286 Address: 3566 Bridge Park Road Marital Status: Married Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 614249 624140 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 15338 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/-17/97 State of Residence: Michigan File Number: 002932 Decedents Name: Sex: Female Helen Margaret Miller Date of Birth: 02/06/941 Date of Death: 01/16/997 SSN: 380-38-3450 Spouses Name: Clark W. Miller Fathers Name: Allen H. Worden Mothers Name: Margaret L. Swanson Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 8104 Bayne Rd. Castleton City: Castleton Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Advanced Arteriosclerosis Line 3: Diabetes Line 4: Other Conditions: . Obesity, Injury Date: Description of Injury: Occupation: Industry: Bookkeeper State Of Michigan County: Barry Zip Code: 48897 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Keith, Sr. D. Miller Date of Death: 03/21/994 Date of Birth: Fathers Name: Leo Miller Mothers Name: Leah Mesnard Spouses Name: Alberta Drake Sex: Male 10/31/921 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 SSN: 375-14-4412 Address: 531 Mill Lake Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 0384 Related Cause of Death *** 110384 611629 61(73 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 15337 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049224 Decedents Name: Sex: Male Kenneth B. Miller Date of Birth: 12/16/937 SSN: 369-32-7021 Date of Death: 07/27/996 Spouses Name: Jill Kelley Fathers Name: Dorence Miller Mothers Name: Violet Brock Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White No Marital Status: Married High School Place of Death City: Lansing County: Ingham Hospital or Other Place of Death Sparrow, Edward W Hospital Patient Status: Inpatient Residence Address: 835 Sherman St. Nashville City: Nashville Manner of Death: Not Specified Line 1: Severe Pancytopenia Line 2: Bone Marrow Suppression Line 3: End-stage Wegener's Granulomatosis Line 4: Other Conditions: Injury Date: 0/ / Description of Injury: Occupation: Industry: Assembly Line Automotive County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 061734 Decedents Name: X*. Sex: Male Louis D. Miller Date of Birth: 03/31/907 SSN: 366-09-0885 Date of Death: 10/03/995 Spouses Name: Fathers Name: William Miller Mothers Name: Sada Rogers Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Marital Status: Widow, Widower Education: High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 12888 Jones Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Respiratory Insufficiency And Hypoxia Line 2: Cerebrovascular Accident Line 3: Pneumonia Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Set Up Man Valve Mfg. Company County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 042848 Decedents Name: Sex: Female Edith Leota Mills Date of Birth: 11/21/913 SSN: 383-07-6034 Date of Death: 06/28/996 Spouses Name: Fathers Name: Edward Pyle Mothers Name: Minnie Frisby Place of Birth: Indiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 12800 S. Parker Rd. Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Non Hodgkins Lymphoma. Line 2: Line 3: Line 4: Other Conditions: Toxic Epidermolysis Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 007471 Decedents Name: Sex: Male Orville G. Minshall Date of Birth: 06/01/934 Date of Death: 02/07/996 SSN: 365-34-2816 Spouses Name: Lillie Coats • Fathers Name: Orville Minshall Mothers Name: Ethelyn Shook Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 11 Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death Patient Status: Inpatient Pipp Community Hospital Residence Address: 9499 Ford Road Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Adenocarcinoma Of The Mediastinum (Metastatic) Line 2: Anemia Secondary To "a" Line 3: Hypoxia Line 4: Hypokalemia Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Janitor Hospital County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062585 Patient Information Sex: Female Decedents Name: Sharon Diane Mitchell Date of Death: Spouses Name: Date of Birth: 11/11/941 10/19/997 SSN: 379-42-7915 Dean Scott Mitchell Fathers Name: William Frank Costello Mothers Name: Marguerite V. Minor Place of Birth: Michigan Ancestry: Armed Forces: Italian Race: White No Marital Status: Married Education: 2 years College Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Bronson Methodist Hospital Residence Address: City: County: Barry 10510 Stoney Point Road Prairieville Twp Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Refractory Anemia With Ringed Sideroblasts Line 2: Line 3: Line 4: Other Conditions: Diabetes Mellitus; Atherosclerotic Heart Disease Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: LINDA MARIE MIX Date of Death: 03/23/993 Date of Birth; 02/02/951 Fathers Last Name: Bailey Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Emergency Room/Outpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: High School Sex: Female Age: 42 SSN: 381-54-4047 Address: 1998 Starr School Rd. Marital Status: Married Race: White Underlying Cause of Death: 8120 Related Cause of Death (*) 11(69 618120 228501 315939 614149 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 15524 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Thomas E. Modena Date of Death: 12/23/994 Date of Birth: Fathers Name: Walter Modena Mothers Name: Evelyn Johnson Spouses Name: Ann Budz Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 328-34-4680 If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Place of Birth: Illinois Armed Forces: No Ancestry: Italian Education: 10 Sex: Male 12/08/941 Address: 11674 Fair Lake Dr. Marital Status: Married Race: White Underlying Cause of Death: 1991 Related Cause of Death 115729 211977 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 076617 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan • File Number: 007488 Decedents Name: Sex: Male William Moomey Date of Birth: 03/07/916 SSN: 384-10-5867 Date of Death: 02/18/996 „ .. . . . Spouses Name: Eva M. Lehnert Fathers Name: John Moomey Mothers Name: Reka Timmer Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European No Race: White Marital Status: Married 08 Place of Death City: Wayland County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 6745 N. Middleville Road City: Thomapple Twp Manner of Death: County: Barry Zip Code: 49333 Not Specified Line 1: Congestive Heart Failure Line 2: Line 3: Line 4: Other Conditions: Chronic Renal Insufficiency, Cerebral Vascular Accident Injury Date: Description of Injury: Occupation: Industry: Self-employed Retail Hardware �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021350 Patient Information Decedents Name: Date of Death: Date of Birth: 07/04/926 SSN: 378-28-0443 04/05/997 Spouses Name: Fathers Name: Benjamin Moon Mothers Name: Charlotte Smith Place of Birth: Ancestry: Armed Forces: Sex: Male Kenneth Benjamin Moon Michigan British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower Education: High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 10440 Huff Rd. Assyria Twp Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Copd Line 3: Line 4: Closed Head Injury Other Conditions: Injury Date: Injury Description: Occupation: Welder / Electrician Industry: Clark Equipment Co. Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 022908 Decedents Name: Sex: Male Clark Alden Morehouse Date of Birth: 06/14/918 SSN: 368-14-3243 Date of Death: 04/23/996 Spouses Name: Charlotte Coles Fathers Name: Herbert A. Morehouse Mothers Name: Opha Mae Waddell Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married 2 years College Place of Death County: Kalamazoo City: Alamo Twp Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 180 Trails End Hope City: Hope Twp Manner of Death: Not Specified Linet: Hypoxemia Line 2: Pneumonia Line 3: Line 4: Other Conditions: Small Cell Carcinoma Of The Lung Injury Date: Description of Injury: Occupation: Industry: Carpenter Cabinet Maker Mi County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/14/98 DEATH TRANSCRIPTS FOR 1997 County of Residence o County of Occurrence State of Residence: Michigan File Number: 079653 Patient Information Sex: Male Decedents Name: Charles L. Morgan Date of Death: Date of Birth: 02/23/1933 SSN: 364-36-4780 11/25/1997 Spouses Name: Joyce A. Kidder Fathers Name: Leo Morgan Mothers Name: Naomi Kun Place of Birth: Michigan Ancestry: German Race: White Armed Forces: Yes Marital Status: Married Education: 08 Place of Death County: Washtenaw City: Ann Arbor Patient Status: Inpatient Hospital or Other Place of Death: Mercywood Neuro Pych Hospital - CLOSED Residence Address: City: 5510 Stimpson Rd. Thomapple Thomapple Twp County: Barry Zip Code: 49333 Manner of Death Manner: Not Specified Line 1: Respiratory Insufficiency Line 2: Chronic Pulmonary Aspiration Line 3: Esophageal Achalasia Line 4: Other Conditions: Renal Failure, Intraabdominal Abscess And Sepsis Injury Date: Injury Description: Occupation: Electrician Industry: Factories �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Melanie Faith Morgan Date of Death: 10/01/994 Date of Birth: Fathers Name: Gerald W. Morgan, Jr. Mothers Name: Wendy E. Bucholz Spouses Name: Place of Death Hospital: Unknown City: Saugatuck Twp Sex: Female 03/05/974 County: Allegan If Hospital: SSN: 376-86-2650 Residence County: Barry City: Hastings Zip Code: 49058 Address: 202 E. Park St. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 9520 Related Cause of Death 11)86 129520 61) 86 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Suicide Work Injury: No Location: Street and Highway State File Number: 061433 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029184 Patient Information Decedents Name: Date of Death: 05/17/1998 Spouses Name: Sex: Male James H. Morris Date of Birth: 02/17/1926 SSN: 421-34-6451 Barbara J. Martin Fathers Name: Silas Morris Mothers Name: Matilda Allen Place of Birth: Alabama Ancestry: Armed Forces: Education: American Race: White Yes 10 Marital Status: Married Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Pipp Community Hospital Residence Address: City: 11006 Wildwood Rd. Orangeville Twp Manner of Death Manner: Not Specified Linel: Ischemic Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Lineman Industry: Power Company County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049864 Decedents Name: Sex: Male John Charles Mulligan Date of Birth: 12/27/911 SSN: 384-01-4371 Date of Death: 08/03/996 Spouses Name: Rita Schneider Fathers Name: Henry Van Mulligan Mothers Name: Gertrude Soet Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White Yes Marital Status: Married 5 years of college Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 456 Barlow Lake City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Prostate Cancer Injury Date: Description of Injury: Occupation: Industry: Dentist Dentistry Yankee County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lyle Thomas Munyon Date of Death: 06/02/994 Date of Birth: 12/23/929 Fathers Last Name: Munyon Sex: Male Age: 64 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School SSN: 375-24-9965 Address: 14212 Bedford Road Marital Status: Married Race: White Underlying Cause of Death: 2500 Related Cause of Death (*) 11490 21496 314280 412500 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 35430 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 008250 Decedents Name: Sex: Female Mary Elouise Munyon Date of Birth: 08/03/927 Date of Death: 02/04/997 SSN: 369-28-0307 Spouses Name: Fathers Name: George Rankin Hart Mothers Name: Sarah Lena Havens Place of Birth: Michigan Ancestry: - British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No Marital Status: Widow, Widower 1 year College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 14212 Bedford Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Pancytopenia Line 3: Line 4: Other Conditions: Injuiy Date: Description of Injury: Occupation: Industry: Beautician Beauty Salon Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edward M. Murphy Date of Death: 04/27/994 Date of Birth: 10/08/928 Fathers Last Name: Murphy Sex: Male Age: 65 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Inpatient SSN: 363-32-5657 Residence County: Barry City: Yankee Springs Twp Zip Code: 49348 Address: 1125 Payne Lake Road Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 585 Related Cause of Death (*) 11)968 61585 622500 638780 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 23980 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056899 Decedents Name: Sex: Female Joyce Murray Date of Death: 09/26/995 Spouses Name: Charles E. Murray Date of Birth: 10/10/934 SSN: 372-32-4388 Fathers Name: Sjur Moe Mothers Name: Margaret Grund Place of Birth: Michigan Ancestry: Norwegian, Swedish Danish Race: White Armed Forces: No Education: Marital Status: Married High School Place of Death County: Kent ' City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 195 Powell Road City: Hastings Twp Manner of Death: Hastings County: Barry Zip Code: 49058 Not Specified Line 1: Restrictive Lung Disease Line 2: Rheumatoid Arthritis Line 3: Line 4: Other Conditions: Cushingoid Secondary To Chronic Steroid Use; Recent Mrsa Septicemia Injury Date: Description of Injury: Occupation: Industry: Clerical Office �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Nelson, Sr F. Myers Date of Death: 08/23/994 Date of Birth: 05/16/928 Fathers Last Name: Myers Sex: Ma Age: 66 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: 10 SSN: 375-24-9324 Address: 3101 E. Mud Lake Rd. Marital Status: Married Race: White Underlying Cause of Death: 4169 Related Cause of Death (*) 117990 214169 614149 Autopsy: No Findings Available: Unknown Actual Place: Hospi Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 48373 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MARY MYKYTUK Date of Birth: 10/08/908 Date of Death: 07/25/993 Fathers Last Name: FINA Place of Death Hospital: Unknown City: Charlotte Sex: Female Age: 84 County: Eaton If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 1 year College SSN: 377-01-6340 Address: 9562 COATS GROVE RD. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 887 Related Cause of Death (*) 11)971 612500 628789 63 (20 64887 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Accident Work Injury: Unknown Location: Unknown State File Number: 41747 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 028622 Decedents Name: Sex: Female Lystra 0. Me Bain Date of Birth: 11/22/916 SSN: 429-10-5906 Date of Death: 04/30/996 Spouses Name: Fathers Name: James Turner Brackin Mothers Name: Elizabeth Wimberley Place of Birth: Arkansas Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 5390 Waldorf Rd. City: Hope Twp Manner of Death: Hope County: Barry Zip Code: 49046 Not Specified Line 1: Cva Line 2: Line 3: Line 4: Other Conditions: Poor Nutritional State; Copd, Dementia; Psychiatric Disorder; Folic Acid Deficiency Injuiy Date: Description of Injury: Occupation: Industry: Homemaker At Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 055252 Decedents Name: Sex: Female Inez L. Me Carty Date of Birth: 10/04/904 SSN: 370-10-8743 Date of Death: 09/11/995 Spouses Name: Fathers Name: William Coleman Mothers Name: Dora Wilkes Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Widow, Widower High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 9318 S. Bedford Road City: Baltimore Twp Manner of Death: Baltimore County: Barry Zip Code: 49050 Not Specified Line 1: Congestive Heart Failure Line 2: Arteriosclerosis Line 3: Line 4: Other Conditions: Dementia Secondary To Stroke; Dysphasia; G Tube; Hypothyroidism Injury Date: Description of Injury: Occupation: Bookkeeper Industry: Retail Sales �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 056842 Patient Information Sex: Male Decedents Name: Paul Steven Me Carty Date of Death: 09/26/997 Spouses Name: Nancy L. Kuiphof Fathers Name: Paul F. Me Carty Mothers Name: Margaret I. Hall Date of Birth: 05/16/957 SSN: 373-64-2786 Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White No Marital Status: Married High School Place of Death City: Norman Twp County: Manistee Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: City: 4601 Buehler Irving Irving Twp Manner of Death Manner: Accidental Line 1: Massive Internal Blunt Trauma Line 2: Motor Vehicle Accident Line 3: Line 4: Other Conditions: Injury Date: 09/26/1997 Injury Description: Vehicle Rollover Occupation: Factory Worker Industry: Office Furniture Mfg. County: Barry Zip Code: 49085 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076191 Decedents Name: Sex: Female Geraldine McComb Date of Death: 12/28/996 Spouses Name: Thomas R. Me Comb Fathers Name: Charles M. Tripp Mothers Name: Dorothy Bennett Date of Birth: 05/08/932 SSN: 368-40-5781 Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 13745 Banfield Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Cardiac Arrhythmia Line 2: Vasculitis Line 3: Neuropathy Secondary To Rheumatoid Arthritis Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Grocery Clerk Industry: Grocery Store County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Naunearl Date of Death: 06/19/994 Fathers Last Name: Young McCoy Date of Birth: 04/04/908 Sex: Female Age: 86 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Kentucky Armed Forces: No Ancestry: American Education: 2 years College SSN: 370-16-0169 Address: 621 East Shore Drive Marital Status: Widow, Widower Race: White Underlying Cause of Death: 7302 Related Cause of Death (*) 110389 217302 227070 314280 32496 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 35460 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: BETTY B. McCURDY Date of Death: 05/04/993 Date of Birth: 11/01/916 Fathers Last Name: Hecker Sex: Female Age: 76 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient SSN: 367-12-2933 Residence County: Barry City: Woodland Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 10271 Barnum Rd Marital Status: Married Race: White Underlying Cause of Death:- 888 Related Cause of Death (*) 11 (54 614284 62888 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Home State File Number: 29747 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON- COUNTY RESIDENT the sta te: of# Michigan :::~ k: m: ?.