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                  <text>DEATH TRANSCRIPTS OF BARRY COUNTY
RESIDENTS

WHO DIED OUTSIDE BARRY COUNTY
Compiled by the Michigan Department of Health

This volume (Volume 3) begins with Eagen

and ends with Gross

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

04/17/96

State of Residence:

Michigan

File Number: 068591

Decedents Name:

Sex: Female

Joan M. Eagen

Date of Birth: 07/14/907

Date of Death: 10/29/995

SSN: 358-05-0916

Spouses Name:
Fathers Name: Warren Harris

Mothers Name:

Ava Stevens

Place of Birth: Michigan

Ancestry:

British, Scotch, Welsh, Scotch Irish
Race: White

Armed Forces: No

Education:

Marital Status: Widow, Widower

2 years College

Place of Death
City: Battle Creek

County: Calhoun

Hospital or Other Place of Death

Patient Status: Inpatient

Battle Creek Health Systems

Residence
Address:

11681 Scott Park Road

City: Barry Twp
Manner of Death:

Not Specified

Line 1: Myocardial Infarction

Line 2: Hypertension
Line 3:
Line 4:

Other Conditions:

Multi- Infarct Dementia

Injury Date:

Description of Injury:
Occupation:

Industry:

Homemaker

Own Home

Barry

County: Barry

Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: GARY JOHN EARL
Date of Death: 11/19/993
Date of Birth: 09/17/931
Fathers Last Name: Earl

Sex: Male
Age: 62

Place of Death
Hospital: Battle Creek Health Systems
City: Battle Creek
County: Calhoun

SSN: 377-30-3046

If Hospital: Emergency Room/Outpatient
Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49017

Address: 107 Woodridge Dr.

Place of Birth: Michigan
Armed Forces: Yes
Marital Status: Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
4254

Related Cause of Death (*)
114254

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

67674

Six digits with the 1st digit being the line; ' the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
11/16/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence
State of Residence: Michigan

File Number: 030900
Patient Information
Decedents Name:

Sex: Male

Maurice E. Eaton

Date of Birth: 12/13/1935

Date of Death: 05/12/1998

Spouses Name:

SSN: 365-34-2682

Deborah G. Vliek

Fathers Name: Earl Eaton
Mothers Name:

Alice R. Golden

Place of Birth: Michigan

Ancestry:
Armed Forces:

French

Race: White

No

Marital Status: Married

Education: 08

Place of Death
County: Kalamazoo

City: Kalamazoo

Patient Status: Inpatient

Hospital or Other Place of Death:
Bronson Methodist Hospital

Residence
Address:

8245 Butler Road

City:

Maple Grove Twp

Maple Grove

Manner of Death
Manner: Not Specified

Line 1: Ruptured Thoracic Aorta
Line 2:
Line 3:
Line 4:

Other Conditions: Acute Right Carotid Artery Obstruction
Injury Date:
Injury Description:

Occupation: Fork Lift Driver
Industry: Autmobile Manufacturing

County: Barry

Zip Code: 49073

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
09/03/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence

State of Residence: Michigan

File Number: 022751
Patient Information
Decedents Name: Monica J. Ediger

Sex: Female

Date of Death: 04/10/1998
„ . y D .
Spouses Name: Kevin L, Butcher

Date of Birth: 08/22/1960
SSN: 381-76-3725

Fathers Name: James E. Cook

Mothers Name:

Nancy L. Butcher

Place of Birth: Michigan

Ancestry:

American Indian
Race: White

Armed Forces:

Marital Statu si Mamed

Education: 2 years College

Place of Death
County: Calhoun

City: Battle Creek
Hospital or Other Place of Death:

Patient Status: Inpatient

Battle Creek Health Systems

Residence
Address:
City:

4095 Mud Lake Road

Johnston

Johnstown Twp

Manner of Death
Manner: Not Specified
Line 1: Cardiac Arrest

Line 2:

Line 3:
Line 4:
Other Conditions: Metastatic Carcinoma Of Uterus
Injury Date:
Injury Description:

Occupation: Homemaker
Industry: Own Home

County: Barry

Zip Code: 49021

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 002858

Decedents Name:

Rosalyn Lee Eggebrecht

Sex: Female

Date of Birth: 05/08/951

Date of Death: 01/20/996

SSN: 516’62-2248

Spouses Name: None
Fathers Name: Wayne Snyder

Mothers Name:

Melva Lockwood

Place of Birth: Montana

Ancestry:
Armed Forces:

Education:

German

No

Race: White

Marital Status: Divorced

High School

Place of Death
City: Grand Rapids

County: Kent

Hospital or Other Place of Death
Nursing Home or Extended Care Facility

Patient Status: Unknown

Residence

Address:

12171 Saddler Rd.

Orangeville

City: Orangeville Twp
Manner of Death:

Not Specified

Line 1: Large Cell Carcinoma Of The Lung
Line 2:
Line 3:
Line 4:
Other Conditions:
Injury Date:
Description of Injury:

Occupation:

Industry:

Nurses Aide

Nursing Home

County: Barry
Zip Code: 49080

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: RAYMOND C. EGGLESTON
Date of Death: 10/01/993
Date of Birth: 12/07/930
Fathers Last Name: Eggleston

Sex: Male
Age: 62

Place of Death
Hospital: Butterworth Hospital
City: Grand Rapids
County: Kent
SSN; 380-28-4335

If Hospital: Inpatient

Residence
County: Barry
City:
Rutland Twp
Zip Code: 49058

Address: 14 N. Irving Road

Place of Birth: Michigan
Armed Forces: Yes
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
0622
Related Cause of Death (*)
110622
614019

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

62177

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: RITA EGGLESTON
Date of Death: 11/25/993
Date of Birth: 08/12/930
Fathers Last Name: Rodrigues

Sex: Female
Age: 63

Place of Death
Hospital: Butterworth Hospital
City: Grand Rapids
County: Kent
If Hospital: Inpatient
Residence
County: Barry
City:
Freeport
Zip Code: 49325

SSN: 015-24-1949

Address: 228 Green St.

Place of Birth: Rhode Island
Armed Forces: No
Marital Status: Married
Ancestry: Other Southern European
Race: White
Education: High School

Underlying Cause of Death:
410
Related Cause of Death (*)
114279
21410
314149

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

76007

(*) Six digits with the 1st digit being the line/ the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

04/17/96

State of Residence:

Michigan

1

File Number: 068649

Decedents Name:

Sex: Female

Marie F. Eliredt

Date of Birth: 03/01/913
SSN: 369-52-6306

Date of Death: 11/23/995

Spouses Name:

Fathers Name: William Schultz

Mothers Name:

Wilhelmina Schmidt

Place of Birth: Illinois

Ancestry:

German

Race: White

Armed Forces: No

Education:

Marital Status: Widow, Widower

09

Place of Death
City: Battle Creek

County: Calhoun

Hospital or Other Place of Death

Nursing Home or Extended Care Facility

Patient Status: Inpatient

Residence

*

Address:

5250 Lacey Road

City: Assyria Twp
Manner of Death:

Assyria

County: Barry

Zip Code: 49050

Not Specified

*1

Line 1: Acute Mi

r.:

Line 2:
Line 3:

Line 4:
Other Conditions:

Cva With Expressive And Comprehensive Asphasia; Anemia; Comatose State

Injury Date:

Description of Injury:
Occupation:
Industry:

Homemaker

Own Home

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Charles R. Eldred
Date of Death: 03/09/994
Date of Birth: 09/03/934
Fathers Last Name: Eldred
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

If Hospital: Inpatient
Residence
County: Barry
City:
Assyria Twp
Zip Code: 49021

Sex: Male
Age: 59

SSN: 377-30-8566

Address: 9760 East Cox Rd.

