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