•: su :.„, i :t" : u:!»! «?c c?d en c Na ri®:: Ja mes H r i.u.: e Me Dow® 1.1 Da t e of Dea th06/3 4/993 Date of Births: Fa t h e r s La st Na me:: Me: Do we 11 Plaue of Death Hosp i t a 1:: Un l< nown City# Adiian I f Hosp i h a 1 « Sex:: Male Ages S3 08/01/939 Com rt y» Lenawee I rip a t i. e n t Residonce Countys: Barry C 11 y s H a •::> t i n g s Zip Code:: 49058 SSN:: 382-38-4695 A d d r e s s :s 5 21 W.. C e nt e r S t.. P 1 a c c- • o f R i r t h # M i c h i g a i1 A r med l::'o r c es ss Klo Ma r i t a 1 St a t us s: Neve r Ma r r :i. ed Anc: es I r y n B r i t i. -=>h 7 Sr. o t.h 7 We 1 ’->h 7 Sc:o t.h Ra c: e:: Wh i t e Educations: 5 years of college IJ nde r1y i ng Ca use o f Dea 111 s Related Cause-* tjf Death 111629 Autopsy:: No Fi nd :i ngs Ava i ’I a b ’I e s U11k nown Ac:tua 1 P1 ac:e s: Nu rsiTig Hone Med i c .11 E x an i tie r Ca se s U n k nown Mode of Deaths: Natural Work Injury# Locations: St ..a t e' F i 1 e Nuiob e r :s 36572 <5?<> Six digits with the? 1st digit being the lint??, the 2nd being the position within the l:ine9 and p os i 15. o ns 3 ••• 6 b e i ng t h e I CD c od e.. :n: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076283 Decedents Name: Sex: Male Raymond, J Earl Me Gandy Date of Birth: 11/06/922 SSN: 471-18-8896 Date of Death: 11/26/996 Spouses Name: Fathers Name: Raymond Earl Me Gandy, Sr. Mothers Name: Grace Foley Place of Birth: Minnesota Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Divorced High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 1429 S. Jefferson St. City: Hastings Manner of Death: Not Specified Line 1: Bilateral Pneumonia Line 2: Septicemia Line 3: Hemolytic Anemia Line 4: Renal Failure Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Quality Control U.S. Government Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: GLENN HOWARD McGONEGAL Date of Birth: 05/01/936 Date of Death: 05/16/993 Fathers Last Name: McGonegal Place of Death Hospital: Unknown City: Grand Rapids Twp County: Kent If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Sex: Male Age: 57 SSN: 383-34-1035 Address: 4260 Lynden Road Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 1991 Related Cause of Death (*) 111991 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 30066 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Roger Lee McGrew Date of Death: 03/20/994 Date of Birth: 03/02/920 Fathers Last Name: McGrew Place of Death Hospital: Unknown City: Battle Creek Sex Age County: Calhoun If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49073 Place of Birth: Tennessee Armed Forces: Yes Ancestry: Irish Education: 10 SSN: 405-07-8187 Address: 8455 Guy Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 486 Related Cause of Death (*) 11486 612989 Autopsy: No Findings Available: Unknown Actual Place: Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 15332 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 007828 Decedents Name: Sex: Male Kenneth Frank Me Leod Date of Birth: 07/31/917 Date of Death: 02/04/996 SSN: 382-18-9979 Spouses Name: Fathers Name: James A. Me Leod Mothers Name: Alice Mae Tarzwell Place of Birth: Unknown Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Divorced High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 5660 Woods Road Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Chronic Renal Failure Line 2: Carcinoma Bladder Line 3: Line 4: Other Conditions: Congestive Heart Failure Injury Date: Description of Injury: Occupation: Industry: Airframe, Power Plant Mechanic U.S. Air Force County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 008486 Patient Information Sex: Female Decedents Name: Tina M. Me Leod Date of Birth: 12/06/1962 Date of Death: 01/24/1998 Spouses Name: SSN: 377-70-6358 Mark D. Me Leod Fathers Name: Jessie D. Hard Sr. Mothers Name: Thelma E. Griffin Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: No Education: 10 Race: White Marital Status: Married Place of Death County: Genesee City: Flint Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient McLaren Gen Hospital Residence Address: City: 5660 Woods Road Assyria Assyria Twp Manner of Death Manner: Accidental Line 1: Blunt Thoracoabdominal Trauma Line 2: Motor Vehicle Accident Line 3: Line 4: Other Conditions: Injury Date: 01/24/1998 Injury Description: Motor Vehicle Rollover/ Ejection Occupation: Homemaker Industry: Homemaker County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 022739 Decedents Name: Sex: Male Date of Birth: 04/13/929 Joe W McNatt Date of Death: 03/12/995 SSN: 420-36-9595 Spouses Name: Mildred Jones Fathers Name: Joe Travis McNatt Mothers Name: Etta Willis Place of Birth: Alabama Hospital: Ancestry: Armed Forces: Education: Michigan Capital Med. Ctr. - Greenlawn Campus British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 09 Place of Death City: Lansing County: Ingham If Hospital: Inpatient Residence Address: 821 Beech Woodland City: Woodland Twp Manner of Death: Not Specified Line 1: Pulmonary Embolism Line 2: Deep Venous Thrombosis Line 3: Open Heart Surgery Line 4: Coronary Artery Disease Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Inspector General Motors County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036505 Patient Information Decedents Name: Sex: Female Dorothy M. Me Vey Date of Birth: 03/21/926 Date of Death: •06/05/997 Spouses Name: Fathers Name: Mothers Name: SSN: 132-18-0031 Donald Me Vey Aldof Wyss Barbara Sunkel Place of Birth: New York Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Married 1 year College Place of Death City: Grand Rapids County: Kent Patient Status: Unknown Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 315 E. William Street Hastings Manner of Death Manner: Not Specified Line 1: Klat Skin Tumor Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home Hastings County: Barry Zip Code: 49058 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 6) of Barry County Residents who died outside of Barry County, 1900-1998. Mac Iver to McVey. Note that "M" and "Mc" are separate letter categories. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 6) of Barry County Residents who died outside of Barry County. Mac Iver to McVey. Note that "M" and "Mc" are separate letter categories. Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/859/Death_Transcripts_Barry_County_Vol._7.pdf e43b935c55fc7569716577665b3c963d PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 7) begins with Near and ends with Prine �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 003479 Decedents Name: Sex: Male Robert E. Near Date of Birth: 01/02/921 Date of Death: 01/02/997 SSN: 378-38-8993 Spouses Name: Helen E. Rodgers Fathers Name: Edgerion G. Near Mothers Name: Edith Elizabeth Konkle Place of Birth: Michigan Ancestry: ■Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Newberry County: Luce Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Helen Newberry Joy Hospital Residence Address: 6510 Riverside Lane Thomapple City: Thomapple Twp Manner of Death: Not Specified Line 1: Probable Pulmonary Embolism Line 2: Probable Lower Extremity Blood Clots Line 3: Extended Car Trip Line 4; Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Self-employed Farmer Agriculture County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 053901 Decedents Name: Sex: Female Catherine Neill Date of Birth: 06/11/937 SSN: 373-36-1271 Date of Death: 08/27/995 Spouses Name: Fathers Name: Anthony Pagen Mothers Name: Barbara Koss Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Southern European Race: White No Marital Status: Widow, Widower High School Place of Death City: Huron Twp County: Wayne Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 2731 Oakleigh City: Middleville Manner of Death: Middleville County: Barry Zip Code: 49333 Not Specified Line 1: Carcinomatosis Line 2: Carcinoma Of The Lung /' Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 067725 Patient Information Sex: Male Decedents Name: Hugh J. Nevins Date of Death: 11/06/997 Spouses Name: Lucille Hutchinson Date of Birth: 05/02/924 SSN: 373-24-3995 Fathers Name: James Nevins Mothers Name: Emma Hughes Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Yes Marital Status: Married Education: 2 years College Place of Death County: Allegan City: Plainwell Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Pipp Community Hospital Residence Address: City: 9350 Lindsey Rd. Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Fanner Industry: Fanning County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036682 Patient Information Decedents Name: Sex: Female Laura C. Nordman Date of Birth: 07/20/924 Date of Death: 06/17/997 SSN: 368-22-1242 Spouses Name: Fathers Name: Mothers Name: Alfred Pierson Sarah Vogt Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Marital Status: Widow, Widower Education: High School Place of Death City: Lowell County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 3152 Barber Road Carlton Carlton Twp Manner of Death Manner: Not Specified Line 1: Sepsis And Dehydration Line 2: Atrial Fibrillation Line 3: Renal Insufficiency, Crf Line 4: Htn Other Conditions: Type li Dm, Sdat, Dysphagia Injury Date: Injury Description: .Occupation: Operator Industry: Telephine Switchboard County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041146 Decedents Name: Sex: Male Neal Norland Date of Birth: 08/24/898 SSN: 377-01-0208 Date of Death: 07/04/996 Spouses Name: None Fathers Name: Siger Johnson Mothers Name: Unknown Place of Birth: Unknown Ancestry: Armed Forces: Education: Other Northern European Race: White No Marital Status: Widow, Widower 4 years of college Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 11172 Long Pt Dr City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Tool Maker Tool Manufacturing Prairieville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT of public health DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF:: Michigan Decedents Names HOWARD L- NORMAN Date of Deaths 06/23/993 Date of Births Fathers Last Name:: Norman 12/31/898 Sex:: Male? Age:: 94 Place of Death Hosp 1 ta 1:: P i pp Comuni t y Hosp it a 1 C i t y k P a i nwe 1J Count y« A J 1 eg a n I f Hosp i t a 1 s I np • 11 i en t Resident & Count ys Ba Try City a Orangeville Twp Zip Codes 49080 SSN:: 3S7-14 - 0730 Address:: 8215 Marsh Road Place of Births Michigan Armed Forcesft No Marital Status:: Widow, Widower *ices Ai t r y s B r i t i sh Sr. ot c h $ Wo 1 sh$ Sc o tuh Ra c e:: Wh i t e Ed uc a t 1 on:: 11 i g h Sc h oo 1 Underlying Cause of Deaths 486 Related Cause of De--ath (>!O 11486 614140 Au. t up sy s Nn F i nd 1 r »g o A va i 1 a b 1 e s U n it nown Ac t ua 1 P1 a c e:: Huep :i. t a 1 Medical Examiner Cases Unknown Mode of Death:: Natural Wo r k T n j u. i y s Loc a t i on:: St a t e F i 1 e Nujoh e r s 34438 S i x d 5 g :i 1 s w :i. t h 111 e 1 st d:»g i t be :i ng t h e 1 i ne v t h e 2nd I:) e i T ig t h e p os :i t i on w i th :i n t h e 1 i ne y a nd positions 3-6 being the I CD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056473 Decedents Name: Sex: Female Florence D. Noteboom Date of Birth: 05/03/935 Date of Death: 09/02/995 SSN: 379-46-1496 Spouses Name: Fathers Name: Frank Hook Mothers Name: Mamie Mathieson Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 6520 Herbert Rd. Barry City: Barry Twp Manner of Death: Not Specified Line 1: Adenocarcinoma Of Tonsil With Metastasis Line 2: Line 3: Line 4: Other Conditions: Pneumonia Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF:: Mich igan Decedents N..ri *ien JAMES DALE NULL Date of Death:: O6/O6Z993 Date of Births: 01Z27Z962 Fa t h e r s La st Na me:: Nu 11 Sex:: Male Ages 31 P1 ae «) f Dea t h Hosp i t a I:: But t e rwo r t h Hosp it a I. City:: Grand Rapids Countys Kent I f Hosp x t a 1 r. I rip a t i«.-?n t SSN:: 384-84 ••0683 Residence County:: Barry C i. t y u (3 r a ng « •? v». 11 e Twp Zip Codes 49344 Ad d r ess:: P1 a c c- o f B i r t h ;: M ic i i i g ar i Armed Forces:: No Ancas try:: Go r rna n Ed uc a t i on:: H i g h Sch do I 11127 W11 d wood Rd .. Ma r i t a I St a t us:: Neve r Ma r r 1 ed Race:: White Underlying Cause of Deaths 3481 11.3481 217997 41303 6:1 7997 Autopc.y:: Yc •<& F i rid :i r ig Ava i 1 a b 1 e s No Ac: t u a 1 P1 a c e:: M>.?d 1 c a I E x a Pi i nc? r Ca se « Un !< no wn Mod e o f Dea t h :: Work Injury:: Loe at ion:: S t a t e F i 1 e Nui *ib %.-? r:: Hosp i t a 1 Na t u r a 1 36260 S:i x digits with tire ’.1st digit be i ng t h e 1 i ne v t h e 2nd b e :i. rig t h e p Ofs i t i on w i t h i n t. h e 1 i ne v a rid positions 3-6 being the I CD code.. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ALMA ELIZABETH NYE Date of Death: 12/04/993 Date of Birth: 07/30/901 Fathers Last Name: Brown Place of Death Hospital: Unknown City: Battle Creek Sex: Female Age: 92 County: Calhoun SSN: 367-26-8235 If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 1 year College Address: 3221 Luce Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 3 4409 Related Cause of Death (*) 114280 214409 617159 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 74339 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Charles William Oisten Date of Death: 08/31/994 Date of Birth: Fathers Name: Gerald Oisten Mothers Name: Nancy Cole Spouses Name: None Place of Death Hospital: Unknown City: South Haven County: Van Buren If Hospital: DOA with hospital name Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 11 Sex: Male 04/07/973 SSN: 367-80-2611 Address: 4589 Circle Inn Road Marital Status: Never Married Race: White Underlying Cause of Death: 8169 Related Cause of Death 11(62 218169 61(29 62 (02 Autopsy: No Findings Available: Unknown Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 059380 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 000872 Decedents Name: Sex: Female Nancy Lee Oisten Date of Birth: 10/08/937 SSN: 378-36-0540 Date of Death: 01/04/995 Spouses Name: Gerald Oisten Fathers Name: Francis Keith Cole Mothers Name: Mildred Carpenter Place of Birth: Michigan Hospital: Ancestry: Armed Forces: Education: Allegan General Hospital American Race: White No Marital Status: Married 11 Place of Death County: Allegan City: Allegan If Hospital: Inpatient Residence Address: 4589 Circle Inn Dr. City: Orangeville Twp Manner of Death: Not Specified Line 1: Cardiopulmonary Arrest Line 2: Anoxic Brain Damage Line 3: Cardiac Arrest Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Sewing Office Furniture Orangeville County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036434 Decedents Name: Sex: Female Betty Lou Olney Date of Birth: 04/15/930 Date of Death: 05/30/996 SSN: 373-28-4130 Spouses Name: Fathers Name: Horace Winans Mothers Name: Louise Austin Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Widow, Widower High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 12773 North Avenue Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Hypertrophic Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Manuel Ortiz Date of Death: 02/20/994 Date of Birth: 09/15/926 Fathers Last Name: Sex: Male Age: 67 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Michigan Armed Forces: Yes Ancestry: Unknown Education: High School SSN: 383-22-7984 Address: 1784 Stamm Road Marital Status: Married Race: White Underlying Cause of Death: 1629 Related Cause of Death (* ) 111629 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 8525 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Jeannett Wanda Paige Date of Death: 06/23/994 Date of Birth: 10/16/925 Fathers Last Name: Endsley Sex: Female Age: 68 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 366-20-4964 Address: 519 W. South St. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 9581 Related Cause of Death (*) 11)999 128799 13)490 611749 629581 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Suicide Work Injury: No Location: Home State File Number: 36957 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Carl Patrick Date of Death: 11/17/994 Date of Birth: Fathers Name: Homer Patrick Mothers Name: Zelma Kennard Spouses Name: Place of Death Hospital: Unknown City: Otsego Sex: Male 04/02/938 County: Allegan If Hospital: SSN: 378-36-2252 Residence County: Barry City: Orangeville Twp Zip Code: 49080 Place of Birth: Kentucky Armed Forces: No Ancestry: Irish Education: 08 Address: 8148 Lindsey Road Marital Status: Divorced Race: White Underlying Cause of Death: 1629 Related Cause of Death 111629 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 067947 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 000786 Patient Information Sex: Female Decedents Name: Zelma Patrick Date of Birth: 10/30/1912 Date of Death: 01/05/1998 Spouses Name: SSN: 396-12-2232 None Fathers Name: Floyd Kennard Mothers Name: Hester Reed Place of Birth: Kentucky Ancestry: Armed Forces: Irish Race: White No Marital Status: Widow, Widower Education: Unknown Place of Death City: Plainwell County: Allegan Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 12075 - 9 Mile Road Orangeville Twp Manner of Death Manner: Not Specified Line 1: Alzheimer's Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Housewife Industry: Own Home Orangeville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Sex? Female Ages 86 Dec: ed ents Na me s MARGARET ELLEN PATTISON Date of Birth Date of Death:: 03/13/993 Fa t h e r S La st Na me:: Ph i 11 i p s Place of Death Hospitals Battle Creek Health Systems City? Battle Creek County:: Ca 1 houn I f Hosp i t a 1 s I T ip a t i en t Residence Count y:: Ba r r y Cityn Jobns town Twp Zip Codes 490.1.7 Place of Births Tennessee Armed Forces:: No Anc: es try? Arne r ic an Ed uc a t i on:: H i g h Sch oo 1 SSNs 381-24-9334 Addressa 5091 Fine Lake Marital Status? Widow, Widower Races White Underlying Cause of Deaths 436 Related Cause of Death ($> 11436 Autopsy:: No Findings Available? Unknown Actual Places Hospital Med i c a 1 Ex a m itig?r Case s Unknown Mod e o f Dea t h s Na tu r a 1 Wor k InJur y ? Locat ion ? Sta te F i1e Numb e r ? 14002 digits with the 1st digit being the line, the 2nd being the p os :i. t i on w :i. t h :i. n t h e line, and positions 3-6 being the ICD code. (X) Six �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 055984 Decedents Name: Sex: Male Bert A. Payne Date of Birth: 04/25/913 Date of Death: 09/10/996 SSN: 385-01-8538 Spouses Name: Mildred I. Olin Fathers Name: Gordon G. Payne Mothers Name: Iva Mae Huber Place of Birth: Nebraska Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 2 years College Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 737 S. Washington St. Hastings City: Hastings Manner of Death: Not Specified Line 1: Carcinoma Of Prostate Line 2: Wide Spread Metastasis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Manager Automobile Parts Department County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Baby Girl Peabody Date of Death: 03/25/994 Date of Birth: 03/25/994 Fathers Last Name: Peabody Sex: Female Age: 10 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County; Kent If Hospital: Inpatient SSN: Residence County: Barry City: Hastings Zip Code: 49058 Address: 2285 Barber Road Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Educa t ion: None Underlying Cause of Death: 7420 Related Cause of Death (*) 117651 217420 Autopsy: Yes Findings Available: No Medical Examiner Case: Unknown Work Injury: State File Number: (*) Actual Place: Hospital Mode of Death: Natural . Location: 16984 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 055277 Decedents Name: Sex: Female Rita J. Peak Date of Birth: 03/13/952 SSN: 553-88-8816 Date of Death: 09/20/995 Spouses Name: Carl M, Peak Fathers Name: Dale Travis Mothers Name: Glennadeen Spaulding Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, ’Welsh, Scotch Irish Race: White No Marital Status: Married 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Battle Creek Health Systems Residence Address: 15360 M66 North City: Unknown Manner of Death: Assyria County: Barry Zip Code: 49021 Not Specified Line 1: Myocardial Infarction Line 2: Line 3: Line 4: Other Conditions: Stroke, Occlusion L. Carotid Artery, Seizures Hypertension Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063078 Sex: Male Alan Lee Pearson Decedents Name: Date of Birth: 01/03/946 Date of Death: 08/04/995 SSN: 381-44-2365 Spouses Name: Fathers Name: Kenneth Pearson Mothers Name: Nerma Parren Place of Birth: Idaho British, Scotch, Welsh, Scotch Irish Ancestry: Education: Race: White Yes Armed Forces: Marital Status: Never Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 10120 Kingsbury Rd. Barry City: Barry Twp Manner of Death: County: Barry Zip Code: 49046 Not Specified Line 1: Severe Pulmonary Artery Disease Line 2: Line 3: Line 4: Other Conditions: Aspiration, Seizure Disorder Injury Date: Description of Injury: Occupation: Industry: Foster Care Resident None l �03/25/97 MICHIGAN DEPARTMEN1r OF PUBLIC HEALTH DEATH TRAh(SCRIPTS Non-County PResidents ' State of Residence: Michigan File Number: 029712 Decedents Name: Sex: Male Merle M. Pelham Date of Death: 05/11/996 Date of Birth: 10/19/932 SSN: 305-32-5210 Spouses Name: Darlene J. Cammers Fathers Name: Harlan Pelham Mothers Name: Louise Shupe Place of Birth: Indiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes High School Marital Status: Married Place of Death City: Belding County: Ionia Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 1030 North Jefferson StreHastings City: Hastings Manner of Death: Not Specified Line 1: Small Cell Cancer Of Lung With Mets Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Master Craftsman Commercial Painting And Decora County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043293 Decedents Name: Sex: Female Florence Lona Pelkey Date of Death: 06/27/995 Spouses Name: Lawrence Pelkey Date of Birth: 10/21/914 SSN: 376-22-3352 Fathers Name: George Moshier Mothers Name: Ellen Riley Place of Birth: Massachusetts Ancestry: Armed Forces: Education: French • No High School Race: White Marital Status: Married Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Bronson Methodist Hospital Patient Status: Inpatient Residence Address: 2905 S. Charlton Park Rd.Hastings City: Hastings Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Renal Failure, Strokes, Organic Brain Syndrome Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Brian Lee Pennock Date of Death: 10/18/994 Date of Birth: Fathers Name: Wayne Pennock Mothers Name: Marian Pennock Spouses Name: Sex: Male 09/18/951 Place of Death Hospital: Ionia County Memorial Hospital City: Ionia County: Ionia If Hospital: Emergency Room/Outpatient Residence County: Barry City: Woodland Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 4 years of college SSN: 381-48-9909 Address: 2200 N. Clark Rd. Marital Status: Divorced Race: White Underlying Cause of Death: 4149 Related Cause of Death 114279 214149 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 062838 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/3 0/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 001184 Patient Information Sex: Female Decedents Name: Lois Janie Perry Date of Birth: 07/13/1938 Date of Death: o 1/20/1998 SSN: 363-40-8266 Spouses Name: Fathers Name: Foster Stults Mothers Name: Alma Ward Place of Birth: Michigan Ancestry: Armed Forces: German Race: White Yes Marital Status: Divorced Education: 2 years College Place of Death City: Battle Creek County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 495 Hickory Johnstown Johnstown Twp Manner of Death Manner: Not Specified Line 1: Atherosclerotic Coronary Artery Disease Line 2: Diabetes Mellitus Line 3: Diabetic Neuropathy Line 4: Osteomyelitis Other Conditions: Injury Date: Injury Description: Occupation: Income Tax Director Industry: City Of Battle Creek County: Barry Zip Code: 49107 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 009211 Decedents Name: Sex: Female Pearl H. Petrovich Date of Death: 02/17/996 Date of Birth: 04/07/913 SSN: 383-28-3396 Spouses Name: Fathers Name: Paul Aveldt Mothers Name: Hazel Keill Place of Birth: Wisconsin Ancestry: German Race: White Armed Forces: No Education: High School Marital Status: Widow, Widower Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen • Residence Address: 12619 E. Blue Lagoon City: Orangeville Twp Manner of Death: Not Specified Line 1: Cardiogenic Shock Line 2: Acute Myocardial Infarction Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Housewife Own Home County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 009603 Patient Information Sex: Female Decedents Name: Leanore Ellen Phillips Date of Birth: 03/23/1915 Date of Death: 02/13/1998 SSN: 236-14-2061 Spouses Name: Fathers Name: George A. Myers Mothers Name: Bonnie M. Homer Place of Birth: West Virginia Ancestry: American Race: White Armed Forces: No Marital Status: Widow, Widower Education: 2 years College Place of Death City: Cooper Twp Hospital or Other Place of Death: County: Kalamazoo Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 12712 Merlau Avenue Prairieville Twp Manner of Death Manner: Not Specified Line 1: Metastatic Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Hypertension, Diabetes Mellitus Injury Date: Injury Description: Occupation: Secretary Industry: Aluminum Manufacturing Co. County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Malcolm R. Pierce Date of Death: 01/17/994 Date of Birth: 02/14/926 Fathers Last Name: Pierce Sex: Male Age: 67 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49050 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School SSN: 366-22-7121 Address: 9148 Bird Rd Marital Status: Married Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 1416 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021353 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Sex: Male Oren Augustus Pierce 04/05/997 Madeline La Count Date of Birth: 05/22/915 SSN: 371-18-3770 Louis D. Pierce Sadie Van Dusen Place of Birth: North Dakota Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 4501 Baseline Road Johnstown Johnstown Twp County: Barry Zip Code: 49021 Manner of Death Manner: Not Specified Line 1: Metastatic Carcinoma Of Prostate Line 2: Line 3: Line 4: Other Conditions: Resolving Pneumonia; Hypothyroidism; Osteoporosis; Osteoarthritis; Depression Injury Date: Injury Description: Occupation: Inspector Of Valves & Blades Industry: Valve Manufacturing �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 054877 7 > Decedents Name: Sex: Male Wallace, S Pinks Date of Birth: 08/19/921 Date of Death: 09/12/995 SSN: 400-16-4582 Spouses Name: Mildred Marshall Fathers Name: Floyd Pinks Mothers Name: Hortance Bailey Place of Birth: Kentucky Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 07 Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death Patient Status: Inpatient Pipp Community Hospital Residence Address: 11265 Boulter Road Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Cor Pulmonale Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Beater Engineer Paper Mfg. County: Barry Zip Code: 49046 ' „ �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 037435 Patient Information Decedents Name: Date of Death: Loretta Gardner Fathers Name: Rolland Pixley Michigan Ancestry: American Education: SSN: 374-42-4154 Gretchen De Camp Place of Birth: Armed Forces: Date of Birth: 11/09/941 06/14/997 Spouses Name: Mothers Name: Sex: Male Donald W. Pixley Race: White No Marital Status: Married 1 year College Place of Death City: Big Rapids County: Mecosta Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Mecosta County Gen Hospital Residence Address: City: 495 Sunset Lane Nashville Nashville Manner of Death Manner: Not Specified Line 1: Probable Myocardial Infarction Line 2: Degenerative Neuromuscular Disease Line 3: Line 4: Other Conditions: Obesity Injury Date: Injury Description: Occupation: Oiler Industry: Auto Manfacturer County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 029968 Decedents Name: Sex: Male James P. Platz Date of Birth: 03/09/921 Date of Death: 05/12/996 SSN: 381-12-6367 Spouses Name: Alma M. Spindlow Fathers Name: Herman Platz Mothers Name: Edna Hadwin Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 6518 Osborne Road Barry City: Barry Twp Manner of Death: Not Specified Line 1: Pulmonary Embolism Line 2: Multiple Cerebrovascular Infarctions Line 3: Arterial Occlusion Right Leg Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Production Worker Manufacturing Company County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 081452 Decedents Name: Sex: Female Josephine A. Pomeroy Date of Death: 12/31/996 Date ofBirth: 11/08/900 SSN: 366-09-0856 Spouses Name: Fathers Name: Albert C. Bartels Mothers Name: Josephine E. Busby Place ofBirth: New York Ancestry: Armed Forces: Education: German Race: White No 10 Marital Status: Widow, Widower Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 14800 Hutchinson Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Pneumonia And Renal Failure Line 2: Line 3: Line 4: Other Conditions: Injuiy Date: Description of Injury: Occupation: Industry: Office Manager Insurance Company County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043642 Sex: Male Decedents Name: Edwin Newman Porter Date of Birth: 03/01/926 Date of Death: 07/14/995 SSN: 364-24-0600 Spouses Name: Jean A Ostrom Fathers Name: George Porter Mothers Name: Carolyn Driver Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Yes Education: Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death St Mary's Health Services - Grand Rapids Patient Status: Inpatient Residence Address: 7030 Whitneyville Rd. Thomapple City: Thomapple Twp Manner of Death: Not Specified Line 1: Subarachnoid Hemorrhage Line 2: Thrombolytic Therapy For Myocardial Infarction Line 3: Coronary Artery Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Engineer Automotive County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gladys M. Porter Date of Death: 08/30/993 Date of Birth: 04/26/917 Fathers Last Name: Hayes Sex: Female Age: 76 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: High School SSN: 369-01-3212 Address: 11001 Gun Lake Road Marital Status: Married Race: White Underlying Cause of Death: 2028 Related Cause of Death (*) 110384 312028 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 55996 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: NORMA A. PORTER Date of Death: 09/25/993 Date of Birth: 02/12/920 Fathers Last Name: Goodman Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 376-70-0014 If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Female Age: 73 Address: 27 Trails End Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Marital Status: Widow, Widower Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 61486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 55867 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: BARBARA JAYMES PRICE Date of Death: 08/21/993 Date of Birth: 11/30/944 Fathers Last Name: Sinclair Sex: Female Age: 48 Place of Death Hospital: St Mary's Health Services - Grand Rapids City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 386-44-1687 . Address: 1006 North Taffee Drive Place of Birth: Califomia Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 431 Related Cause of Death (*) 11431 614029 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: 49835 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Diana K. Prill Date of Death: 11/10/993 Date of Birth: 01/17/943 Fathers Last Name: Prill Sex: Female Age: 50 Place of Death Hospital: University of Mich Hosps City: Ann Arbor County: Washtenaw If Hospital: Inpatient SSN; 377-42-7471 Residence County: Barry City: Assyria Twp Zip Code: 49021 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 13655 Cassidy Road Marital Status: Divorced Race: White Underlying Cause of Death: 1173 Related Cause of Death (*) 111173 214462 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 71902 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Arlo S. Prine Date of Death: 11/04/994 Date of Birth: Fathers Name: Roy Prine Mothers Name: Lelia Wade Spouses Name: Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 381-56-7622 If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Male 10/22/915 Address: 10120 Kingsbury Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 04 Underlying Cause of Death: 185 Related Cause of Death 11586 21185 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 069739 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 7) of Barry County Residents who died outside of Barry County, 1900-1998. Near to Prine. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 7) of Barry County Residents who died outside of Barry County. Near to Prine Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/860/Death_Transcripts_Barry_County_Vol._8.pdf 03d6714f5a16c4d0e34ef5db87f7d58e PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 8) begins with Quick and ends with Shoemaker �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: WILLIAM W. QUICK Date of Death: 03/06/993 Date of Birth: 03/20/924 Fathers Last Name: QUICK Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 336-24-8655 If Hospital: Emergency Room/Outpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: 1 year College Sex: Male Age: 68 Address: 221 E. ORCHARD STREET Marital Status: Married Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 49410 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048276 Decedents Name: Sex: Female Theresa Elizabeth Racine Date of Birth: 01/28/907 SSN: 381-32-5983 Date of Death: 08/08/996 Spouses Name: Fathers Name: Daniel Kovacs Mothers Name: Mary Levi Place of Birth: New York Ancestry: Armed Forces: Education: Other Easter European Race: White No Marital Status: Widow, Widower High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 9733 Jones Rd. Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Cardiomyopathy Line 2: Congestive Heart Failure Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts Stale of Residence: Michigan File Number: 055944 Patient Information Decedents Name: Nicholas James Rackow Date of Death: 08/29/997 Sex: Male Date of Birth: 08/22/997 Spouses Name: None SSN. Fathers Name: David Herbert Rackow Mothers Name: Paula Marie Swainston Place of Birth: Michigan Ancestry: American Aimed Forces: No Education: None Race: Whlte Marital Status: Never Married Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Inpatient Butterworth Hospital Residence Address: City: 601 S. Bassett Lake Road Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Respiratory Failure Line 2: Severe Perinatal Asphyxia Line 3: Line 4: Other Conditions: Staph Aureus Septicemia Injury Date: Injury Description: Occupation: None Industry: None County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 049688 Decedents Name: Sex: Female Amanda B. Ramsey Date of Birth: 10/28/991 Date of Death: 08/22/996 SSN: 382-13-5839 Spouses Name: Fathers Name: Mothers Name: Garry Ramsey Deb Blair Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Never Married None Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 4400 Orchard St. Hope City: HopeTwp Manner of Death: Accidental Line 1: Multiple Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 08/22/1996 Struck By Pick- Up Truck Student Education County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062573 Decedents Name: Sex: Female Rosemary Ramsey Date of Birth: 08/31/938 Date of Death: 10/06/996 SSN: 384-36-2033 Spouses Name: Fathers Name: Raymond Johnson Mary Alice Raver Mothers Name: Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Divorced High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 2484 Pifer Rd. Barry City: Barry Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Sepsis Line 3: Pneumothorax Line 4: Other Conditions: Bacterial And Yeast Infections Injury Date: Description of Injury: Occupation: Industry: Cook Restaurant Mi County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: THORNLEY RAPP RANKIN Date of Death: 06/14/993 Date of Birth: 10/10/920 Fathers Last Name: Rankin Sex: Male Age: 72 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Assyria Twp Zip Code: 49021 Place of Birth: Michigan Armed Forces: Yes Ancestry: American Education: 08 SSN: 381-12-6194 Address: 5695 Mud Lake Road Marital Status: Married Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 48055 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Mildred H Reed Date of Death: 01/04/994 Date of Birth: 04/20/898 Fathers Last Name: Hall Sex: Female Age: 95 Place of Death Hospital: Oakland Med Examiner Office City: Bloomfield Hills County: Oakland If Hospital: SSN: 366-10-5499 Residence County: Barry City: Prairieville Twp Zip Code: 49080 Address: 12101 Oakridge PO Box Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 2 years College Underlying Cause of Death: 410 Related Cause of Death (*) 11410 612500 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 5106 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002569 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Tom Kenneth Reed Date of Birth: 07/31/1946 01/25/1998 SSN: 380-46-3272 Rebbecca Cool Fathers Name: Kenneth Reed Mothers Name: Ruth Geib Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: High School Place of Death County: Kalamazoo City: Kalamazoo Patient Status: Inpatient Hospital or Other Place of Death: Borgess Med Cen Residence Address: City: 8060 S. Wall Lake Rd. Hope Hope Twp Manner of Death Manner: Not Specified Line 1: Ruptured Cerebral Aneurysm Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Farmer Industry: Farming County: Bany Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 022863 Decedents Name: Sex: Male Thomas Terry Reid Date of Birth: 12/30/957 Date of Death: 03/17/996 SSN: 373-68-7482 Spouses Name: Fathers Name: Meredith J. Reid Mothers Name: Shirley M. Morgan Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced High School Place of Death City: RossTwp County: Kalamazoo Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 902 S Hayes Street Hastings City: Hastings Manner of Death: Undetermined Line 1: Aspiration Suffocation Line 2: Plastic Bag In Air Way Line 3: Line 4: Other Conditions: Recent & Chronic Cocaine Use Injury Date: Description of Injury: Occupation: Industry: Unknown Maintenance Supervisor Apartment Complex County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence <> County of Occurrence State of Residence: Michigan File Number: 024462 Patient Information Sex: Female Decedents Name: Erma W. Reigler Date of Death: 04/19/1998 Spouses Name: Date of Birth: 09/14/1916 SSN: 381-03-4816 Fathers Name: Oscar Boyer Mothers Name: Myrtle Me Withy Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Education: High School Marital Status: Widow, Widower Place of Death City: Grand Rapids Hospital or Other Place of Death: County: Kent Patient Status: Inpatient St Mary's Health Services - Grand Rapids Residence Address: City: 9955 Chief Noonday Rd. Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Congestive Heart Failure Line 2: M. I. Line 3: Renal Failure Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 016443 Decedents Name: Sex: Male Herbert Lee Reigler Date of Birth: 02/04/919 Date of Death: 03/11/995 SSN: 367-12-3617 Spouses Name: Bertha J. Vermat Fathers Name: Seymore A. Reigler Mothers Name: Mabie Kenyon Place of Birth: Michigan Hospital: Unknown Ancestry: German Armed Forces: Education: Race: White No Marital Status: Married 08 Place of Death City: Grand Rapids County: Kent If Hospital: Unknown Residence Address: 1330 Patterson Lot 41 City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Liver Metastasis Line 2: Colon Carcinoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Laborer Industry: Factory Yankee County: Bany Zip Code: 49348 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Jason Lee Rein Date of Death: 12/26/994 Date of Birth: Fathers Name: Gary R. Rein Mothers Name: Pamela S. Magoon Spouses Name: Place of Death Hospital: Unknown City: Bowne Twp Sex: Male 10/31/971 County: Kent If Hospital: SSN: 369-90-4140 Residence County: Barry City: Carlton Twp Zip Code: 49058 Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: High School Address: 4777 Lot 29 Barber Rd. Marital Status: Never Married Race: White Underlying Cause of Death: 8150 Related Cause of Death 11(54 618150 Autopsy: Yes Findings Available: Yes Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 077137 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Mildred Irene Rhodes Date of Death: 09/08/993 Date of Birth: 07/12/918 Fathers Last Name: Mack Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Inpatient SSN: 367-26-7591 Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Sex: Female Age: 75 Address: 4900 Butler Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4149 Related Cause of Death (*) 114149 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 55832 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 025894 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Sex: Male Millard John Rideout Date of Birth: 11/23/925 03/23/997 SSN: 722-01-0211 Marie Gail Hooker Wilmont Earl Rideout Della G. Nye Maine British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: High School Place of Death City: Ann Arbor County: Washtenaw Hospital or Other Place of Death: Patient Status: Inpatient VA Med Cen - Ann Arbor Residence Address: City: 8020 Day Road Assyria Twp Manner of Death Manner: Not Specified Line 1: Asystole Line 2: Myocardial Infarction Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Auto Mechanic Industry: Automobile Dealer Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063402 Decedents Name: Sex: Male Frank D. Rider Date of Birth: 10/27/917 Date of Death: 10/08/995 SSN: 389-14-5141 Spouses Name: Fathers Name: James Rider Mothers Name: Myrtle Heacock Place of Birth: Wisconsin Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Widow, Widower 08 Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 12856 Meadows Dr. Yankee City: Yankee Springs Twp Manner of Death: Not Specified County: Barry Zip Code: 49348 < Line 1: Ventricular Tachycardia Line 2: Non Q Wave Myocardial Infarction Line 3: Congestive Heart Failure Line 4: Respiratory Failure Other Conditions: Emphysema. Injury Date: Description of Injury: Occupation: Industry: Tool & Die General Motors / .• �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: LaVerne Wendell Ridgeway Date of Death: 05/13/994 Date of Birth: 07/11/920 Fathers Last Name: Ridgeway Sex: Male Age: 73 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 SSN: 370-16-0767 Address: 1452 West Hickory Rd Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4149 Related Cause of Death (*) 114149 214409 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 28823 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 029708 Patient Information Decedents Name: Date of Death: Jo Anne Hampton Fathers Name: Newman Ridner Place of Birth: Ancestry: Armed Forces: Date of Birth: 03/13/936 SSN: 406-44-9407 05/08/997 Spouses Name: Mothers Name: Sex: Male Leslie, Sr T. Ridner Ellen Norman Kentucky British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: 09 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Emergency Room/Outpatient Bronson Methodist Hospital Residence Address: City: 11399 Sprague Rd. Barry Barry Twp Manner of Death Manner: Not Specified Line 1: Locally Advanced Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Welder Industry: Manufacturing County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 01/15/98 State of Residence: Michigan File Number: 043272 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Jospehine Rincione Sex: Female Date of Birth: 02/18/927 SSN: 384-24-3565 07/13/997 „ None Philip Rincione Rosie Nihols Place of Birth: Michigan Ancestry: Armed Forces: Education: Italian No Race: White Marital Status: Never Married 10 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 6735 Maplewood Dr Delton Barry Twp Manner of Death Manner: Not Specified Line 1: Cerebrovascular Accident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Never Worked Industry: None County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 009121 Patient Information Sex: Male Decedents Name: Max Dean Rischow Date of Birth: 02/15/1937 SSN: 385-36-3166 Date of Death: 02/06/1998 Spouses Name: Fathers Name: Carl Ludwick Rischow Mothers Name: Tena Hoogeveen Place of Birth: Michigan Ancestry: American Indian Race: White Armed Forces: No Marital Status: Divorced Education: High School Place of Death City: Lansing County: Ingham Hospital or Other Place of Death: Patient Status: Inpatient Sparrow, Edward W Hospital Residence Address: 351 Donna Dr. City: Woodland Twp Woodland Manner of Death Manner: Not Specified Line 1: Sepsis Line 2: Acute Leukemia Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Quality Control Specialist Industry: Automotive County: Barry Zip Code: 48849 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 002549 Patient Information Sex: Male Decedents Name: Paul Risner Date of Birth: 11/30/1926 Date of Death: 01/19/1998 Spouses Name: SSN: 378-22-1489 Opal Marshall Fathers Name: Green Risner Mothers Name: Eva Howard Place of Birth: Ohio Ancestry: German Race: White Armed Forces: Yes Marital Status: Married Education: 05 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 5415 Marsh Road Orangeville Orangeville Twp Manner of Death Manner: Accidental Line 1: Subdural Hematoma Line 2: Closed Head Injury Line 3: Line 4: Other Conditions: Chronic Renal Failure Injury Date: 01/12/1998 Injury Description: Fell & Struck Head At Home Occupation: Self-employed Industry: Logging Industry County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number. 068225 Decedents Name: Sex: Female Rebecca Risner Date of Birth: 10/25/904 Date of Death: i1/22/995 SSN: 281-18-3450 Spouses Name: Fathers Name: Buel Fletcher Mothers Name: Louise Risner Place of Birth: Kentucky Ancestry: Armed Forces: ■Education: American Race: White No Marital Status: Widow, Widower 08 Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 5415 Marsh Road Orangeville City: Orangeville Twp Manner of Death: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Home Maker Own Home County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o County of Occurrence 05/13/98 State of Residence: Michigan File Number: 081124 Patient Information Sex: Female Decedents Name: Janice Marie Roach Date of Birth: 05/25/948 SSN: 363-50-8075 Date of Death: 12/25/997 _ . D . Spouses Name: Gary L. Roach Fathers Name: Mothers Name: Norman W. Quick Bertha Jewell Rackley Place of Birth: Michigan American Indian „ Armed Forces: No Ancestry: Race: White Education: HighSchool Marital Status: Married Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 996 Gerke Road Castleton Castleton Twp Manner of Death Manner Not Specified Linel: Pneumonia Line 2: Adenocarcinoma Unknown Primary Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Steno Clerk Industry: Railroad County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 055853 Decedents Name: Sex: Male Oswald E. Roberts Date of Death: 09/09/996 Spouses Name: Katherine Vander Weele Date of Birth: 01/14/917 SSN: 366-05-6220 Fathers Name: Charles Roberts Mothers Name: Cordelia Peake Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: Black Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 226 East Shore Drive City: Prairieville Twp Manner of Death: Not Specified Line 1: Cardiogenic Shock Line 2: Myocardial Infarction Line 3: Coronary Artery Disease Line 4: Other Conditions: Injury Date: 2/ / Description of Injury: Occupation: Industry: Repairman Auto Supply Company Prairieville County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ASHTON MICHAEL ROBERTSON Date of Death: 09/10/993 Date of Birth: 09/10/993 Fathers Last Name: Barnes Sex: Male Age: 01 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient SSN: Residence County: Barry City: Orangeville Twp Zip Code: 49046 Address: 8226 Pine Lake Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: None Underlying Cause of Death: 7689 Related Cause of Death (*) 117689 217650 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: , 55813 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JONATHAN ROSE ROBERTSON Date of Death: 10/10/993 Date of Birth: 09/10/993 Fathers Last Name: Barnes Sex: Male Age: 01 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo SSN: If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49046 Address: 8226 Pine Lake Road Place of Birth: Michigan Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: None Underlying Cause of Death: 0389 Related Cause of Death (*) 110389 210090 317651 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 61990 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041625 Decedents Name: Sex: Male Claude Edwin Romans Date of Birth: 05/26/904 Date of Death: 07/18/996 SSN: 363-36-3644 Spouses Name: Fathers Name: Mothers Name: Squire E. Romans Jessie M. Eaton Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Emmet Twp County: Calhoun Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 4081 Strickland Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Multi Organ Failure Line 2: Congestive Heart Failure Line 3: Coronary Artery Dx Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Finance Clerk Industry: Postal System Johnstown County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063233 Decedents Name: Sex^Female Dorothy Teresa Pea Ross Date of Birth: 07/28/901 Date of Death: 10/12/995 SSN: 383-34-6422 Spouses Name: Percy H. Ross Fathers Name: Charles Carlton Mothers Name: Nettie England Place of Birth: Louisiana Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kalamazoo City: OshtemoTwp Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4227 England Dr. City: Orangeville Twp Manner of Death: Orangeville County: Barry Zip Code: 49344 Not Specified Line 1: Renal Failure Line 