Place of Birth: Michigan
Armed Forces: Yes
Marital Status: Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
4413

Related Cause of Death (*)

114413

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: No

Mode of Death: Natural

Work Injury:

Location:

State File Number:

16630

Six digits with the 1st digit being the line, the .2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: IRENE A. ELIASON
Date of Death: 06/13/993
Date of Birth: 02/26/910
Fathers Last Name: Longlais

Sex: Female
Age: 83

Place of Death
Hospital: Battle Creek Health Systems
City: Battle Creek
County: Calhoun
If Hospital: Inpatient

SSN: 370-10-6067

Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49050

Address: 5172 Long Lake

Place of Birth: Michigan
Armed Forces: No
Marital Status: Widow, Widower
Ancestry: Norwegian, Swedi.sh Danish
Race: White
Education: High School

Underlying Cause of Death:
4329

Related Cause of Death (*)
114329

Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: Yes

Mode of Death: Natural

Work Injury:

Location:

State File Number:

48061

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3—6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
09/03/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence
State of Residence: Michigan

File Number: 024307

Patient Information
Decedents Name:
Date of Death:
Spouses Name:

Sex: Male

Robert Warren Elkey

Date of Birth: 08/19/1923

04/02/1998

SSN: 008-12-3490

Phyllis E. Herrick

Fathers Name:

George P. Elkey

Mothers Name:

Dorothy Pelkey

Place of Birth: Vermont

Ancestry:
Armed Forces:

Education:

French
Race: White

Yes

Marital Status: Married

High School

Place of Death
County: Kent

City: Grand Rapids

Hospital or Other Place of Death:

Patient Status: Inpatient

Metropolitan Hospital

Residence
Address:
City:

403 West Walnut St.

Hastings

Hastings

Manner of Death
Manner: Not Specified
Line 1: Respiratory Failure
Line 2: Pneumonia

Line 3: Aspiration
Line 4: Hydrocephalus

Other Conditions:
Injury Date:
Injury Description:

Occupation: Military Personnel-retired
Industry: U.S. Army

County: Barry
Zip Code: 49058

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
03/27/98

DEATH TRANSCRIPTS

County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 069468

Patient Information
Sex: Male

Decedents Name: Pat B. Elliott

Date of Death:

Spouses Name:

Date of Birth: 02/15/948

11/23/997

SSN: 370-46-9125

Sharie Lee Hurless

Fathers Name:

Bert Elliott

Mothers Name:

Eunice Hull

Place of Birth: Michigan
Ancestry:
Armed Forces:

British, Scotch, Welsh, Scotch Irish

Race: White

No

Marital Status: Married

Education: High School

Place of Death
County: Kent

City: East Grand Rapids

Patient Status: Inpatient

Hospital or Other Place of Death:
Blodgett Mem Med Cen

Residence
Address:
City:

County: Barry

225 North Irving Road Rutland

Zip Code: 49058

Rutland Twp

Manner of Death
Manner: Not Specified
Line 1: Acute Inferior Posterior Myocardial Infarction

Line 2: Coronary Atherosclerosis

Line 3: Diabetes Mellitus
7 i/y:'

Line4:

Other Conditions: Event Occurred After Bypass Graft Stenting -j
Injury Date:
Injury Description:

Occupation: Factory Worker
Industry: Automatic Sprinkler Mfg.

,

'

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

11Z27/95

DEATH TRANSCRIPT - STATE OF MICHIGAN

NON-COUNTY RESIDENT

State: Michigan
File Number: 023103
Sex: Male

Laban John Ellis

Decedents Name:

Date of Birth: 01/23/927

Date of Death: 03/30/995

SSN: 365-20-4971

Spouses Name: Frances Wheatley
Fathers Name: Milton Ward Ellis

Mothers Name:

Zaidee May Decker

Place of Birth: Michigan
Hospital:

Bronson Methodist Hospital

Ancestry:

British, Scotch, Welsh, Scotch Irish
Race: White

Armed Forces: Yes

Education:

Marital Status: Married

11

Place of Death

City: Kalamazoo

County: Kalamazoo

If Hospital: Inpatient

Residence
Address:

11904 Scott Park Rd.

City: Barry Twp
Maimer of Death:

Not Specified

Line 1: Hepatic Failure

Line 2: Cryptogenic Cirrhosis
Line 3:
Line 4:
Other Conditions:
Injury Date:

Description of Injury:
Occupation:
Industry:

Painter

Manufacturing

Barry

County: Barry
Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OFs
Michigan
r&gt;***r«

sk SwJisiiS! is! is:! issiisitn ns ;x jus !ss si!

ns

.i.

Decedents Names MARY ELIZABETH ELMER
Date of Deaths 03/09/993
Date of Births 09/21/927
Fathers Last Names Marcellus

Place of Death
Hosp ita 1 s Bo r g ess Mecl Cen
Citys Kalamazoo

I f Hosp i t a 1:: I np at i ent

Residence
Count y:: Ba r ry
C ity s
Johnstown Twp
Zi p Cod e:: 490.1.7

Sexs Female
Ages 65

County:: Kalamazoo

SSN 8 366-22-5125

Ad d r ess:: 1799 Hic k o r y Rd N

Place of Birth:: Michigan
Armed Forces:: No
Marital Statuss Widow, Widower
Ancestry; British, Scotc:h,t We 1 sh, Scotch
Races White
Ed uc: a ’I ion:: Hi gh Sc: h oo 1
Underlying Cause of Deaths

4140
Related* Cause of Death OK)

115672
21 )967
318782
324479
614140
627860
Autopsy:: No

Findings Available^ Unknown

Actual Places Hospital

Medical Examiner Cases Unknown

Mode of Deaths Natural

Work Injury®

Locations

State File Numbers

15457

OX) S i x d i g i t s w i t h the 1st digit b&gt;ing the line, the 2nd being the
pos11 i on w i t h i n the line., and Positions 3-6 being the ICD code..

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Samantha Jo Ely
Date of Death: 12/15/994
Date of Birth;
Fathers Name: Lavern Ely
Mothers Name: Carolyn Burhans
Spouses Name:
Place of Death
Hospital: Unknown
City: Berlin Twp

Sex: Female
01/18/972

County: Ionia

If Hospital:

SSN: 363-78-8033

Residence
County: Barry
City:
Woodland
Zip Code: 48897
Place of Birth: Michigan
Armed Forces: No
Ancestry: American
Education: High School

Address: 384 N. Main St.

Marital Status: Never Married
Race: White

Underlying Cause of Death:

8129

Related Cause of Death
11(54
12 (62
618129

Autopsy: No

Findings Available: Unknown

Actual Place: Other

Medical Examiner Case: No

Mode of Death: Accident

Work Injury: No

Location: Street and Highway

State File Number: 076322

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

04/28/97

State of Residence:

Michigan

File Number: 068643

Decedents Name:

Sex: Male

Tracy Hugh Engler

Date of Birth: 10/19/952
SSN: 383-58-1475

Date of Death: 10/30/996
Spouses Name:

Fathers Name: Andy Franklin Engler
Mothers Name:

Barbara Jean Vandenburg

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

American
Race: White

Yes

Marital Status: Divorced

11

Place of Death

City: Prairie Ronde Twp

County:' Kalamazoo

Hospital Or Other Place of Death
Patient Status:

Unclassified
Residence

Address:

10860 Ford Road

County: Barry

Orangeville

City: Orangeville Twp
Manner of Death:

Zip Code: 49080

Accidental

Line 1: Massive Head And Chest Trauma

Line 2:
Line 3:
Line 4:

InjuryDate:
Description of Injury:
Occupation:

Industry:

.

f

Other Conditions:

r /

10/30/1996
Two- Car Accident At Intersection.

Diesel Mechanic
Excavating Contractors

&gt;

‘
&gt;•

:

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Stell M. Engle
Date of Death: 01/18/994
Date of Birth: 07/18/925
Fathers Last Name: Jordan

Sex: Female
Age: 68

Place of Death
Hospital: Butterworth Hospital
City: Grand Rapids
County: Kent

If Hospital: Inpatient
Residence
County: Barry
City:
Woodland Twp
Zip Code: 48897

Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: High School

SSN: 366-20-6366

Address: 6980 N. Woodland Rd.

Marital Status: Married
Race: White

Underlying Cause of Death:
4279
Related Cause of Death (*)
117860
214279
611990

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

3177

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Arabelle J. Erway
Date of Death: 05/25/994
Date of Birth: 06/01/913
Fathers Last Name: Bivens

Sex: Female
Age: 80

Place of Death
Hospital: Battle Creek Health Systems
City: Battle Creek
County: Calhoun

If Hospital: Inpatient

SSN: 378-14-9537

Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49050

Address: 14000 Hutchinson Road

Place of Birth: Michigan
Armed Forces: No
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: 1 year College
Underlying Cause of Death:

1579
Related Cause of Death (*)

11486
211579
614019
625621

Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

28848

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS

09/17/97

State of Residence:

Michigan

File Number: 009512

Decedents Name:

Sex: Male

William Edward Evans

Date of Birth: 01/06/933

Date of Death: 02/02/997

SSN: 384-30-1473

Spouses Name: Grace Margaret Miller

Fathers Name: Carl D. Evans
Mothers Name:

Dena Hildebrand

Place of Birth: Michigan

Ancestry:

Armed Forces:
Education:

Other Western European
Race: White

Yes

Marital Status: Married

High School

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Patient Status: Inpatient

Bronson Methodist Hospital

Residence

Address:

4210 Trails End

Orangeville

City: Orangeville Twp
Manner of Death:

Not Specified

Line 1: Metastatic Carcinoma- Esophagogastric Junction
Line 2:
Line 3:
Line 4:

Other Conditions:
Injury Date:

Description of Injury:
Occupation:

Industry:

Plumber/pipefitter .

