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