2: Line 3: Line 4: 1 Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Beautician Cosmetology �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062797 Decedents Name: Sex: Male Percy Henry Ross Date of Birth: 08/21/904 Date of Death: 09/29/996 SSN: 367-05-5359 Spouses Name: Fathers Name: Herbert Ross Mothers Name: Bertha Voorheis Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Widow, Widower 08 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4227 England Dr. Orangeville City: Orangeville Twp Manner of Death: County: Barry Zip Code: 49344 Not Specified Line 1: Adenocarcinoma Of Colon - Metastatic Line 2: Line 3: Line 4: Other Conditions: Arteriosclerotic Heart Disease, Diabetes Mellitus; Depression Injury Date: Description of Injury: Occupation: Industry: Resort Owner Recreation Entertainment �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFa Michigan Decedents Names DOROTHY M., ROUNDS Date of Deaths 02/09/993 D a t e o f B i r t h s 11/15/921 Fathers Last Names French Place of Death Hosp i t a 1 s Un k noun Ci ty :: Gr and Rap ids Sex a Female Ages 71 Count y s l< e nt I f Hosp i t a 1 s I rip a t i en t Residence Count y s Ba r r y Citys Yankee Springs Twp Zip Codes 49333 *.Pl ace of B i rth s Hiehigan A r med Fo r ces s No Ancest r y s North A fr ican Educations 08 SSNs 368-22-2898 Addresss 905 N« Bassett Lake Rd« Marital Statues Widow, Widower Races White U rid >:•? r 1 y i ng Ca use o f Dea t h:: 1749 Re 1 a t ed Ca use o f Dea th < >X) 111749 Aut op sy s No F i ndi ngs Ava x1ab1e s Unk nown Actual Places Nursing Home Med i c a 1 E x a m 1 ner Ca se s U n known Mode of Deaths Natural Work Injury:: Locations St a t e F11 e Nuifib er s 8791 < # > Six d i g i ts w i 111 the 1st digit being the line, the 2nd being the p os iti on w i t hi n the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043332 Sex: Female Geraldine Ann Rowbotham Decedents Name: Date of Birth: 10/31/928 Date of Death: 07/06/995 SSN: 366-28-5495 Spouses Name: Richard Rowbotham Fathers Name: Norman Gray Mothers Name: Reatha Robertson Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married 10 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 375 Hickory Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Hypoxia Line 2: Pneumonia Line 3: Line 4: Other Conditions: Sepsis Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Brett D. Royer Date of Birth: 11/16/967 Date of Death: 04/19/994 Fathers Last Name: Royer Sex: Male Age: 26 Place of Death Hospital: Community Health Center of Branch County City: Coldwater County: Branch If Hospital: Emergency Room/Outpatient Residence County: Barry City: Rutland Twp Zip Code: 49058 SSN: 379-96-9249 Address: 1874 Yeckley Road Place of Birth: Michigan Armed Forces: No • Marital Status: Never Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 9588 Related Cause of Death (*) 11(53 219588 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Suicide Work Injury: No Location: Street and Highway State File Number : (*) 22219 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056652 Decedents Name: Sex: Male Ralph 11 Elliott Rugh Date of Birth: 12/12/948 Date of Death: 09/23/995 , SSN: 268-50-8761 Spouses Name: Melinda Hammond Fathers Name: J. L. Rugh Mothers Name: v-'. Suzanne Findley Place of Birth: Pennsylvania Ancestry: Armed Forces: Education: French Race: White No Marital Status: Married 5 years of college Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: inpatient Blodgett Mem Med Cen Residence Address: 54 Leach Lake Carlton City: Carlton Twp Manner of Death: Not Specified Line 1: Squamous Cell Carcinoma Of Lung And Pleura Line 2: Esophageal Carcinoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Program Coordinator Health Care County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: George H. Russell Date of Death: 12/28/993 Date of Birth: 07/19/912 Fathers Last Name: Russell Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo If Hospital: Emergency Room/Outpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 08 Sex: Male Age: 81 SSN: 366-10-0865 Address: 15848 Enzian Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4280 Related Cause of Death (*) 114280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 75815 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 016587 Decedents Name: Sex: Female Elizabeth A. Sanford Date of Birth: 01/07/963 SSN: 378-86-1614 Date of Death: 03/05/995 Spouses Name: David Sanford Fathers Name: Gerald Zimmer Mothers Name: Geraldine DeYoung Place of Birth: Michigan Hospital: Ancestry: Armed Forces: Education: Unknown Other Western European Race: White No Marital Status: Married 2 years College Place of Death City: Wyoming County: Kent If Hospital: Residence Address: 438 Cider Mill City: Middleville Manner of Death: Not Specified Line 1: Astroblastoma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Home Maker Own Home Middleville County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ISRAEL JOSE SAUCEDO SR. Date of Death: 05/24/993 Date of Birth: 03/15/935 Fathers Last Name: Saucedo Sex: Male Age: 58 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient SSN: 463-50-3108 Residence County: Barry City: Orangeville Twp Zip Code: 49344 Address: 6869 S Boulter Rd Place of Birth: Texas Armed Forces: No Marital Status: Married Ancestry: Other and unknown Spanish Race: White Education: 06 Underlying Cause of Death: 3481 Related Cause of Death (*) 113481 217991 31436 414331 612780 624019 63496 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 29666 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 056062 Decedents Name: Sex: Male Scott Alon Savacool Date of Birth: 06/02/971 SSN: 368-80-1518 Date of Death: 09/02/996 Spouses Name: Fathers Name: Wayne Douglas Savacool Mothers Name: Susan Jean Britten Place of Birth: Michigan Ancestry: Armed Forces: Education: French Race: White No Marital Status: Never Married High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 10051 Upson Drive Praireville City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Duchenne's Muscular Dystrophy Injury Date: Description of Injury: Occupation: Industry: Never Employed County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 081931 Patient Information Sex: Female Decedents Name: Kathleen Elizabeth Schantz Date of Death: 12/24/997 Spouses Name: Stanley R. Schantz Date of Birth: 03/06/956 SSN: 378-70-5167 Fathers Name: Thomas C. Girrbach Sr. Mothers Name: Florence M. Sclater Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: 1 year College Marital Status: Married Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death: Patient Status: Inpatient University of Mich Hosps Residence Address: City: 150 E. Carlton Center Rd.Carlton Carlton Twp Manner of Death Manner: Not Specified Line 1: Tracheal Anastomotic Dehiscence Line 2: Heart Lung Transplant Line 3: Tetralogy Of Fallot Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Underwriter Industry: Insurance Company County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MYRL W. SCHANTZ Date of Death: 12/19/993 Date of Birth: 05/27/920 Fathers Last Name: Schantz Sex: Male Age: 73 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent SSN: 368-18-2810 If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: Yes Ancestry: German Education: High School Address: 2084 Fawn Ave. Marital Status: Married Race: White Underlying Cause of Death: 4148 Related Cause of Death (*) 117855 214148 615789 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 76198 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gayla Sue Schaubel Date of Death: 10/07/994 Date of Birth: Fathers Name: Howard James Schaubel Mothers Name: Marjorie Moody Spouses Name: Gary John Klooster Place of Death Hospital: Unknown City: Cascade Twp Sex: Female 01/12/954 County: Kent If Hospital: SSN: 384-60-7470 Residence County: Barry City: Hope Twp Zip Code: 49058 Address: 6099 Head Rd. Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 4 years of college Marital Status: Married Race: White Underlying Cause of Death: 5733 Related Cause of Death 115722 215789 315733 61303 Autopsy: No Findings Available: No Actual Place: Home Medical Examiner Case: No Mode of Death: Natural Work Inj ury: Location: State File Number: 063553 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 043295 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Female Margaret A. Schleh Date of Birth: 03/13/940 07/17/997 SSN: 381-42-1447 William L. Schleh Walter James Brown Lucille Mildred Gillespie Michigan Irish Race: White No Marital Status: Married 1 year College Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Metropolitan Hospital Residence Address: City: 6181 Whitneyville Rd. Thornapple Twp Manner of Death Manner: Not Specified Line 1: Myocardial Infarction Line 2: Diabetes Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Housewife Industry: Own Home Thomapple County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 002461 Decedents Name: Sex: Female Ruth Jeannette Schlenker Date of Death: 01/17/996 DateofBirth: 12/18/917 SSN: 363-22-7568 Spouses Name: Albert Schlenker Fathers Name: Jerry Hubbard Mothers Name: Ivah Louise Sturgis Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No 43 Marital Status: Married Place of Death City: Blackman Twp County: Jackson Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 2251 Springport Rd. Apt Blackman City: Assyria Twp Manner of Death: Not Specified Line 1: Carcinoma Of Breast With Metastasis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Domestic County: Barry Zip Code: 49202 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 002450 Decedents Name: Sex: Female Irene L. Schley Date of Death: 01/08/995 Spouses Name: Merle Schley Date of Birth: 11/19/929 SSN: 226-30-1302 Fathers Name: lames Asa Nichols Mothers Name: Virginia Tyre Noblin Place of Birth: Virginia Hospital: Borgess Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No 08 Marital Status: Married Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 7707 Guernsey Lake Rd. City: Orangeville Twp Maimer of Death: Not Specified Line 1: Advanced Malignant Lymphoma Line 2: Line 3: Line 4: Other Conditions: Past Cancer Of Breast; Cerebral Hemorrhage Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert M. Schoder Date of Death: 01/01/994 Date of Birth: 08/24/918 Fathers Last Name: Schoder Sex: Male Age: 75 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces: Yes Ancestry: Irish Education: High School SSN: 366-09-2742 Address: 14981 Uldriks Drive Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4280 Related Cause of Death (*) 114280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 1375 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043469 Decedents Name: Sex: Female Patty Lou Schondelmayer Date of Birth: 08/30/928 Date of Death: 07/11/995 SSN: 373-24-1916 Spouses Name: Glenn Schondelmayer Fathers Name: Cleotis Cummings Mothers Name: Genevieve Sturgeon Place of Birth: Indiana Ancestry: Armed Forces: Education: American Race: White No Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 1600 Middleville Road Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarction Line 2: Severe Chronic Obstructive Lung Disease Line 3: Status Post Aorta-femoral Bypass Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Insurance Owner Industry: Insurance Agent County: Bany Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11Z27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 015816 Decedents Name: Doris Leatha Schott Date of Death: 03/04/995 Sex: Female Date of Birth: 01/21/919 SSN: 363-36-4090 c xi Spouses Name: Fathers Name: Gail Kelly Mothers Name: Blanch VanSickle Place of Birth: Michigan Hospital: Unknown Ancestry: Other Western European .__ . — xi Armed Forces: No Education: Race: White Marital Status: Widow, Widower High School Place of Death County: Ionia City: Ionia If Hospital: Inpatient Residence Address: 13507 Bedford Road Johnstown City: Johnstown Twp Manner of Death: County: Barry Zip Code: 49017 Not Specified Line 1: Adenocarcinoma Of Ovary With Abdominal Carcinomatosis Line 2: Line 3: Line 4: Other Conditions: Diabetes Mellitus - Insulin Dependent Injury Date: Description of Injury: • Occupation: Industry: Processing Dept. Kellogg Cereal Co. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Pauline Margaret Seburg Date of Birth: 07/16/907 Date of Death: 10/04/993 Fathers Last Name: Pierce Place of Death Hospital: Borgess Med Cen City: Kalamazoo County: Kalamazoo SSN: 384-09-9121 If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 Sex: Female Age: 86 Address: 5369 Orchard Rd. Place of Birth: Michigan Armed Forces: No Ancestry: German Education: 11 Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4402 Related Cause of Death (*) 11586 214409 617854 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 61977 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 041589 Patient Information Decedents Name: Date of Death: Sex: Male Charles L. Secord Date of Birth: 08/08/921 06/23/997 Spouses Name: Juanita Kelderhouse Fathers Name: Charles L. Secord Sr. Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: SSN: 366-18-5472 Julia Swarthout Michigan British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 11 Place of Death City: Battle Creek County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: 5718 Long Lake City: Johnstown Twp Johnstown Manner of Death Manner: Not Specified Line 1: Ventricular Fibrillation Line 2: Abdominal Aortic Aneurysm Resection Line 3: Peripheral Vascular Disease Line 4: Chronic Obstructive Pulmonary Artery Disease Other Conditions: Coronary Artery Disease Injury Date: Injury Description: Occupation: Form Maker Industry: Manufacturing County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016257 Decedents Name: Sex: Female Myrtle C. Secord Date of Birth: 09/12/928 SSN: 374-28-4411 Date of Death: 02/27/995 Spouses Name: Lawrence R. Secord Fathers Name: Clifford Davis Mothers Name: Jennie Converse Place of Birth: Michigan Hospital: Blodgett Mem Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent If Hospital: Inpatient Residence Address: 9425 Adams Rd. City: Thomapple Twp Manner of Death: Not Specified Line 1: Intracerebral Hemorrhage Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Housewife Industry: Own Home Thomapple County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Charles Raymond Seegar Date of Death: 11/01/994 Date of Birth: Fathers Name: William Seegar Mothers Name: Racheal Unknown Spouses Name: Onie Willie Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49058 Place of Birth: Indiana Armed Forces: No Ancestry: German Education: High School Sex: Male 04/18/915 County: Kalamazoo SSN: 366-09-8783 Address: 1035 Valentine Marital Status: Married Race: White Underlying Cause of Death: 1991 Related Cause of Death 111991 215768 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 069723 ) (* Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041143 Decedents Name: Sex: Male Edwin Albert Seibert Date of Birth: 07/28/910 Date of Death: 06/29/996 SSN: 377-03-8106 Spouses Name: Fathers Name: Mothers Name: Clarence Seibert Gertrude Miller Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Widow, Widower High School Place of Death City: Plainwell County: Allegan Hospital or Other Place of Death Patient Status: Inpatient Pipp Community Hospital Residence Address: 12091 England Dr. Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Respiratory Failure Line 2: Chronic Obstructive Pulmonary Disease Line 3: Congestive Heart Failure Line 4: Acute + Chronic Renal Failure Other Conditions: Cerebral Vascular Accident - Ischemic Injury Date: Description of Injury: Occupation: Industry: Sales Representative Auto Dealership County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: BENJAMIN K. C. SELLECK-WALKOWS Date of Death: 07/03/993 Date of Birth: 07/02/993 Fathers Last Name: Walkowski Sex: Male Age: 03 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient SSN: Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: Polish Education: None Address: 10590 Parmelee Rd. Marital Status: Never Married Race: White Underlying Cause of Death:. 