Construction

County: Barry

Zip Code: 49333

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
12/02/97

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 030202

Patient Information
Decedents Name:
Date of Death:

Mary Waldo

Fathers Name:

Not Available

Mothers Name:

Pauline Moore

Ancestry:

Armed Forces:
Education:

Date of Birth: 12/03/943

04/26/997

Spouses Name:

Place of Birth:

Sex: Male

Charles William Everitt

SSN: 377-42-3246

Michigan
German
Race: White

Yes

Marital Status: Married

10

Place of Death
County: Kent

City: Caledonia Twp

Patient Status:

Hospital or Other Place of Death:
Not Classifiable

Residence
Address:

City:

535 Donna Drive

Woodland Twp

Manner of Death
Manner: Accidental

Line 1: Multiple Injuries
Line 2:
Line 3:

Line 4:
Other Conditions:

Injury Date:
Injury Description:

Occupation: Crane Operator
Industry: Construction

Woodland

County: Barry
Zip Code: 48849

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: LILLIAN B. FESSENDEN
Date of Death: 07/31/993
Date of Birth: 05/22/928
Fathers Last Name: Korevec, Sr.
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

If Hospital: Inpatient

Residence
County: Barry
City:
Hope Twp
Zip Code: 49046

Sex: Female
Age: 65

County: Kaiamazoo
SSN: 355-22-2388

Address: 630 Scotts Dr.

Place of Birth: Illinois
Armed Forces: No
Ancestry: German
Education: High School

Marital Status: Married
Race: White

Underlying Cause of Death:

1749
Related Cause of Death (*)

111749
121985

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

49423

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and. positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
09/03/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence
State of Residence: Michigan
File Number: 022409

Patient Information
Sex: Male

Decedents Name: Daniel J. Fetters

Date of Birth: 11/02/1910

Date of Death: 03/28/1998
Spouses Name:

SSN: 370-07-1745

Gertrude N. Tiedeman

Fathers Name: Elmer Fetters

Mothers Name:

Pearl Homing

Place of Birth: Michigan

Ancestry:

Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

Yes

Marital Status: Married

10

Place of Death
City: Wayland

County: Allegan

Hospital or Other Place of Death:

Patient Status: Inpatient

Convalescent home, nursing home, medical care facility or hospice

Residence
Address:
City:

497 Tanglewood Drive
Middleville

Manner of Death
Manner: Not Specified
Line 1: End Stage Cardiomyopathy
Line 2: Congestive Heart Failure
Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Worker
Industry: Oil Fields

County: Barry
Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

11/27/95

DEATH TRANSCRIPT - STATE OF MICHIGAN

NON-COUNTY RESIDENT

State: Michigan
File Number: 016524
Decedents Name:

Sex: Female

Marie M. Findlay

Date of Birth: 06/19/910
SSN: 386-10-3122

Date of Death: 03/21/995

Spouses Name:
Fathers Name: John Miltgen
Mothers Name:

Myrtle Henninger

Place of Birth: Wisconsin
Hospital:

Butterworth Hospital

Ancestry:

German

Armed Forces:

Education:

Race: White

No

Marital Status: Widow, Widower

1 year College

Place of Death

County: Kent

City: Grand Rapids

If Hospital: Inpatient

Residence

Address:

500 N. Lincoln

Middleville

City: Middleville
Manner of Death:

Not Specified

Line 1: Hypoxia
Line 2:

Severe Obstructive Lung Disease

Line 3:

Heart Failure

Line 4:

Other Conditions:
Injury Date:
Description of Injury:

Occupation:
Industry:

Homemaker/dental Assistant

Home/dental Office

County: Barry
Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OFs
Michigan

Decedents Name;: SHIRLEY JEAN FINK
Date of Deaths 03/21/993
Date of Births 02/29/928
Fa thers
st Name :: l&lt; 11t r idge

Sexs Female
Ages 65

P1 ace of Death
Hospitals St Lawrence Hospital
Cxtys Lansing
Countys Ingham

If Hospitals

SSNs 368-26-6676

Inpatient

Residence
Countys Barry
Citys
Hast ings Twp
Zip Codes: 49058

Add ressC 70 Sundago Pa r l&lt;

P1ace of Birth a Michigan
Armed Forces:: No
Marital St at us s Married
Ancestrys British, Scotch, Welsh, Scotch
Races White
Ed uc a t i on:: Hi g h Sc: h oo 1
Underlying Cause of Deaths
2730

Related Cause of Death ($)
110381
217071
312730
614140

Autopsy:: No

Findings Avail ah les Unknown

Actual Places Hospital

Medical Examiner Cases Unknown

Mode of Deaths Natural

Wo r k I nJu r y s

Loca t i on s./

State File Numbers

15119

(#&gt; Six digits with the 1st digit being the line, the 2nd beit’g the
position within the line, and positions 3-6 being the 1CD code-

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: RODNEY WARD FINKBEINER
Date of Death: 11/28/993
Date of Birth: 11/09/928
Fathers Last Name: Finkbeiner
Place of Death
Hospital: Unknown
City: Wyoming

Sex: Male
Age: 65

County: Kent

If Hospital:

SSN: 378-22-9093

Residence
County: Barry
City:
Thornapple Twp
Zip Code: 49333

Place of Birth: Michigan
Armed Forces: Yes
Ancestry: German
Education: 4 years of college

Address: 50 Harwood Lake Road

Marital Status: Married
Race: White

Underlying Cause of Death:
4292

Related Cause of Death (*)
114284
612500
624029

Autopsy: No

Findings Available: Unknown

Actual Place: Home

Medical Examiner Case: No

Mode of Death: Natural

Work Injury:

Location:

State File Number:

76347

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: PHILOMENA M. FINNEGAN
Date of Death: 07/17/993
Date of Birth: 04/26/913
Fathers Last Name: Thiemer
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

Sex: Female
Age: 8 0

County: Kalamazoo

If Hospital: Inpatient

SSN: 130-20-6086

Residence
County: Barry
City:
Barry Twp
Zip Code: 49046

Address: 5641 Orchard Street

Place of Birth: New York
Armed Forces: No
Ancestry: Italian
Education: 2 years College

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:

496
Related Cause of Death (*)

114289
21496
Autopsy: No

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

42759

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
12/02/97

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 030028

Patient Information
Decedents Name:

Sex: Female

Fem Jeannette Finnie

Date of Birth: 09/25/913
SSN: 380-01-9627

Date of Death: 05/12/997

Spouses Name:
Fathers Name:

Mothers Name:

Harry Drolema
Trintje Heun

Place of Birth: Illinois
Ancestry:

Armed Forces:

Other Western European
Race: White

No

Marital Status: Widow, Widower

Education: High School

Place of Death
City: Grand Rapids
Hospital or Other Place of Death:

County: Kent
Patient Status: Unknown

Convalescent home, nursing home, medical care facility or hospice

Residence
Address:

City:

411 Thomapple Lake Road

Castleton Twp

Manner of Death
Manner: Not Specified

Line 1: Parkinson Plus Syndrome
Line 2:

Line 3:
Line 4:
Other Conditions:

Injury Date:
Injury Description:

Occupation: Self-employed

Industry: Grocery

County: Barry
Zip Code: 49058

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
11/16/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence

State of Residence: Michigan
File Number:

031226

Patient Information
Decedents Name:

Sex: Female

Doris Fisher

Date of Birth: 05/11/1916

Date of Death: 05/15/1998

Spouses Name:

SSN: 370-10-8368

Fay Fisher

Fathers Name: Howard Kelly
Mothers Name:

Kathryn Riley

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

American
Race: White

No

Marital Status: Married

10

Place of Death
County: Kent

City: Grand Rapids

Hospital or Other Place of Death:

Patient Status: Unknown

Convalescent home, nursing home, medical care facil ity or hospice

Residence
Address:
City:

6445 Thomapple Lk. Rd. Castleton

Castleton Twp

Manner of Death
Manner: Not Specified
Line 1: Multi Infarct Dementia
Line 2:

Line 3:
Line 4:
Other Conditions: Malnutrition

Injury Date:
Injury Description:

Occupation: Cook
Industry: Restaurant

County: Barry

Zip Code: 49073

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
07/30/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence

State of Residence: Michigan

File Number: 003014

Patient Information
Sex: Female

Decedents Name: Marjorie C. Fitch

Date of Birth: 12/31/1907

Date of Death: 01/21/1998

SSN: 377-68-7193

Spouses Name:
Fathers Name: Clayton Carter

Mothers Name:

Edith Keeney

Place of Birth: Michigan

Ancestry:

Armed Forces:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Widow, Widower

Education: High School

Place of Death
City: Kentwood

County: Kent

Hospital or Other Place of Death:

Patient Status: Unknown

Convalescent home, nursing home, medical care facility or hospice

Residence
Address:

6703 Nolike Dr.

City:

Thomapple Twp

Thomapple

Manner of Death
Manner: Not Specified

Line 1: Terminal Severe Aortic Stenosis
Line 2: Congestive Heart Failure
Line 3: Pulmonary Hypertension

Line 4:
Other Conditions: Anemia

Injury Date:
Injury Description:

Occupation: Homemaker
Industry: Own Home

County: Barry
Zip Code: 49316

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Eleanor Ruth Foote
Date of Death: 12/26/994
Date of Birth:
Fathers Name: Frank Sessink
Mothers Name: Elizabeth De Laat
Spouses Name: Robert H. Foote

Sex: Female
01/02/923

Place of Death
Hospital: St Mary's Health Services - Grand Rapids
City: Grand Rapids
County: Kent

If Hospital: Inpatient
Residence
County: Barry
City:
Yankee Springs Twp
Zip Code: 49333

SSN: 381-16-6595

Address: 1555 Yankee Springs Road

Place of Birth: Michigan
Armed Forces: No
Marital Status: Married
Ancestry: Other Western European
Race: White
Education: High School

Underlying Cause of Death:
4049

Related Cause of Death
114280
21586
314019
611629
625742
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number: 077011

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Maurice Edwin Ford
Date of Death: 05/06/994
Date of Birth: 06/07/912
Fathers Last Name: Ford

Place of Death
Hospital: Unknown
City: Kalamazoo

Sex: Male
Age: 81

County: Kalamazoo

If Hospital: DOA with hospital name
Residence
County: Barry
City:
Barry Twp
Zip Code: 49046

SSN: 385-10-3549

Address: 606 S. Grove St.

Place of Birth: Michigan
Armed Forces: No
Marital Status: Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School
Underlying Cause of Death:

4415
Related Cause of Death (*)
114590
214415
314416
614019

Autopsy: No

Findings Available: Unknown

Actual Place: Home

Medical Examiner Case: Yes

Mode of Death: Natural

Work Injury:

Location:

State File Number:

30143

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
01/15/98

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 049178

Patient Information
Decedents Name:
Date of Death:

Edith A. Fosburg

Sex: Female
Date of Birth: 05/25/920

07/28/997

SSN: 380-26-2173

Spouses Name:

Fathers Name:

Charles Phillips

Mothers Name:

Bertha Sowers

Place of Birth:

Ancestry:

Armed Forces:

Education:

Michigan

German
N0

Race: White

Marital Status: Widow, Widower

10

Place of Death
County: Ionia

City: Ionia

Patient Status: Emergency Room/Outpatient

Hospital or Other Place of Death:
Ionia County Memorial Hospital

Residence
Address:

City:

483 Pollard Dr

Woodland

Woodland Twp

Manner of Death
Manner:

Not Specified

Line 1: Acute Myocardial Infarction

Line 2: Arteriosclerotic Heart Dx
Line 3:
Line 4:

Other Conditions:

Injury Date:

Injury Description:

Occupation: Homemaker

Industry: Self Employed

County: Barry

Zip Code: 48849

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: FRANK W. FRANCISCO
Date of Death: 07/12/993
Date of Birth: 03/20/909
Fathers Last Name: Francisco

Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

Sex: Male
Age: 84

County: Kalamazoo

If Hospital: Inpatient

SSN: 368-01-8465

Residence
County: Barry
City:
Barry Twp
Zip Code: 49046

Address: 221 Scribner St.

Place of Birth: Michigan
Armed Forces: No
Ancestry: French
Education: 10

Marital Status: Married
Race: White

Underlying Cause of Death:
4148

Related Cause of Death (*)
114280
214148
614241
625789

Autopsy: No

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

42743

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�PERMIT FOR DISPOSITION OF HUMAN REMAINS
STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC HEALTH

NAME On DECEDENT

|

DATE OF DEATH

December 24, I960

MART ELLENFREED_________________
DECEDENT
"\DATA

BIRTHPLACE (state

COLOR OR RACE

SEX

white

Female

or foreign country)

Illinois

May 6, 1893
PLACE OF DEATH—COUNTY cos

PLACE OF DEATH—CITY OR TOWN

DISPOSITION

FUNERAL
DIRECTOR AND
INFORMANT

X

state if hot in

California)

San Bernardino

Upland
CH ECK ONE:

DATE OF BIRTH

—

—

—

CREMATION

ENTOMBMENT

BURIAL

NAME OF FUNERAL DIRECTOR (or

NAME AND ADDRESS OF CEMETERY OR COLUMBARIUM WHERE REMAINS ARE TO BE INTERRED

DISINTERMENT AND
REINTERMENT

Ee Hickory Corner Genu Hickory Corner Mich.

NAME OF SPOUSE OR OTHER INFORMANT

person actino as such)

Griffith Mortuary

ADDRESS OF SPOUSE OR OTHER INFORMANT

John Freed Jr*

p

9998 Benson Ave* Montclair,

In accordance with provisions of the California Health and Safety Code permission is hereby granted for disposition as specified in this permit.
LOCAL
REGISTRAR

CEMETERY OR
COLUMBARIUM

ft

OATS'PERMIT ISSUED

SIGNATURE OF LOCAL^REGJSTRAR,

DATE CREMATED OR I

SIGNATURE OF PERSON IN CHARGE OF CEMETERY OR COLUMBARIUM

SEE INSTRUCTIONS ON REVERSE
REV. 1*1.57. FORM RftS-9

COMMONWEALTH OF KENTUCKY
REV. 1-56
federal security agency
IJ. S. PUBLIC HEALTH SERVICE
NATIONAL OFFICE VITAL STATISTICS

DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTICS

CERTIFICATE OF DEATH

FILE NO.

116

REGISTRAR'S NO.

Primary Registration District No..

Registration District No.

(Where deceased lived.

2. USUAL RESIDENCJ

1. PLACE OF DEATH
a. COUNTY

h CITY (If outside corporate limits, write RURAL and
D* '"1 J
glvo township)

c. LENGTH OF
STAY
0,13 pUC®&gt;

c. CITY
OR
TOWN

hospital or institution, give street address or

d. STREET
ADDRESS

C/ K
TOWN

(I/ not

d. FULL NAME OF
* HOSPITAL OR

If institution: residence
e admission)

b. COUNTY

a. STATE

ENCE ON A FARM?

IS RESIDENCE INSIDE CHY LIMITS?

INSTITUTION

3.

Name of

(Last)

a. (71

4. DATE
OF
DEATH

DECEASED
(Type or Print)
5. SEX
3:

„

T

frtofoR or race

m

fs. Xas Deceased

(Yes. no. or unknown)

14. MOTHER'S

eyerIn u. s. arm£d46rci
rces?

12. CITIZEN OF
WHAT. COUNTRY?

AIDEN NAME

14. SOCIAL SECURITY

NO.

z Aedical c

PART I. DEATH WAS CAUSED BYi
IMMEDIATE CAUSE

m

or foreign cods

KIND OF BUSINESS OR IN­
DUSTRY

18. CAUSE OF DEATH

3

(Year)

nr

__________
13.
13. FATHER'S'-^AME
rATrlER 5‘-NAME

o

(Day)

9. AGE (in yean If Under 1 Year If Under 24 Hrs.
Mln.
last birthday)
Hours
Months Days

lit* La

EDyDIVORCED (Specify)

tfSUXL OCCUPATION
OCCUPATION (QJV®
kind of
&lt;------10a. USUAL
(Olve kind
work
done during katTkt of working Ufo. even it
retired)
.f 7

z

(Month)

Conditions, if any,
which gave rise to
above cause
(a)
stating the under­
lying oause last.

DUE TO

INTERVAL BETWEEN
ONSET AND DEATH

(a).

0)

DUE TO

PART II. OTHER SIGNIFICANT CONDITIONS .CONTRIBUTING JO DEATH BUT NOT RELATED JQ JHE TERMINAL DISEASE CONDITION GIVEN JN PART 1(a) 19. WAS AUTOPSY
PERFORMED?
YES
NO
20. ACCIDENT

SUICIDE

HOMICIDE

21a.

DESCRIBE HOW INJURY OCCURRED! (.Enicr nature of injury in Part I or Part II of item IS.)

a
Ul

21b. TIME OF
INJURY

Hour
a. m.
p. m.

Month, Day, Year

21c. INJURY OCCURRED

WHILE AT i—i
WORK
l—l

NOT WHILE i—1
AT WORK
1—1

21d. PLACE OF INJURY (a. g., in or about home,
farm, factory, street, office bldg., etc.)

22. I hereby certify that I attended the deceased from.

21 e. CITY, TOWN, OR LOCATION

12

to.

COUNTY

, 12.