7483 Related Cause of Death (*) 117483 617651 62769 Autopsy: Yes Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42936 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 081041 Patient Information Sex: Female Decedents Name: Margarita E. Sema Date of Death: Spouses Name: Fathers Name: Mothers Name: Date of Birth: 08/06/917 12/29/997 SSN: Jose G. Sema Andres Escalon Concepcion Gonzales Place of Birth: Texas Ancestry: Armed Forces: Education: Mexican Race: White No Marital Status: Married Unknown Place of Death City: Plainwell County: Allegan Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Pipp Community Hospital Residence Address: City: 12325 9 Mile Road Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Arteriosclerotic Cardiovascular Disease Line 2: Diabetes Mellitus And Hypertension Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Home Maker Industry: Own Home County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 061800 Decedents Name: Sex: Female Bertha J. Shafer Date of Birth: 05/22/926 Date of Death: 10/29/995 SSN: 373-20-8106 Spouses Name: Fathers Name: Kenneth Rogers Mothers Name: Sarah Henrixson Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Widow, Widower High School Place of Death City: Springfield County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 1671 Bristol Road City: Johnstown Twp Manner of Death: County: Barry Johnstown Zip Code: 49050 Not Specified Line 1: Congestive Heart Failure Line 2: Arteriosclerotic Heart Disease Line 3: Line 4: Other Conditions: Severe Copd; Myocardial Infarction, Abdominal Cyst Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home i �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 076047 Patient Information Sex: Male Decedents Name: George Henry Shanahan Date of Death: Date of Birth: 05/26/924 SSN: 372-20-2832 11/25/997 Spouses Name: Fathers Name: Floyd O’ Berry Mothers Name: Ethel M. Warren Place of Birth: Michigan Ancestry: Irish Armed Forces: Yes Race: White Marital Status: Divorced Education: 09 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 6427 Osbome Road Barry Twp Manner of Death Manner: Not Specified Linel: Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Coronary Artery Disease Injury Date: Injury Description: Occupation: Assembly Worker Industry: Auto Industry Delton County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/29/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 028066 Decedents Name: Sex: Female Dolores E. Shedd Date of Death: 05/26/995 Spouses Name: Date of Birth: 11/04/917 SSN: 373-28-4119 Fathers Name: Charles London Mothers Name: Minna Peters Place of Birth: Michigan Hospital: Battle Creek Health Systems Ancestry: German Armed Forces: Education: Race: White No 11 Marital Status: Widow, Widower Place of Death City: Battle Creek County: Calhoun If Hospital: Inpatient Residence Address: 14835 Hutchinson Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Adenocarcinoma Of The Lung Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Steven Sr. Allen Sheldon Date of Death: 01/29/994 Date of Birth: 06/03/951 Fathers Last Name: Sheldon Sex: Male Age: 42 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient SSN: 367-56-1488 Residence County: Barry City: Orangeville Twp Zip Code: 49080 Address: 6843 Dennison Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: High School Underlying Cause of Death: 4148 Related Cause of Death (*) 114275 214151 314148 617860 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 9942 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Marguerite H. Sheler Date of Birth: 12/25/905 Date of Death: 07/05/993 Fathers Last Name: Scott Place of Death Hospital: Unknown City: Maple Valley Twp Sex: Female Age: 87 County: Montcalm SSN: 377-26-9945 If Hospital: Residence County: Barry City: Castleton Twp Zip Code: 49058 Address: 2735 W. State Rd. Place of Birth: Michigan Marital Status: Widow, Widower Armed Forces: No Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4140 Related Cause of Death (*) 114140 614293 Autopsy: Yes Findings Available: Yes Actual Place: Home Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 44055 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: WILLIAM JOHN SHERIDAN Date of Death: 05/21/993 Date of Birth: 09/23/923 Fathers Last Name: SHERIDAN Sex: Male Age: 69 Place of Death Hospital: Blodgett Memorial Medical Center City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Twp Zip Code: 49058 Place of Birth: Unknown Armed Forces: Yes Ancestry: Irish Education: High School SSN: 383-14-5737 Address: 2222 ROBINWOOD DR. Marital Status: Married Race: White Underlying Cause of Death: 1541 Related Cause of Death (*) 111541 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 29953 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Laura B. Sherk Date of Death: 02/07/994 Date of Birth: 02/10/905 Fathers Last Name: Schleh Sex: Female Age: 88 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 378-22-0386 If Hospital: Inpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 705 S. Briggs Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4140 Related Cause of Death (*) 117855 214140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 9950 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Jeanette De Roo Sherman Date of Death: 08/23/994 Date of Birth: 03/04/909 Fathers Last Name: DeRoo Sex: Female Age: 85 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 367-22-3394 If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Address: 7858 Moe Road Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 410 Related Cause of Death (*) 11410 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 49874 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Fred nmn Sherriff Date of Death: 02/21/994 Date of Birth: 02/13/912 Fathers Last Name: Sherriff Sex: Male Age: 82 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49060 SSN: 081-07-5604 Address: 11709 E. Baseline Road Place of Birth: Michigan Armed Forces: Yes Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 5 years of college Underlying Cause of Death: 4254 Related Cause of Death (*) 114279 214254 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: ) (* 8527 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �' I MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 047880 Decedents Name: Sex: Female Marjorie Ann Shoemaker Date of Birth: 07/02/927 SSN: 368-26-4823 Date of Death: 08/28/996 Spouses Name: James Shoemaker Fathers Name: Conrad Haveman Mothers Name: Anna Buist Place of Birth: Michigan Ancestry: Armed Forces: Education: Other Western European Race: White No Marital Status: Married 1 year College Place of Death City: Allegan County: Allegan Hospital or Other Place of Death Patient Status: Inpatient Allegan General Hospital Residence Address: 5289 Marsh Road City: Orangeville Twp Manner of Death: Not Specified Orangeville County: Barry Zip Code: 49344 • Line 1: Asystole Line 2: Congestive Heart Failure Line 3: Cardiomyopathy Line 4: Coronary Artery Disease Other Conditions: Hyperkalemia, Dehydration, Adriamycin Cardiotoxicity, Breast Cancer, Cva Injury Date: Description of Injury: Occupation: Homemaker Industry: Own Home � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 8) of Barry County Residents who died outside of Barry County, 1900-1998. Quick to Shoemaker. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 8) of Barry County Residents who died outside of Barry County. Quick to Shoemaker Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL http://barrycountyhistoryportal.org/files/original/30/861/Death_Transcripts_Barry_County_Vol._9.pdf 63959c91f105e1fd52c0baaa1c7fa0b8 PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 9) begins with Shook and ends with Thompson �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 022786 Decedents Name: Sex: Male Harley R. Shook Date of Death: 04/04/996 Spouses Name: Date of Birth: 11/05/910 SSN: 370-12-4907 Fathers Name: Leander Shook Mothers Name: Grace Tilford Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No 08 Marital Status: Widow, Widower Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Borgess Med Cen Patient Status: Inpatient Residence Address: 11417 Lake Shore Drive City: Prairieville Twp Manner of Death: Not Specified Line 1: Acute Myocardial Infarct Line 2: Coronary Artery Disease Line 3: Line 4: Other Conditions: Left Pleural Effusion Injury Date: Description of Injury: Occupation: Industry: Farmer Farming County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Mark, II A. Date of Death: 04/01/994 Fathers Last Name: Shriver Place of Death Hospital: Unknown City: Caledonia Twp Shriver Date of Birth: 10/07/973 Sex Age County: Kent SSN: 366-02-6050 If Hospital: Residence County: Barry City: Middleville Address: 311 Russell Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Marital Status: Never Married Race: White Underlying Cause of Death: 8160 Related Cause of Death (*) 11(54 613050 628160 Autopsy: Yes Findings Available: Yes Actual Place: Other Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: (*) 24045 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 029992 Sex: Male Leroy O. Sibbersen Decedents Name: Date of Birth: 03/15/914 Date of Death: 05/16/996 SSN: 370-12-1202 Spouses Name: Hazel Heffner Fathers Name: Christian Sibbersen Mothers Name: Myrtle Witherell Place of Birth: Ohio Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 10968 Boniface Pt. Prairieville City: Prairieville Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Probable Abdominal Mesothelioma Line 3: Line 4: Other Conditions: Carcinomatosis Abdomen Injury Date: Description of Injury: Occupation: Industry: Farmer Farm County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015084 Decedents Name: Sex: Male Marvin Louis Siefke Date of Birth: 01/26/928 Date of Death: 03/02/996 SSN: 381-24-8817 Spouses Name: Beverly Jane Shirlaw Fathers Name: Emil Siefke Mothers Name: Julia Blausey Place of Birth: Ohio Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married High School Place of Death City: Traverse City County: Gd. Traverse Hospital or Other Place of Death Munson Medical Center Patient Status: Emergency Room/Outpatient Residence Address: 6494 S. Wall Lake Rd. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Probable Heart Attack Line 2: Line 3: Line 4: Other Conditions: Status Post Coronary Arterial Bypass Injury Date: Description of Injury: Occupation: Industry: Supervisor Paper Company County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062749 Decedents Name: Sex: Male Paul E. Siegel Date of Birth: 01/21/912 Date of Death: 10/07/996 SSN: 392-16-2777 Spouses Name: Fathers Name: Arthur R. Siegel Mothers Name: Bertha V. Voeler Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower 5 years of college Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 11 Ironside Drive Hastings City: Hastings Manner of Death: Not Specified Line 1: Acute Renal Failure Line 2: Congestive Cardiomyopathy Line 3: Atherosclerotic Cardiovascular Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Attorney Legal Practice County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Rosellen E. Siegel Date of Death: 08/04/994 Date of Birth: 05/13/920 Fathers Last Name: Parcel Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 74 County: Kent If Hospital: Unknown Residence County: Barry City: Hastings Zip Code: 49058 SSN: 273-16-4021 Address: 11 Ironside Dr. Place of Birth: Ohio Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch r Race: White Education: 5 years of college Underlying Cause of Death: 1749 Related Cause of Death (*) 111749 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 49932 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Phyllis B. Siegert Date of Death: 09/18/994 Date of Birth: Fathers Name: Nelson J. Getman Mothers Name: Josephine Pickles Spouses Name: Julius E. Siegert Sex: Female 07/21/924 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 SSN: 379-14-8708 Address: 5422 Long Lake Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 410 Related Cause of Death *** 11410 214140 61496 624279 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 55333 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Sex: Female Decedents Name: Ruth Emily Sielaff Date of Death: 12/25/994 Date of Birth: Fathers Name: Henry J. Sielaff Mothers Name: Minnie Schultz Spouses Name: 12/07/914 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Illinois Armed Forces: No Ancestry: German Education: 5 years of college SSN: 343-38-7300 Address: 1172 Clear Lake Road Marital Status: Never Married Race: White Underlying Cause of Death: 410 Related Cause of Death 11410 214149 61486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 075287 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 05/13/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 068752 Patient Information Sex: Female Decedents Name: Goldie R. Sikkema Hart Date of Birth: 06/22/914 Date of Death: 11/11/997 Spouses Name: SSN: 368-09-3900 Lawrence T. Hart Fathers Name: Robert Ford Mothers Name: Evelyn Miller Place of Birth: Michigan Ancestry: Armed Forces: American Race: White No Marital Status: Married Education: High School Place of Death County: Gd. Traverse City: Traverse City Patient Status: Inpatient Hospital or Other Place of Death: Munson Medical Center Residence Address: City: 431N. Cedar Street Traverse Hastings Manner of Death Manner: Not Specified Line 1: Stroke With Intra Cerebral Hemorrhage Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49684 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 042036 Decedents Name: Sex: Female Edna Skidmore Date of Birth: 08/21/906 J..SSN: 363-38-2605 Date of Death: 07/25/995 Spouses Name: Fathers Name: Wesley Charles Norris Mothers Name: Alice Viola Cheeseman Place of Birth: Michigan i British, Scotch, Welsh, Scotch Irish Ancestry: Race: White Armed Forces: No Education: Marital Status: Widow, Widower 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: DOA with hospital name Enroute to Hospital Residence Address: 13490 Trick Rd. Barry City; Barry Twp Maimer of Death: County: Barry Zip Code: 49046 Not Specified Line 1: Acute Myocardial Infarction With Ventricular Fibrillation Line 2: Coronary Artery Atherosclerosis Line 3: Angina Pectoris Line 4: Atrial Fibrillation Other Conditions: History Chf; Hypothyroid Injury Date: Description of Injury: Occupation: Industry: Homemaker At Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: RICHARD J. Date of Death: 08/28/993 SLATER Date of Birth: 02/28/929 Sex: Male Age: 64 Fathers Last Name: Slater Sr. Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: SSN: Inpatient 372-26-7696 Residence County: Barry City: Middleville Zip Code: 49333 Address: Place of Birth: Michigan Armed Forces: Yes Ancestry: British, Education: 10 Scotch, 119 Dayton St. Marital Status: Married Welsh, Scotch Race: White Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 49632 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan "Decedents Name: Lorna Katherine Slocum 3 Date of Death: 12/03/994 Date of Birth: * Fathers Name: Joseph Washington Card “ Mothers Name: Clarissa Irene Dudley • Spouses Name: Sex: Female 05/28/915 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Baltimore Twp Zip Code: 49508 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: 09 SSN: 377-30-2379 Address: 5898 Bedford Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 8227 Related Cause of Death 11)598 618227 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Other specified places State File Number: (*) 076801 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �Michigan department of public health DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF:: Hie: higan Decedents Name 8 ARTHUR B* SMALLEY .... Date of Deaths 04/02/993 Date of Births 08/06/908 Fa t h e r s La st Na me:: Sma 11 ey Acies 84 Sex 8 Mai® Age,. « P1 a c e o f Dea t h Hospitals Blodgett Mem Med Cen City# East Grnd Rapids Countys Kent If Hospita1n Inpa ti e nt Residence Countys Barry Citys Middleville Zip Codes 49333 P1 a c e o f B i r t h s M i c: h i g a n firmed Force., Ho Arises t ry s Ge r man Educations 5 years of college SSNs 385-01-1713 Addresss 510 Grand Rapids St.. Aoaresss M ,ttCi H^lt.! Statu.. Undei’Jying Caus^ of Deaths 4148 Related Cause of Death (*> 114148 61>966 625789 638781 647199 Autopsy. No Finding Available. Unknot Actual Places Hospital Medical Examiner Cases Unknown Mode of Deaths Natural Work injury« Locations 9t a t e F i 1e Numb e r r. ) 22991 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the I CD code.. �MICHIGAN DEPARTMENT OF" PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF" MICHIGAN IMOIM • COUNTY RESIDENT THE STATE OF:: Michigan Dec. ed «.•?n t W Na Fie n K EI TH L. •< SHELKER Date of Death:: 06/29/993 Date of Births Fa t h e r s L. a i» t Na Re" Sine I k s r P1 a i ? o f Dea t h I losp i t a 1:: B1 odg et1 Men Med Cen C:«t y:: East G r i id Ra p i ds Count y n I f Hosp i t a 1:: Sex:: Male Ages 78 Ke Tit SSN " I rip a t i . •? n t Residence Countys Barry C i t y:: Ha o t j. ng <"> Z i p Cod e:: 49058 05/14/913 368 ••• 18-4969 Ad d r ess:: 641 E » G r a nt P1 a c ® o f B i r t h:: Mi c h i g a 11 A r ine d F o r c es:: No A i'il: hst r y s Ge r na n Ed uc: a t i on:: H i g h Sc: h oo I Ma r i t a 1 St a t us:: Ma r r :i. ed Race:: White U nd e i 1 y i rig Ca u.se o f Dc^a t h :: 4140 Related Cause of Death (.^y 114289 214140 614240 Autopsy:: No F i rid 1 ng s Ava i 1 ab 1 co:: Unk nowri Ac:t ua 1 P1 ac:e:: Med 1 c. a 1 E x a i*i i. ri«-? r Ca se s Un k nouin Hod e o f Dea t h :: Na t u r a 1 Woi k Locat i on:: Injury" St a t e F’i 1 e Nunb c? r n Hosp 11 a .1. 