STATE

that I last saw the deceased

alive on____________________________ ,19_____ , and tha
23a. DATE SIGNED

23b. ADDRESS

24a. BURIAL, CREMA24 b. D,
TION, REMOVAL (Specify)

23c. SIGNATURE

AME OF CEMETERY OR CREMATORY

(Degree or title)

24d. LOCATION

(Cl1** u»wn- or county)

(State)

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Adolph Reginald Freedlund
Date of Death: 12/19/993
Date of Birth: 11/13/902
Fathers Last Name: Freedlund

Sex: Male
Age: 91

Place of Death
Hospital: Ionia County Memorial Hospital
City: Ionia
County: Ionia
If Hospital: Inpatient
Residence
County: Barry
City:
Middleville
Zip Code: 49333

SSN: 378-05-8608

Address: 500 Lincoln

Place of Birth: Michigan
Armed Forces: No
Marital Status: Widow, Widower
Ancestry: Norwegian, Swedish Danish
Race: White
Education: High School

Underlying Cause of Death:

486
Related Cause of Death (*)

11486
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Inj ury:

Location:

State File Number:

(*)

75467

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS

09/17/97

State of Residence:

Michigan

File Number: 009705

Decedents Name:

Sex: Female

Samara Lee Freeman

Date of Death: 01/30/997

Date of Birth: 01/30/997

SSN:

Spouses Name:
Fathers Name:
Mothers Name:

Jon E. Freeman

Leslie J Alma

Place of Birth: Michigan

Ancestry:

Armed Forces:

Education:

German
Race: White

No

None

Marital Status: Never Married

Place of Death
City: Grand Rapids

County: Kent

Hospital or Other Place of Death
Butterworth Hospital

Patient Status: Inpatient

Residence

Address:

6405 N. Middleville Rd. Rutland

City: Rutland Twp
Manner of Death:

County: Barry
Zip Code: 49058

Not Specified

Line I: Respiratory Failure
Line 2: Probable Hypoplastic Lungs

Line 3:

Suspected Diaphragmatic Hernia

Line 4:

Other Conditions:

Two Vessel Cord, Rib And Vertebral Anomalies Pneumoperitoneum, Pneumothorax

Injury Date:

Description of Injury:

Occupation:
Industry:

Never Employed

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan
===============================—========================================
Decedents Name: BARBARA F. FREY
Date of Death: 12/22/993
Date of Birth: 12/04/932
Fathers Last Name: WEST

Sex: Female
Age; 61

Place of Death
Hospital: Blodgett Mem Med Cen
City: East Grnd Rapids
County: Kent

If Hospital: Inpatient

SSN: 261-42-4486

Residence
County: Barry
City:
Carlton Twp
Zip Code: 49058
Place of Birth: Florida
Armed Forces: No
Ancestry: Irish
Education: High School

Address: 158 CARLTON CENTER RD

Marital Status: Married
Race: White

Underlying Cause of Death:

2028
Related Cause of Death (*)
112028

Autopsy: No

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

75943

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 025452

Decedents Name:

Sex: Female

Ruth Wilma Freyling

Date of Birth: 02/07/927
SSN: 384-24-6512

Date of Death: 04/08/996
Spouses Name:
Fathers Name: John Goodblood

Mothers Name:

Lena Marsman

Place of Birth: Michigan
Ancestry:

Armed Forces:
Education:

Other Western European

Race: White

No

Marital Status: Widow, Widower

08

Place of Death

City: Georgetown Twp

County: Ottawa

Hospital or Other Place of Death

Unclassified

Patient Status:

Residence

Address:

1314 Lynn

Middleville

City: Middleville
Manner of Death:
.

Not Specified

Line 1: Amyotrophic Lateral Sclerosis
Line 2:
Line 3:
Line 4:

Other Conditions:
Injury Date:

Description of Injury:
Occupation:

Industry:

Homemaker/park Employee
Own Home

County: Barry
Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 042841

Sex: Female

Mara Anne Frye

Decedents Name:

Date of Birth: 06/26/996

Date of Death: 06/27/996

SSN:

Spouses Name:
Roger Frye

Fathers Name:

Mothers Name:

De Ann Ball

Place of Birth: Michigan

Ancestry:

British, Scotch, Welsh, Scotch Irish

Armed Forces:

Unkn

Race: White

Education:

None

Marital Status: Never Married

Place of Death

City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Patient Status: Inpatient

Bronson Methodist Hospital
Residence

Address:

14604 Lockshore Rd.

City: Prairieville Twp
Manner of Death:

Not Specified

Line 1: Sepsis
Line 2:
Line 3:

Line 4:

Other Conditions:

Prematurity

Injury Date:

Description of Injury:

Occupation:
Industry:

Never Employed

Prairieville

County: Barry
Zip Code: 49060

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: RUTH L. FURHOFF
Date of Death: 11/15/993
Date of Birth: 09/15/915
Fathers Last Name: Gobatt

Sex: Female
Age: 78

Place of Death
Hospital: Ionia County Memorial Hospital
City: Ionia
County: Ionia

If Hospital: Inpatient
Residence
County: Barry
City:
Castleton Twp
Zip Code: 49073

Place of Birth: Michigan
Armed Forces: No
Ancestry: American
Education: High School

SSN: 368-38-2574

Address: 6265 Thornapple Lk Rd

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:
1629
Related Cause of Death (*)
115789
211629
31725

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location;

State File Number:

68768

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 056004

Decedents Name:

Sex: Male

Gary M. Gahan

Date of Death: 09/27/996
Spouses Name: Patricia A. Andrews

Date of Birth: 03/16/941
SSN: 376-40-1461

Fathers Name: Paul Gahan

Mothers Name:

Donna Bogerd

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

Irish
Race: White

No

Marital Status: Married

2 years College

Place of Death

City: East Gmd Rapids

County: Kent

Hospital or Other Place of Death

Patient Status: Inpatient

Blodgett Mem Med Cen
Residence

Address:

1540 Liberty Lane

Hastings

City: Hastings
Manner of Death:

Not Specified

Line 1: Metastatic Squamous Cell Carcinoma Of Lung
Line 2:

Line 3:
Line 4:
Other Conditions:
Injury Date:

Description of Injury:

Occupation:

Industry:

Vice President

Insurance

County: Barry
Zip Code: 49058

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 009146

Decedents Name:

Sex: Male

Douglas M Gainder

Date of Birth: 02/26/916
SSN: 366-38-2451

Date of Death: 01/30/996
„ ■ w
M
Spouses Name: Dorris
Me iIntyre
Fathers Name: Alfred Gainder

Mothers Name:

Bernice Me Martin

Place of Birth: Michigan .

Ancestry:

British, Scotch, Welsh, Scotch Irish
Race: White

Armed Forces:

Education:

Marital Status: Married

High School

Place of Death

City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Borgess Med Cen

Patient Status: Inpatient

' Residence
Address:

11863 Scott Park Rd.

City: Barry Twp
Manner of Death:

Not Specified

Line 1: Renal Failure
Line 2: Multiple Myeloma

Line 3:
Line 4:

Other Conditions:
Injury Date:
Description of Injury:

Occupation:

Industry:

Carpenter
Self-employed

Barry

County: Barry
Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: ALICE I. GALLAGHER
Date of Death: 03/27/993
Date of Birth: 07/12/912
Fathers Last Name: Carpenter

Place of Death
Hospital: Unknown
City: Battle Creek

Sex: Female
Age: 80

County: Calhoun

If Hospital: Inpatient
Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49017

Place of Birth: Michigan
Armed Forces: No
Ancestry: American
Education: High School

SSN: 365-20-2568

Address: 15821 Uldriks Drive

Marital Status: Married
Race: White

Underlying Cause of Death:

887
Related Cause of Death (*)

110389
21)588
617872
62 (20
63887
Autopsy: No

Findings Available: Unknown

Actual Place: Nursing Home

Medical Examiner Case: Unknown

Mode of Death: Accident

Work Injury: Unknown

Location: Unknown

State File Number:

14032

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�FUNERAL NOTICE FOR
THE STURGIS DAILY JOURNAL
Full name of deceased —

First

Address
/^Day and time of death

Last

Middle

Cause

«*Where death occurred -

v-Period of illness

-Date of birth

Where born
Child of whom —
Places of residence for what periods —

When married and to whom «

where married

REMARKS: (Life work, etc.)

Member of what church

Society affiliations

Other information

Surviving relatives -

I™

Place of funeral service —-Zt&gt;

Date of funeral

Clergyman

Undertaker

Place of burial

Z

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
07/30/98

DEATH TRANSCRIPTS FOR 1998

County of Residence &lt;&gt; County of Occurrence
State of Residence: Michigan
File Number: 009830

Patient Information
Decedents Name:

Sex: Female

Vera E. Gardner

Date of Birth: 03/02/1909

Date of Death: 02/16/1998

SSN: 367-22-6570

Spouses Name:

Fathers Name: Edgar Durst

Mothers Name:

Annie Jane Spence

Place of Birth: Michigan

Ancestry:
Armed Forces:

Other North, Central and South American

Race: White

No

Marital Status: Widow, Widower

Education: High School

Place of Death
City: Grand Rapids

County: Kent

Hospital or Other Place of Death:

Patient Status: Inpatient

Butterworth Hospital

Residence
Address:

City:

12574 Park Drive

Yankee

Yankee Springs Twp

Manner of Death
Manner: Not Specified

Line 1: Cardiac Arrest
Line 2: Coronary Artery Disease

Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Receptionist

Industry: Medical Doctor's Office

County: Barry

Zip Code: 49348

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
* DEATH TRANSCRIPTS
Non-County Residents

04/17/96

State of Residence:

Michigan

File Number: 043430

Decedents Name:

Sex: Female

Georgia Marion Ganns

Date of Birth: 08/31/918
SSN: 366-18-5618

Date of Death: 07/16/995

Spouses Name:
Fathers Name: George Taylor
Mothers Name:

Agnes Crawford

Place of Birth: Michigan

Ancestry:

British, Scotch, Welsh, Scotch Irish
Race: White

Armed Forces: No

Education:

Marital Status: Widow, Widower

2 years College

Place of Death
City: RossTwp

County: Kalamazoo

Hospital or Other Place of Death

Patient Status:

Unclassified

Residence
Address:

525 West Hobbs Road

Johnstown

City: Johnstown Twp
Manner of Death:

Accidental

Line 1: Multiple Trauma (body &amp; Head)
Line 2:
Line 3:
Line 4:
Other Conditions:

Injury Date:

Description of Injury:

Occupation:
Industry:

07/16/1995
Auto Vs Pick-up P.i. Accident

Registered Nurse

Hospital

County: Barry . v
Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Richard E. Garrett
Date of Death: 11/28/994
Date of Birth:
Fathers Name: Jim Garrett
Mothers Name: Mary Wilson
Spouses Name:

Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

Sex: Male
11/06/948

County: Kalamazoo

If Hospital: Emergency Room/Outpatient
Residence
County: Barry
City:
Barry Twp
Zip Code: 49046

SSN: 366-54-0762

Address: 11583 Scott Park Road

Place of Birth: Tennessee
Armed Forces: Yes
Marital Status: Divorced
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: 11
Underlying Cause of Death:
410

Related Cause of Death

11410
214140
Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: No

Mode of Death: Natural

Work Injury:

Location:

State File Number: 076504

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Larita Pearl George
Date of Death: 11/14/994
Date of Birth:
Fathers Name: Charles Earl Pratt
Mothers Name: Fern Parks
Spouses Name:

Sex: Female
08/10/943

Place of Death
Hospital: Butterworth Hospital
City: Grand Rapids
County: Kent

If Hospital: Inpatient
Residence
County: Barry
City:
Hastings
Zip Code: 49058
Place of Birth: Michigan
Armed Forces: No
Ancestry: American
Education: 2 years College

SSN: 375-42-0684

Address: PO Box 381 235 High St.

Marital Status: Divorced
Race: White

Underlying Cause of Death:
1729

Related Cause of Death
111990
211729
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number: 070073

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS

09/17/97

State of Residence:

Michigan

File Number: 016238

Decedents Name:

Sex: Male

Richrd L. George

Date of Birth: 09/08/923

Date of Death: 03/16/997

SSN: 379-12-4753

Spouses Name: Evelyn M. White

Fathers Name: Lloyd Dealton George
Mothers Name:

Marvel May Harvey

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

Yes

Marital Status: Married

08

Place of Death

City: Grand Rapids

County: Kent

Hospital dr Other Place of Death
Patient Status: Inpatient

Metropolitan Hospital

Residence
Address:

1526 Pinedale Dr.

Hastings

Zip Code: 49058

City: Hastings
Manner of Death:

Not Specified

Line 1: Congestive Heart Failure
Line 2: Arrhythmia

Line 3: Cardiomyopathy
Line 4:
Other Conditions:
Injury Date:

Description of Injury:

Occupation:
Industry:

Delivering
Delivery Service

County: Barry

:

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN

11Z27/95

NON-COUNTY RESIDENT

State: Michigan
File Number: 023534
Decedents Name:

Sex: Male

Paul L. Gibson

Date of Birth: 08/05/913
SSN: 368-18-7135

Date of Death: 04/22/995

Spouses Name: Ethel M. Prentice
Fathers Name: Loren Gibson

Mothers Name: Rhoda Wesbrook
Place of Birth: Michigan

Hospital:

Unknown

Ancestry:

British, Scotch, Welsh, Scotch Irish

Race* White

Armed Forces: No

Education:

Marital Status: Married

High School

Place of Death
County: Kent

City: Grand Rapids

If Hospital: Inpatient

Residence
Address:

4631 Robertson Rd.

Thomapple

City: Thomapple Twp

Manner of Death:

Not Specified

Line 1: Parkinson's Disease
Line 2: Prostate Ca With Metastasis
Line 3:

Coronary Artery Disease

Line 4:
Other Conditions:

Injury Date:
Description of Injury:

Occupation:

Industry:

Fanner
Fanning

County: Barry

Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Jack Gilbert
Date of Death: 12/12/993
Date of Birth: 11/22/918
Fathers Last Name: Gilbert

Sex: Male
Age: 7 5

Place of Death
Hospital: St Mary* s Health Services - Grand Rapids
City: Grand Rapids
County: Kent
SSN: 018-05-5427

If Hospital: Inpatient
Residence
County: Barry
City:
Thornapple Twp
Zip Code: 49333

Address: 7328 Robertson

Place of Birth: Massachusetts
Armed Forces: Yes
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
486
Related Cause of Death (*)
11486
612989
4

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location;''

State File Number:

(*)

76152

■

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Jo Ann M. Gilbert
Date of Death: 06/01/994
Date of Birth:
Fathers Name: Douglas Rose
Mothers Name: Katrina Fenner
Spouses Name:

Sex: Female
01/13/976

Place of Death
Hospital: Butterworth Hospital
City: Grand Rapids
County: Kent

If Hospital: Inpatient

SSN: 367-86-1590

Residence
County: Barry
City:
Castleton Twp
Zip Code: 49073

Place of Birth: Michigan
Armed Forces: No
Ancestry: American
Education: 10

Address: 6405 Thornapple Lake Rd.

Marital Status: Never Married
Race: White

Underlying Cause of Death:
8160

Related Cause of Death
11)598
618160
319290
615900
Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: No

Mode of Death: Accident

Work Injury: No

Location: Street and Highway

State File Number: 036988

(*) Six digits with the 1st digit being the line;.the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
DEATH TRANSCRIPTS

12/02/97

County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 022963

Patient Information
Decedents Name:
Date of Death:

Sex: Female

Leta Rose Gillette

Date of Birth: 09/13/920

04/03/997

SSN: 383-07-0637

Spouses Name:

Fathers Name:
Mothers Name:

Place of Birth:
Ancestry:

Armed Forces:

Education:

Harry Bond

Martha Bowers
Michigan

British, Scotch, Welsh, Scotch Irish

Race: White

No

Marital Status: Widow, Widower

08

Place of Death
City: Grand Rapids

County: Kent

Patient Status: Emergency Room/Outpatient

Hospital or Other Place of Death:

Metropolitan Hospital

Residence
Address:
City:

308 Larkin St.

Middleville

Middleville

Manner of Death
Manner:

Not Specified

Line 1: Arteriosclerotic Cardiovascular Disease
Line 2:
Line 3:
Line 4:

Other Conditions: Ovarian &amp; Renal Carcinoma- Treated
Injury Date:
Injury Description:
Occupation: Owner-operator

Industry: Restaurant

County: Barry

Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN

NON-COUNTY RESIDENT

State: Michigan
File Number: 000899
Decedents Name:

Sex: Female

Dora M. Glass

Date of Birth: 09/01/916
SSN: 363-16-4090

Date of Death: 01/08/995

Spouses Name:
Fathers Name: Dan Thom

Mothers Name:

Ruby Houck

Place of Birth: Indiana
Hospital:
Ancestry:
Armed Forces:

Education:

Unknown

German
Race: White

No

Marital Status: Widow, Widower

High School

Place of Death

City: Wayland

County: Allegan

If Hospital: Inpatient

Residence

Address:

Zip Code: 49333

City: Yankee Springs Twp
Manner of Death:

County: Barry

725 S. Bassett Lake Rd. Yankee

Not Specified

Line 1: Arteriosclerotic Vascular Disease

Line 2:
Line 3:

Line 4:
Other Conditions:

Insulin Dependent Diabetes Mellitus, Hypothyroidism

Injury Date:

Description of Injury:
Occupation:

Industry.

Housewife
Home

.■

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Clara Alice Gleesing
Date of Birth: 11/26/942
Date of Death: 10/09/993
Fathers Last Name: Willson

Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

SSN: 371-44-8048

If Hospital: Inpatient

Residence
County: Barry
City:
Prairieville Twp
Zip Code: 49060

Sex: Female
Age: 5 0

Address: 5201 M-43

Place of Birth: Michigan
Armed Forces: No
Marital Status: Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
1410
Related Cause of Death (*)
117991
211410
612500

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work In j ury:

Location: '.

State File Number:

\,

61992

(*) Six digits with the 1st digit being the line,', the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: M. Clark Goebel
Date of Death: 05/16/994
Date of Birth: 04/16/924
Fathers Last Name: Goebel

Sex: Male
Age: 70

Place of Death
Hospital: VA Med Cen - Ann Arbor
City: Ann Arbor
County: Washtenaw

If Hospital: Inpatient

SSN: 385-14-2249

Residence
County: Barry
City:
Hope Twp
Zip Code: 49035

Address: 7687 S. Wall Lake Road

Place of Birth: Illinois
Armed Forces: Yes
Marital Status: Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:

1619
Related Cause of Death (*)
211619
614349

Autopsy: Yes

Findings Available: Yes

Actual Place: Other Instituti

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

32943

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line,1 and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 012495

Decedents Name:

Sex: Female

Alice Mae Gollnick

Date of Birth: 12/13/923

Date of Death: 02/14/996

SSN: 362-28-6902

Spouses Name:
Fathers Name: Luther Ford
Mothers Name:

Anna Louise Knute

Place of Birth: Iowa

Ancestry:

Armed Forces:
Education:

German

Race: White

No

Marital Status: Widow, Widower

High School

Place of Death

County: Wayne

City: Garden City
Hospital or Other Place of Death

Patient Status: Inpatient

Garden City Osteopathic Hospital

Residence
Address:

1024 Charlton Drive

Hasting

City: Hastings
Manner of Death:

Not Specified

Line 1: Hepatic Encephalopathy
Line 2: Adenocarcinoma Breast With Metastasis To Liver
Line 3:

Line 4:
Other Conditions:
Injury Date:

Description of Injury:

Occupation:

Industry:

Type Setter
Printing

County: Barry
Zip Code: 49058

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
03/27/98

DEATH TRANSCRIPTS

County of Residence o County of Occurrence
State of Residence: Michigan

File Number: 063096

Patient Information
Sex: Female

Decedents Name: Nancy Jo Goodacre

Date of Birth: 03/15/950

Date of Death: 10/05/997

SSN: 380-54-7401

Spouses Name: None
Fathers Name: James Martin Riemens

Mothers Name: Vivian Louise Crawford
Place of Birth: Michigan

Ancestry:

Other Western European
Race: White

Armed Forces: No

Marital Status: Divorced

Education: High School

Place of Death
City: Caledonia Twp

County: Kent
Patient Status:

Hospital or Other Place of Death:
Not Classifiable

Residence
Address:
City:

Yankee Springs

Home

Yankee Springs Twp

Manner of Death
Manner: Accidental

Line 1: Multiple Systems Trauma
Line 2:
Line 3:

,

?

Line 4:
Other Conditions:
Injury Date: 10/05/1997
Injury Description: Tow Car Front Crash

Occupation: Homemaker
Industry: Home

County: Barry

Zip Code: 49348

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
12/02/97

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 022772

Patient Information
Decedents Name:
Date of Death:

Spouses Name:
Fathers Name:
Mothers Name:
Place of Birth:

Ancestry:

Armed Forces:
Education:

Sex: Male

George, Jr A. Goretzka

Date of Birth: 11/10/923

04/23/997

SSN: 370-12-7464

Jeanette Corsiglia
George A. Goretzka

Mary Ballman
Michigan

German
Race: White

Yes

Marital Status: Married

High School

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death:

Patient Status: Inpatient

Bronson Methodist Hospital

Residence
Address:

3869 England Drive

City:

Yankee Springs Twp

Yankee

County: Barry
Zip Code: 49344

Manner of Death
Manner: Not Specified

Line 1: Metastatic Lung Carcinoma
Line 2:

Line 3:
Line 4:
Other Conditions: Right Middle Lobe &amp; Lower Lobe Pneumonia, Dehydration; Hypothyroidism
Injury Date:

■

Injury Description:

Occupation: Supervisor
Industry: Pharmaceutical

'

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS

09/17/97

State of Residence:

Michigan

File Number: 002965

Decedents Name:

Sex: Male

Arlo Dean Graham

Date of Birth: 09/19/915
SSN: 380-05-2954

Date of Death: 01/03/997
Spouses Name:

Fathers Name: Orval Graham
Mothers Name:

Bertha Wise

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Widow, Widower

08

Place of Death

City: Grand Rapids

County: Kent

Hospital or Other Place of Death

Patient Status: Inpatient

Butterworth Hospital

Residence
Address:

1018 Reed Street

Nashville

City: Nashville
Manner of Death:

Zip Code: 49073

Not Specified

Line 1: Acute Myocardial Infarction
Line 2: Ventricular Arrhythmia

Line 3: Coronary Artery Disease
Line 4:
Other Conditions:

Diabetes Mellitus.

Injury Date:

Description of Injury:
Occupation:

Industry:

Concrete

County: Bany

•

Cheney Concrete Co \

�MICHIGAN DEPARTMENT OF’ PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
’THE STATE OF'::
Mich igan

Deceden ts Name:: HELEN M.&gt; GRAY
Date of Birth::
Date of Death:: 05/10/993
Fathers Last Name:: Marple

P1 a c: e o f Dea t h
H o sp i t a 1:: B o r g e s s M ecl C e n
C i t y:: l&lt; a I a ma 1 oo

County « Ka 1aMz oo

SSNs 363”56”3613

I f Hosp i t a 1:: I rip a t i en t

Res .i donee
Count y:: Ba r r y
C i t y::
P r a i r i e v i 11 e T wp
Z:i.p Cod e n 49080

1:1/28/909

Sexs Female
Age:: 83

Addressk

12241 Oakridge Rcl

F1 ace of Bi r th r T11 inois
r med Fo r c es:: No
Ma r i1 a 1 St a t us:: Ma r r i eel
Ancest ry:: British#, Scotch, Welsh#, Scotch
Races White
E cl u c: a t i o n:: 2 y e a r s C o 11 e g e
IJ nd e r 3 y i ng Ca use o f Dea t111

1629
Re 1 a t ed Cause o f Dea th

(&gt;X &gt;

111970
211629
614019

Ai.itopsy:: No

F i rid x rigs Ava x 1 ab 1 e :: Unk nown

Actua 1 P1 ace:: Hosp ita 1

Med ica 1 Exam im? r Case:: IJnk nown

Mod e o f Dea t h :: Na t u r a 1

Wo r k I n j ur y |

Loe a t i on::

State File Number::

&lt;^- &gt;

29584

.
/■&gt;

S i x d i g 11 s w x t h t h e 1 1 d x g x t being the line-,••/the 2nd being the
t h e 1CD c o cl e &lt;■
position within the line., and p o 'is i t i o ns 3 ••• 6 b e

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS

09/17/97

State of Residence:

Michigan

File Number: 007924

Decedents Name:

Sex: Male

Robert H. Gray

Date of Birth: 11/23/907
SSN: 368-34-2750

Date of Death: 02/03/997

Spouses Name: N/A
Fathers Name: Edward Lee Gray

Mothers Name:

Francis Humbert

Place of Birth: Michigan
Ancestry:

Armed Forces:
Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Widow, Widower

3 years College

Place of Death

County: Allegan

City: Otsego
Hospital or Other Place of Death

Patient Status:

Unknown
Residence

Address:

12241 Oakridge Lane

Prairieville

City: Prairieville Twp
Manner of Death:

Not Specified

Line 1: Dementia- Multiple Microvascular Infarction
Line 2: Arteriosclerotic Vascular Disease

Line 3:
Line 4:

Other Conditions:
Injury Date:

Description of Injury:
Occupation:

Industry:

Self Employed
Electrician

County: Bany
Zip Code: 49080

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Roger LeRoy Green
Date of Death: 07/24/994
Date of Birth: 04/13/940
Fathers Last Name: Green
Place of Death
Hospital: Unknown
City: Richland Twp

Sex: Male
Age: 54

County: Kalamazoo

If Hospital:

SSN: 378-38-3741

Residence
County: Barry
City:
Prairieville Twp
Zip Code: 49046

Address: 11452 Peninsular Dr.

Place of Birth: Michigan
Armed Forces: No
Marital Status: Married
Ancestry: Other Western European
Race: White
Education: 11
Underlying Cause of Death:

8199

Related Cause of Death (*)
11 (69
618199
Autopsy: No

Findings Available: Unknown

Actual Place: Other

Medical Examiner Case: No

Mode of Death: Accident

Work Injury: No

Location: Street and Highway

State File Number:

43351

(*) Six digits with the 1st "'digit being the line, the 2nd being the
position within the lineand positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
05/13/98

DEATH TRANSCRIPTS

County of Residence o County of Occurrence
State of Residence: Michigan

File Number: 074553
Patient Information
Sex: Male

Decedents Name: Howard W Grein

Date of Birth: 11/28/926
SSN: 368-26-2182

Date of Death: 12/02/997

Spouses Name:

Mary M. Hejl

Fathers Name: Walter John Grein

Mothers Name:

Mildred Jackson

Place of Birth: Michigan
Ancestry:
Armed Forces:

German

Race: White

Yes .

Marital Status: Married

Education: 08

Place of Death
City: Bedford Twp

County: Calhoun
Patient Status: Inpatient

Hospital or Other Place of Death:
VA Medical Center - Battle Creek

Residence
Address:
City:

277 Lakeside Dr.

Hope

Zip Code: 49046

Hope Twp

Manner of Death
Manner: Not Specified
Line 1: Chronic Obstructive Pulmonary Disease

Line 2: Coronary Artery Disease

Line 3: Polyneuropathy •.?
Line 4:
Other Conditions:
Injury Date:

,.?.7

Injury Description:

Occupation: Laborer
Industry: Construction

County: Barry

■

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
02/02/98

DEATH TRANSCRIPTS
Non-Resident Transcripts

State of Residence: Michigan
File Number: 055917
Patient Information
Sex: Female

Decedents Name: Greta S. Greiner

Date of Death:

Date of Birth: 09/14/916

09/13/997

SSN: 076-22-1976

Spouses Name:

Fathers Name:
Mothers Name:

Lambert Sal
Jennie Termeer

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

Other Western European
Race: White

No

Marital Status: Widow, Widower

08

Place of Death
County: Kent

City: East Grand Rapids

Patient Status: Inpatient

Hospital or Other Place of Death:

Blodgett Mem Med Cen

Residence
Address:

6510 Noffke Dr.

City:

Thomapple Twp

Thomapple

Zip Code: 49316

Manner of Death
Manner:

Not Specified

Line 1: Pneumonia

Line 2: Chronic Obstructive Pulmonary Disease
Line 3:
Line 4:

'

Other Conditions:
Injury Date:
Injury Description:

Occupation: Housewife
Industry: Own Home

County: Barry

•. ' . »
.\ '

;&lt;///..

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Peggie Eileen Grewett
Date of Death: 04/16/994
Date of Birth: 01/13/938
Fathers Last Name: Millikin
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

If Hospital: Inpatient

SSN: 288-34-5988

Residence
County: Barry
City:
Prairieville Twp
Zip Code: 49080
Place of Birth: Ohio
Armed Forces: No
Ancestry: British, Scotch
Education: High School

Sex: Female
Age: 56

Address: 14247 Burchett Road

Marital Status: Married
Welsh, Scotch
Race: White

Underlying Cause of Death:

1749
Related Cause of Death (*)

115729
211749
311977

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

23622

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Kathryn Christena Griffeth
Date of Death: 08/27/994
Date of Birth: 04/17/919
Fathers Last Name: Eggleston

Place of Death
Hospital: Unknown
City: Kentwood

Sex: Female
Age: 75

County: Kent

If Hospital:

SSN: 384-24-5224

Residence
County: Barry
City:
Yankee Springs Twp
Zip Code: 49333
Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: High School

Address: 305 N. Norris Rd.

Marital Status: Married
Race: White

Underlying Cause of Death:

1539
Related Cause of Death (*)
111977
211539

Autopsy: No

Findings Available: Unknown

Actual Place: Home

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

)
(*

50200

.siA',

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
08/26/98

DEATH TRANSCRIPTS FOR 1998

County of Residence o County of Occurrence
State of Residence: Michigan

File Number: 017050
Patient Information
Sex: Male

Decedents Name: Carl Wayne Griffith

Date of Birth: 08/02/1965
SSN: 362-70-6918

Date of Death: 03/02/1998
Spouses Name:

Fathers Name: Carl J. Griffith
Mothers Name:

Shelby Dean Hand

Place of Birth: Michigan
Ancestry:

Irish
Race: White

Armed Forces: No

Marital Status: Divorced

Education: 11

Place of Death
County: Kalamazoo

City: Kalamazoo

Patient Status: Inpatient

Hospital or Other Place of Death:
Bronson Methodist Hospital

Residence
Address:

City:

202 South Grove
Barry Twp

Manner of Death
Manner: Not Specified
Linel: Subdural Empyema

Line 2: Meningitis
Line 3: Sinusitis

Line 4:
Other Conditions:

Injury Date:
Injury Description:

Occupation: Roofing
Industry: Construction

Delton

County: Barry

Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: Lawrence Griswold
Date of Death: 09/17/994
Date of Birth:
Fathers Name: Mortimer Griswold .
Mothers Name: Millie Hillard
Spouses Name:

Sex: Male
07/02/914

Place of Death
Hospital: McLaren Gen Hospital
City: Flint
County: Genesee

If Hospital: Inpatient

Residence
County: Barry
City:
Maple Grove Twp
Zip Code: 48457

SSN: 379-05-7942

Address: 1715 W. Gary Rd.

Place of Birth: Michigan
Armed Forces: No
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: 08
Underlying Cause of Death:

4149
Related Cause of Death
114280
214019
224149
61586
62496

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number: 055838

Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OFs
Hie: h igan
Deuedi?nts Names Todd Dewitt Gr i.nage
Da t e o f Bi r t h::
Date of Deaths 06/05/993
Fa t h e r s La s t Na ne | G r i na g e

P1 a c e o f D e a th
Ho sp i t a I:: B t • onso n Me t h od i s t Ho s» p i t a 1
C :t t y:: K a a ma z ou
Coco it y

Ka lama zoo

I f Hosp i t a 1:: I npa t i. e n t
RorJ den ice
Co u n t y » Ba r r y
C i t y::
Na-;&gt;i i v i. 11 e
Zip Codes 49073

12/03/968

Se x:: Male
Ages 24

SSN:: 378-96-4834

Ad dresss 218 C1eve1a nd St n

Place-' of Births Michigan
A r mecl Fo r c es:: No
Ant:«??••&gt;t ry s fr i c: an
Educations High School

Marita1 Sta t uss Neve r Ma rr i ed
Races White

Unde) ly:i ng Cause of Deaths

Re 1 a t ed Ca i ise o f Dea 111

Aut.opsys No

F i nd :i ng s Ava i 1 a b 1 e s Ui i k nown

Actua1 Place s Has pita 1

Med ic a 1 Exam i ne r Cace s Hn knowri

Mod w o f, pea p s Na t u r a 1

Wonk Injurys

L.oc a t i o-ri::

St a t e F i 1 e Numb e r ”

.;; - , •

37&gt;062

S.i x d:» g :i ts wi th t he 1 st d:»g:i t b e i i ig t he 1 i ne &lt;&gt; . t-h e 2rjd b e i ng
p c.»s 11 i o n w i t h .*&lt; v &gt; t h e 1 :i ne ,f a nd positions 3-6 being the ICD co

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH.
DEATH TRANSCRIPTS
Non-County Residents

04/17/96

State of Residence:

Michigan

File Number: 072506

Decedents Name:

Sex: Male

Eugene Victor Grochowski

Date of Death: 10/27/995

Spouses Name: None

Date of Birth: 09/04/966
SSN: 341-50-6985

Fathers Name: Eugene C. Grochowski
Mothers Name:

Francine Wiktor

Place of Birth: Illinois
Ancestry:

Armed Forces:

Education:

Polish
Race: White

No

2 years College

Marital Status: Never Married

Place of Death
City: Grand Haven

County: Ottawa

Hospital or Other Place of Death

Patient Status:

Unclassified
Residence
Address:

3090 Big Cedar Lake Road Barry

City: Barry Twp

Manner of Death:

Accidental

Linel: Asphyxiation
Line 2: Drowning
Line 3:
Line 4:
Other Conditions:

Injury Date:
Description of Injury:

Occupation:

Industry:

10/27/1995
Drowning - Swept Off Pier

Dispatcher
Hospital

County: Barry

Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan

Decedents Name: David Gross
Date of Death: 12/22/994
Date of Birth:
Fathers Name: David Gross
Mothers Name: Merle Skidmore
Spouses Name: Frances Warner

Sex: Male

04/16/923

Place of Death
Hospital: Metropolitan Hospital
City: Grand Rapids
County: Kent

If Hospital: Inpatient
Residence
County: Barry
City:
Irving Twp
Zip Code: 49058

Place of Birth: West Virginia
Armed Forces: Yes
Ancestry: German
Education: 05

SSN: 236-24-0007

Address: 4725 Buehler Rd.

Marital Status: Married
Race: White

Underlying Cause of Death:
4919

Related Cause of Death
114919
614280
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number: 076959

(*) Six digits with the 1st digit being the line, the 2nd being the
position within the line, and positions 3-6 being the ICD code.

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