36216 S i x d:» g:»t s w :i t h 111 e :t s 1 d:»g i t. b e :i n g t h e 1 :L n e v t h e 2 n d b e i n g t h e p o i t i o t i w 11 h :i n *t h e linev and posit ions 3 ”6 being the .LCD code« �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan. Decedents Name: AURA M. SMITH Date of Death: 12/07/993 Date of Birth: 12/31/905 Fathers Last Name: CHARBONNEAU Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 87 County: Kent If Hospital; Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 372-42-0053 Address: 518 SOUTH JEFFERSON ST Place of Birth: North Dakota Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 4 years of college Underlying Cause of Death: 1830 Related Cause of Death (*) 111830 Autopsy: No Findings Available: Unknown Actual Place: Extensive Care/Hospice Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: No Location: State File Number: 76110 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Dec ed en t s Na me s Be tt y Ju ne Sm i t h Date of Deaths 03/26/993 Date of Births 08/19/927 Fathers Last Names Schultz Place of Death Hosp it a 1 s Un l< nown C i t y s l.owe 11 Twp I f Hosp i t a 1:: County:: Kent SSNs 373-24-2074 Inp a t lent Residence Countys Barry Citys Thornapple Twp Zip Codes 49316 P1 a c e o f B i r t h s Michigan Armed Forces:: No Anu. es t r y s Ge r ma n Educations 08 Sexs Ferna le Ages 65 Addresss 5660 108th. St. Marital Status:: Widow, Widower Races White Under 1 y xng Cause of Deaths 1629 Related Cause of Death OH) 111629 Autopsys No Findings Available^ No Actual Places Nursing Home Medical Examiner Cases Unknown Mode of Death.*: Natural Work Injury:: Locat ions St at e File Numb &rs 15983 < $ > Six digits with the 1st d ig i t being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062793 Patient Information Sex: Male Decedents Name: David L. Smith Date of Death: Date of Birth: 05/16/938 10/01/997 SSN: 375-38-1720 Spouses Name: Fathers Name: Edward W. Smith Mothers Name: Pearl L. Erway Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced Education: 09 Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: St Mary’s Health Services - Grand Rapids Residence Address: City: 1003 W. State Road Hastings Manner of Death Manner: Not Specified Line 1: Stroke Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Sexton Industry: Cemetery Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edgar W. Smith Date of Death: 01/01/994 Date of Birth: Fathers Last Name: 10/02/912 Sex: Male Age: 81 Smith Place of Death Hospital: Pipp Community Hospital City: Plainwell County: Allegan If Hospital: Inpatient SSN: 095-03-5925 Residence County: Barry City: Prairieville Twp Zip Code: Address: 10911 Cressey Rd. 49080 Place of Birth: New York Armed Forces: No Marital Status: Never Married Ancestry: British, Scotch, Welsh, Education: High School Scotch Race: White Underlying Cause of Death: 486 Related Cause of Death (*) 11486 614140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 8120 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: EDNA B. SMITH Date of Death: 07/18/993 Date of Birth: 04/04/900 Fathers Last Name: DECKER Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 93 County: Kent If Hospital: Inpatient SSN: 363-42-1201 Residence County: Barry City: Carlton Twp Zip Code: 49325 Place of Birth: Michigan Armed Forces: No Ancestry: British, Scotch, Education: 1 year College Address: 3595 JORDAN ROAD Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 1509 Related Cause of Death (*) 111509 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 43048 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048280 Decedents Name: Sex: Male Edward John Smith Date of Death: 08/14/996 Spouses Name: Georgia Zimmerman Date of Birth: 10/14/933 SSN: 362-34-5258 Fathers Name: John Purdue Smith Mothers Name: Mary Carpenter Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes 08 Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 1725 East Hickory Road Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Coronary Artery Disease Line 3: Diabetes Mellitus Line 4: Other Conditions: Hypertension Injuty Date: Description of Injury: Occupation: Industry: Laborer Cereal Factory County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gladys Ruth Smith Date of Death: 07/04/993 Date of Birth: 08/15/906 Sex: Female Age: 86 Fathers Last Name: Weber Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49021 Place of Birth: Minnesota Armed Forces: No Ancestry: German Education: 11 SSN: 364-34-9015 Address: 4635 Lacey Rd Marital Status: Widow, Widower Race: White Underlying Cause of Death: 4280 Related Cause of Death (*) 115845 214280 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: (*) 41435 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 042257 Sex: Female Grace Anna Smith Decedents Name: Date of Birth: 04/22/919 Date of Death: 07/30/995 SSN: 365-28-8960 Spouses Name: John Edgar Smith Fathers Name: Floid Blodgett Mothers Name: Grace Ervay Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: Marital Status: Married 08 Place of Death City: Charlotte County: Eaton Hospital or Other Place of Death Patient Status: Inpatient Hayes Green Beach Hospital Residence Address: 336 Middle St. City: Nashville Manner of Death: Nashville County: Barry Zip Code: 49073 Not Specified Line 1: Sepsis Line 2: Line 3: Lined: Other Conditions: Acute Renal Failure, Diabetes, Congestive Heart Failure; Pneumonia Injury Date: Description of Injury: Occupation: Industry: Home Maker Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Harold J. Smith Date of Death: 03/11/994 Date of Birth: 03/21/907 Sex: Male Age: 86 Fathers Last Name: Smith Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Castleton Twp Zip Code: 49058 SSN: 366-07-7267 Address: 982 Charlton Drive Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 486 Related Cause of Death (*) 117855 210389 31486 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 15320 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Joseph Steven Smith Date of Death: 09/26/994 Date of Birth: Fathers Name: Steven Joseph Smith Mothers Name: Jodi Marie Kinsley Spouses Name: Sex: Male 12/21/975 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Emergency Room/Outpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: High School SSN: 366-80-2998 Address: 6934 Marsh Road Marital Status: Never Married Race: White Underlying Cause of Death: 8120 Related Cause of Death 11)598 618120 Autopsy: Yes Findings Available: Yes Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 063271 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014406 Decedents Name: Sex: Male Randall R. Smith Date of Birth: 04/02/948 Date of Death: 03/24/996 SSN: 530-34-7204 Spouses Name: Fathers Name: Mothers Name: Rex W. Smith Virginia M. Brown Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Divorced High School Place of Death County: Calhoun City: Bedford Twp Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 7350 Cedar Creek Road City: Hope Twp Manner of Death: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 03/24/1996 single Car Accident Stationary Fireman V. A. Medical Center Hope County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 022898 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Russell I B. Snyder 04/16/997 Marjorie I. Johnson Fathers Name: Russell B. Snyder Mothers Name: Arabelle Castelein Date of Birth: 06/09/930 SSN: 362-30-1935 Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 10 Place of Death County: Kent City: East Gmd Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 420 E. Center St. Hastings Hastings Manner of Death Manner: Not Specified Line 1: Cardiogenic Shock Line 2: Acute Myocardial Infarction Line 3: Atherosclerotic Heart Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Factory Worker Industry: Aluminum Products County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024355 Patient Information Sex: Female Decedents Name: Martha Ann Sousley Date of Death: 04/06/1998 Date of Birth: 11/05/1910 SSN: 374-20-8844 Spouses Name: Fathers Name: George W. Pope Mothers Name: Lillian Sampson Place of Birth: Indiana Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: Marital Status: Widow, Widower Education: 09 Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 470 Barlow Lake Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Linel: Cerebrovascular Accident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Self-employed Industry: Clothing County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: ALLENE SPEED Date of Birth: 08/16/930 Date of Death: 10/07/993 Fathers Last Name: Sargent Place of Death Hospital: Unknown City: Galesburg Sex: Female Age: 63 County: Kalamazoo SSN: 377-30-6975 If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Kentucky Armed Forces: No Ancestry: British, Scotch Education: 10 Address: 12616 West 9 Mile Road Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 1991 Related Cause of Death (*) 111991 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 62094 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CHARLES E. SPETA Date of Death: 07/13/993 Date of Birth: 10/12/900 Fathers Last Name: SPETA Sex: Male Age: 92 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: SSN: 378-28-2353 Inpatient Residence County: Barry City: Johnstown Twp Zip Code: 49017 Address: 409 MILL LAKE Place of Birth: Unknown Armed Forces: Yes Marital Status: Widow, Widower Ancestry: Other Western European Race: White Education: 08 Underlying Cause of Death: 410 Related Cause of Death (*) 11410 61(20 627802 63887 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Inj ury: Location: State File Number: 42878 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NOIM - COUNTY RES I DENT THE STATE OF# Michigan Decedents Nantes HILDA ANN STAHL. Date of Deaths 03/28/993 Date of Births Fathers Last Names Cl eminent s 08/13/938 Sexs Female Ages 54 Place of Death Hosp i t a 1:: B1 od g e11 Mem Med Cen Citys East Grrid Rapids Countys Kent I f Hosp i t a 1 # SSNs 505-46-3960 I np a t i ent Residence County s Ba r ry City# Irving Twp Zip Codes 49325 Ad d r ess s 5891 Wood sc h oo1 Rd. Place of Births Nebraska Armed Forces# No Ancestry # Ge rman Education# 2 years College Marital Status# Married Races White Urid e r 1 y i ng Ca use o f Dea t h s 430 Re1a ted Cause o f Dea th (> 114300 61586 623481 Autopsy# No Findings Available# Unknown Actual Places Hospital Med i c a1 Ex a mi ner Ca se # Un k nown Mode of Deaths Natural Work Injury Location State File Numbers 15629 Six digits with the 1st digit being t1"*? line, the 2nd being the position within the line, and positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS FOR 1998 11/16/98 County of Residence o County of Occurrence State of Residence: Michigan File Number: 029598 Patient Information Decedents Name: E. Mary Staines Sex: Female Date of Birth: 11/26/1914 SSN: 364-40-7775 Date of Death: 05/22/1998 Spouses Name: Fathers Name: Lee Hargrave Mothers Name: Julia Van Vleck Place of Birth: Michigan Ancestry: Armed Forces: Other Western European N0 Race: White Marital Status: Widow, Widower Education: 2 years College Place of Death City: Battle Creek County: Calhoun Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 14433 Bedford Road Johnstown Twp Manner of Death Manner: Not Specified Line 1: Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/95 NON-COUNTY RESIDENT State: Michigan File Number: 007764 Decedents Name: Sex: Male Harvey C. Staines Date of Birth: 05/06/911 Date of Death: 01/30/995 SSN: 368-14-4943 Spouses Name: E. Mary Hargrave Fathers Name: Bert Staines Mothers Name: Winnie Hendrick Place of Birth: Michigan Hospital: Unknown Ancestry: Other Western European Armed Forces: Education: Race: White No Marital Status: Married 2 years College Place of Death County: Calhoun City: Battle Creek If Hospital: Inpatient Residence Address: 14433 Bedford Road City: Johnstown Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Aspiration Line 3: Swallow Dysfunction Line 4: Parkinson Disease Other Conditions: Injury Date: Description of Injury: Occupation: Industry: School Teacher Public School System Johnstown County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021365 Patient Information Decedents Name: Date of Death: Sex: Male Leo E. Stambaugh Date of Birth: 05/19/926 04/16/997 SSN: 375-20-9306 Spouses Name: Fathers Name: Mothers Name: Earl Stambaugh Arlie Wilcox Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Widow, Widower High School Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 6265 Thomapple Lake Castleton Twp County: Barry Zip Code: 49073 Manner of Death Manner: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Post Surgical State; Intracranial Hematoma; Chf, Quadriplegia, Lupus, Ashd And Bell's Palsy Injury Date: Injury Description: Occupation: Supervisor Industry: Automotive Mfg. Company �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 036618 Sex: Male Stanley A. Stauffer Decedents Name: Date of Birth: 01/22/910 Date of Death: 06/27/996 SSN: 368-34-2940 Spouses Name: Fathers Name: Alcid Stauffer Mothers Name: Lotta Fairchild Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower 08 Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Blodgett Mem Med Cen . Patient Status: Inpatient Residence Address: 1005 N. Taffee Drive Hastings City: Hastings Manner of Death: Accidental Line 1: Craniocerebral Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 06/20/1996 Unwitnessed Fall Down Stairs Owner- Operator Dairy County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 11/27/0^ NON-COUNTY RESIDENT State: Michigan File Number: 009302 Decedents Name: Sex: Male Thomas F Stebbins Date of Birth: 03/21/914 SSN: 368-09-3742 Date of Death: 02/15/995 Spouses Name: Fathers Name: Fred W. Stebbins Mothers Name: Myrtle Sullivan Place of Birth: Michigan Hospital: St Mary's Health Services - Grand Rapids Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White Yes Marital Status: Widow, Widower 5 years of college Place of Death City: Grand Rapids County: Kent If Hospital: Inpatient Residence Address: 538 West Green St. City: Hastings Manner of Death: Not Specified Linel: Cardiac Arrhythmia Line 2: Line 3: Line 4: Other Conditions: Kidney Failure Injury Date: Description of Injury: Occupation: Industry: Banker Banking Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: AGNES G. STORY Date of Death: 09/14/993 1Date of Birth: 04/21/912 Fathers Last Name: Fisher Place of Death Hospital: Unknown City: Battle Creek If Hospital: Sex: Female Age: 81 County: Calhoun Inpatient SSN: 363-32-1715 Residence County: Barry City: Assyria Twp Zip Code: 49021 Place of Birth: Michigan Armed Forces: No Ancestry: British, Scotch, Education: 10 Address: 8030 Tasker Road Marital Status: Widow, Widower Welsh, Scotch Race: White Underlying Cause of Death: 7999 Related Cause of Death (*) 117999 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 54658 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 053405 Patient Information Sex: Female Decedents Name: Kelly Jean Stough Date of Birth: 07/29/970 SSN: 368-74-6774 Date of Death: 08/31/997 Spouses Name: Fathers Name: Lyle Dee Stough Mothers Name: Lena Darlene Anthony Place of Birth: Michigan Ancestry: Armed Forces: German Race: White No Marital Status: Never Married Education: 09 Place of Death County: Wayne City: Detroit Patient Status: Emergency Room/Outpatient Hospital or Other Place of Death: Unknown Residence Address: City: 8051 Assyria Highway Nashville Nashville Manner of Death Manner: Not Specified Line 1: Pulmonary Thromboembolism Line 2: Possible Deep Vein Thrombosis Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Caretaker Industry: Child Care Industry County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 021355 Patient Information Decedents Name: Date of Death: Spouses Name: Sex: Male Roy Moses Strickland Date of Birth: 12/05/905 04/02/997 SSN: 366-09-0601 Aleta Patricia Lybarger Fathers Name: Floyd Strickland Mothers Name: Elizabeth Briggs Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married Education: High School Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 10795 Case Road Assyria Assyria Twp Manner of Death Manner: Not Specified Line 1: Acute Myocardial Infarction Line 2: Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Owner/operator Industry: Dry Cleaning Business County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON ’ COUNTY RESIDENT THE STATE OF:: Michigan De«.: ede iits Na roe:: l< en e t h D.. S I*, r i wb«f: k Date of Births Da tee of Deaths: 05/07 /993 Fathers Last Nances S trimback 03/02/916 Sbx :: Ma J Agees 77 P1 a c e o f Dea t h Hosp i t a X:: Ba ttX ce Cr cecek Health Systems C i t y :c B a 1IX ce C r cece k Count. y s Ca1h oun I f Hosp J. t a 1:: I rip a t lent Residence County:: Barry Ci ty :: Ba 1t i no re Twp Zip Code:: 49058 P j ac (■? o f B i r t h:: Mf c: h igan A rneed Fo r c ces:: No Am: es t r y:: Ge v ma n Education:: 11 SSNs 366-07-9714 Add r cess s 4432 Bcedford Rd Ma r i t a 1 St a t us:: Matried Races White Undc-n J y5 ng Cause of 4912 Related Cause? of De« th C^) 117990 21490 61496 Autop sy « Nee F :il nd i ng s Ava i X a b X ce:: IJ n k nown Ac. t ua 1 P X a c e s Hosp i 1 Med i c. a I E xan i iw r Ca •=r>e:: Unk nown Mod e o f Dea t h s Na t u r a 1 Work Injury:: Loe. a t i on s 81 a t ce F i X e Nunb e r :: 28303 <$> Six digits with the^ 1st digit being the line, thee 2nd being th p Os i ti on w i th i n thee line, and posit ions 3-6 being the I CD code �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: VIRGINIA K. STUART Date of Birth: 12/27/921 Date of Death: 10/31/993 Fathers Last Name: Kerns Place of Death Hospital: Unknown City: Battle Creek Sex: Age: County: Calhoun SSN: 407-05-4943 If Hospital: Residence County: Barry City: Johnstown Twp Zip Code: 49050 Place of Birth: Kentucky Armed Forces: No Ancestry: German Education: 08 Address: 862 Bristol Lake Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 3352 Related Cause of Death (*) 113352 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 67625 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MAMIE ELIZABETH STUCK Date of Death: 11/26/993 Date of Birth: 09/21/915 Sex: Female Age: 78 Fathers Last Name: Leppen Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Barry Twp Zip Code: 49046 County: Kalamazoo SSN: 376-12-8557 Address: Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School 10450 Brickyard Rd. Marital Status: Married Race: White Underlying Cause of Death: 492 Related Cause of Death (*) 11492 614149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 75684 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: FRANCES N. STUTZ Date of Death: 10/16/993 Date of Birth: Fathers Last Name: Orsbom 01/18/916 Sex: Female Age; 77 Place of Death Hospital: Blodgett Mem Med Cen City: East Gmd Rapids County: Kent If Hospital: SSN: 384-24-7177 Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 511 W. South Street Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 410 Related Cause of Death (*) 11410 21410 314149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 62141 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 014325 Decedents Name: Sex: Male Benjamin H. Sullivan Date of Birth: 09/10/910 Date of Death: 03/16/996 SSN: 275-10-3093 Spouses Name: Lorane Shedd Fathers Name: Benjamin P. Sullivan Mothers Name: Effie Rowe Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 2125 Maple Lane City: Hastings Twp Manner of Death: Not Specified Line 1: Cerebral Vascular Incident Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Grounds Maintenance Hospital Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 009009 Decedents Name: Sex: Female Kathleen Ruth Swartz Date of Death: 02/14/995 Spouses Name: William Dennis Swartz Date of Birth: 01/09/949 SSN: 278-44-5918 Fathers Name: Raymond Trott Mothers Name: Erma Irene Radar Place of Birth: Ohio Hospital: Borgess Med Cen Ancestry: Irish Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo If Hospital: Inpatient Residence Address: 10825 Lacey Road Assyria Cily: Assyria Twp Manner of Death: Not Specified Line 1: Metastatic Synovial Sarcoma Line 2: Synovial Sarcoma Left Thigh Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Packaging Dept. Great Lakes Novelty Co. County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFa Michigan Decedents Names LESLIE J*. SWEENEY Date of Deaths 04/34/993 Date of Birth:: 02/22/896 Fathers Last Names Sweeney P1 a c e o f Dea t h Hosp i t a 1 s Un k nown Citys Gravid Rapids If Hospi ta1n Sexs Male Ages 97 Countys Kent 1ripati e nt Residence County:: Ba r ry Citys I r v i ng Twp Zip Code:: 49333 SSNs 370-18-8193 Addresss 7545 Garbow Rd* P1 ace of Bi v th:: Mich igan A rmed Forces :.* No A i*m.: es try s I r i sh Educat ion:: 03 Ma r i t a 1 St a t us:: W i d ow, W i d owe r Races White Underlying Cause of Deaths 4149 Re 1 a t ed Ca use o f Dea th () 114149 Autopsya No Findings Availables Unknown Actual Places Nursing Home Med i c a 1 E x a m i no r Ca se:: Un k nown Mod e o f Dea t h :: Na t u r a 1 Work Injurys Locations S t a t e F i 1 e Numb e r s 3134 (#•) S i x cl ig :i t«> w i th th e 1 st. d i g i t being the line, the 2nd being the position within the line.; and positions 3-6 being the ICD codew �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068761 Decedents Name: Sex: Female Angela B. Swiatek Date of Birth: 08/17/913 Date of Death: 10/28/996 SSN: 372-05-1192 Spouses Name: Fathers Name: Stephan Bednarczyk Mothers Name: Felicia Idzikowski Place of Birth: Michigan Polish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 2 years College Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 1001 Podunk Lake Rd. Rutland City: Rutland Twp Manner of Death: Not Specified Line 1: Brainstem Herniation From A Stroke Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CECILE MAE SWIMS Date of Death: 09/15/993 Date of Birth: 11/11/905 Fathers Last Name: Gage Sex: Female Age: 87 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49046 Place of Birth: Michigan Armed Forces: No Ancestry: Italian Education: 08 SSN: 366-07-4885 Address: 12808 S. M-43 Marital Status: Divorced Race: White Underlying Cause of Death: 4448 Related Cause of Death (*) 214448 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 54667 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Edward L. Symonds Date of Death: 02/02/994 Date of Birth: Fathers Last Name: Symonds 05/04/929 Sex: Male Age: 64 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient SSN: 368-28-6910 Residence County: Barry City: Nashville Zip Code: 49073 Address: Place of Birth: Michigan Armed Forces: Yes Ancestry: American Education: 11 105 Sherman St. Marital Status: Married Race: White Underlying Cause of Death: 2500 Related Cause of Death (*) 114280 212500 224259 314140 41410 61486 Autopsy: No Findings Available: No Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 9945 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022782 Patient Information Sex: Female Decedents Name: Josephine Cora Symons Date of Birth: 03/21/1914 SSN: 279-12-0107 Date of Death: 04/27/1998 Spouses Name: Fathers Name: Carl Holden Mothers Name: Margaret Levy Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Divorced Education: 08 Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Battle Creek Health Systems Residence Address: City: 6762 Delton Road Barry Twp County: Barry Barry Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Diverticulitis Line 2: Line 3: Line 4: Other Conditions: Emphysema, Congestive Heart Failure (Chronic) Injury Date: Injury Description: Occupation: Waitress/ Cook Industry: Bar And Grill �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 11/27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 002594 Decedents Name: Sex: Male Frank E. Taylor Date of Birth: 02/24/924 SSN: 363-20-9796 Date of Death: 01/15/995 Spouses Name: Gertrude Weber Fathers Name: Delbert Taylor Mothers Name: Frances Clark Place of Birth: Michigan Hospital: Blodgett Mem Med Cen Ancestry: British, Scotch, Welsh, Scotch Irish Armed Forces: Education: Race: White Yes Marital Status: Married 10 Place of Death City: East Gmd Rapids County: Kent If Hospital: Inpatient Residence Address: 11527 Cobb Lake Rd. Yankee City: Yankee Springs Twp Manner of Death: Not Specified Line 1: Interstitial Pneumonitis Line 2: Adenocarcinoma Of The Lung Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Tool & Die Industry: Automotive County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076143 Decedents Name: Sex: Male James Dewitt Taylor Date of Birth: 12/29/934 Date of Death: 12/18/996 SSN: 376-32-9855 Spouses Name: Judy Ann Stinson Fathers Name: Mothers Name: Louis Taylor Pauline Cox Place of Birth: Arkansas Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence * Address: 10421 Norris Road Delton City: Barry Twp Manner of Death: Not Specified Line 1: Myocardial Infarction Line 2: Post Operative Hemorrhage Line 3: Cirrhosis Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Hi- Lo Driver Automotive Mfg. Co. County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: John William Taylor Date of Death: 03/17/993 Date of Birth: 03/23/967 Fathers Last Name: Taylor Sex: Male Age: 25 Place of Death Hospital: Butterworth Hospital City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 3 years College SSN: 367-80-4381 Address: 6745 N. Middleville Road Marital Status: Never Married Race: White Underlying Cause of Death:- 8160 Related Cause of Death (*) 11)598 618160 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Accident Work Injury: No Location: Street and Highway State File Number: 15804 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Robert W. Teeter Date of Death: 09/27/994 Date of Birth: Fathers Name: LaVerne W. Teeter Mothers Name: Hattie E. Armstrong Spouses Name: Eleanor L. Pfeiffer Sex: Male 01/20/919 Place of Death Hospital: Pipp Community Hospital City: Plainwell County: Allegan If Hospital: Emergency Room/Outpatient Residence County: Barry City: Yankee Springs Twp Zip Code: 49344 SSN: 366-07-9329 Address: 11937 England Drive Place of Birth: Michigan Armed Forces: Yes Marital Status: Married Ancestry: Other Western European Race: White Education: 11 Underlying Cause of Death: 4140 Related Cause of Death (*) 114149 214140 314284 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: No Mode of Death: Natural Work Injury: Location: State File Number: (*) 061419 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Eula Lee Tenney Date of Death: 01/22/994 Date of Birth: 09/16/902 Fathers Last Name: Armstrong Sex: Female Age: 91 Place of Death Hospital: Bronson Methodist Hospital City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Prairieville Twp Zip Code: 49080 SSN: 366-10-5214 Address: 10800 Center St Place of Birth: Kentucky Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 4413 Related Cause of Death (*) 11410 214413 314149 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 2846 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 056466 Decedents Name: Sex: Male Cecil John Terburg Date of Birth: 05/30/993 SSN: 384-15-0558 Date of Death: 08/31/995 Spouses Name: Fathers Name: Paul Joseph Terburg Mothers Name: Sonya Pratt Place of Birth: Michigan Ancestry: Other Western European Race: White Armed Forces: Unkn Marital Status: Never Married Education: None Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 10082 Bever Rd. City: Orangeville Twp Manner of Death: Orangeville County: Barry Zip Code: 49046 Accidental Line 1: Traumatic Brain Injury Line 2: Line 3: Line 4: • J .. Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 08/31/1995 Motor Vehicle Accident None * �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 11/16/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 021706 Patient Information Sex: Female Decedents Name: Baby Girl Terry Date of Birth: 03/25/1998 Date of Death: 03/27/1998 SSN: Spouses Name: Fathers Name: Unknown Mothers Name: Unknown Terry Place of Birth: Michigan Ancestry: Armed Forces: Other African Race: Black No Marital Status: Never Married Education: None Place of Death City: Detroit County: Wayne Hospital or Other Place of Death: Patient Status: Inpatient Detroit Riverview Hospital Residence Address: Unknown City: Unknown Unknown Manner of Death Manner: Not Specified Line 1: Extreme Immaturity Line 2: Severe Cardio Respiratory Failure Line 3: Hyperglycemia Line 4: Other Conditions: Renal Failure . Injury Date: Injury Description: Occupation: Never Employed Industry: None County: Unknown Zip Code: 99999 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NOIM - COUNTY RES I DENT THE STATE OF: Michigan . ..................................... •MMawMMwawMMawewtmsaSKasmKSKSSSSKSSSSKSSSSSSRSSKSSRSSnSSKSSSSASSMMSSSXSSRSSSSISSSKSS^ Dm: ed.•?? n ts Na me : John Teunesse n Date of Death: 04/27/993 Date of Birth: Fa t h e r s La st Na me:: Teunessen Place of Dea th Hosp i t a 1:: Un known City: Battle Creek I f Hosp i tai: 12/19/906 Sex: Male Age: 86 County: Ca1h oun SSN385*03-8503 31 np a t i an t Residence County:: Barry City: Carlton Twp Zip Codes 49058 Address: 524 Gaskil Rd P1 ace of Bi r t h : Mich i g a n Armed Forces: No Marital Status: Divorced Ancestry: Other Western European Races White Education: 08 Underlying Cause of Death: 4409 Related Cause of Death <#> 114280 214409 613441 622949 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Cases Unknown Mode of Death: Natural Wenk Irijuiys Location: State File Number: 21514 (# > Six ci i g i t s w x t hi thr Ist cig:> t beiitg the 1 inev the 2nd l:>eing the p o®i t i ori w itIn in the line, and positions 3-6 being the I CD code,. �MICHIGAN DEPARTMENT OF" PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON -COUNT'Y RESIDENT THE STATE OFs Michigan .*.»:?>* .................................. .......................................................... ..................... .......................... .:::;:::sHuns;:ssss!usi!»"~s“x:;u;;:::x5n.K::nssKs:KS ”K”:s:s!3;:!2::u:n:"KJK:K::!z:::ni~s:s- Decedents Nam:?:: D0RT8 N.. THALER Date? of Death:: 05/13/993 Date of Birth:: Fathers Last Name:: Hupp 04/24/911 Sex: Female Ages 82 P1 a c: e o f De a fc h Hosp i t a 1:: Met r op o 111 a n Hosp i t a 1 Citys Grand Rapids Countys Kent T f Hosp i t a 1 a I npa t i ent SSN:: 377-62-9130 Residence Count y:: Ba r r y C i fcy:: Th □ r na p p 1 e Twp Zip Code:: 49333 P3 a a o f B i r t h:: Mie. h i g a n Armed Forces:: No Anu es t r y:: Ge r ma n Ed uca t .i. on:: Hi g h SKh oo 1 Ad d retas s 6490 Pa 11 e r son Rd N Marital Statues Widow, Widower Ra c e:: Wh i t e Und ev 1 yi ng Ca use o f Dea i 11:: 410 Related Cause of Death <>X) 11410 214284 612500 624019 637802 Autopsy:: No Findings Available:: No Actual Places Hospital Medical Examiner Case:: No Mode of Deaths Natural Work Injury:: L.ocat i ons 81 a t e F i1e Numb e r s 29862 (X<) 8i x d ig its wi th the 1st digit boring the line, the 2nd being the pos i t ion w i thin the line, and positions 3-6 being the XCD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Frank E. Thomas Date Of Death: 04/17/994 Date of Birth: Fathers Last Name: Thomas 04/11/917 Sex: Male Age: 77 Place of Death Hospital: Kent Comm Hospital Complex City: Grand Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 370-10-8568 Address: 225 West Nelson St. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 438 Related Cause of Death (*) 11486 21438 61496 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 23874 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016276 Decedents Name: Sex: Male J. Kenith Thomas Date of Birth: 07/19/937 Date of Death: 03/16/995 SSN: 378-36-0261 Spouses Name: Edith M. Coverse Fathers Name: John Thomas Mothers Name: Gertrude Brady Place of Birth: Michigan Hospital: Blodgett Mem Med Cen Ancestry: Irish Armed Forces: Education: Race: White No Marital Status: Married High School Place of Death County: Kent City: East Gmd Rapids If Hospital: Inpatient Residence Address: 5411 Woodschool Road Irving City: Irving Twp Manner of Death: Not Specified Line 1: Sepsis Line 2: Large Cell Inununoblastic Lymphoma Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Factory Worker Automatic Sprinklers County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043524 Decedents Name: Sex: Male Joseph N. Thomas Date of Birth: 05/18/922 Date of Death: 06/30/995 SSN: 375-18-7939 Spouses Name: Betty A Wilkinson Fathers Name: Floyd N. Thomas Mothers Name: Marie Jacobs Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Metropolitan Hospital Residence Address: 990 N. Whitmore Road City: Rutland Twp Maimer of Death: Not Specified Line 1: Cardiomyopathy Line 2: Renal Failure Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Inspector Water Heater Manufacturing Rutland County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: VIRGINIA Date of Death: 09/20/993 'THOMAS Date of Birth: 08/16/918 Sex: Female Age: 75 Fathers Last Name: Hayward Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: County: Kalamazoo Inpatient SSN: 366-36-0537 Residence County: Barry City: Barry Twp Zip Code: 49060 Address: 4660 Hickory Rd. Place of Birth: Michigan Armed Forces: No Ancestry: British, Marital Status: Widow, Scotch, Welsh, Scotch Race: Widower White Education: High School Underlying Cause of Death: 4439 Related Cause of Death (*) 117854 214439 614280 625939 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: (*) 55859 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 029937 Patient Information Decedents Name: Date of Death: Sex: Female Caitlin E. Thompson Date of Birth: 04/23/997 04/24/997 SSN: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Christophe T. Thompson Julia R. Arias Michigan Norwegian, Swedish Danish Race: White No Marital Status: Never Married Education: None Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Butterworth Hospital Residence Address: City: 319 S. Broadway Hastings Manner of Death Manner: Not Specified Line 1: Extreme Prematurity Line 2: Chorioamnionitis Line 3: Preterm Labor Line 4: Other Conditions: Injury Date: Injury Description: Occupation: None Industry: Hastings County: Barry Zip Code: 49058 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 9) of Barry County Residents who died outside of Barry County, 1900-1998. Shook to Thompson. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 9) of Barry County Residents who died outside of Barry County. Shook to Thompson Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL