http://barrycountyhistoryportal.org/files/original/30/856/Death_Transcripts_Barry_County_Vol._4.pdf 0977948a8c7b05af34ef1c0481c9dd8d PDF Text Text DEATH TRANSCRIPTS OF BARRY COUNTY RESIDENTS WHO DIED OUTSIDE BARRY COUNTY Compiled by the Michigan Department of Health This volume (Volume 4) begins with Guthrie and ends with Jurisic �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 001378 Decedents Name: Sex: Female Patricia Lou Guthrie Date of Birth: 09/25/939 Date of Death: 01/19/997 SSN: 371-62-9518 Spouses Name: Fathers Name: La Vem C. Guthrie Mothers Name: Josephine M. Michalski Place of Birth: Michigan Ancestry: Armed Forces: Education: Polish Race: White No Marital Status: Never Married 11 Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 11905 North Avenue Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Adult Respiratory Distress Syndrome. Line 2: Pneumonia. Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 12/02/97 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 036534 Patient Information Date of Death: Spouses Name: Sex: Male Dakota Allen Hale Decedents Name: Date of Birth: 06/08/997 06/08/997 SSN: None Fathers Name: Mothers Name: Roger Hale Nicole Horton Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Never Married Education: None Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Metropolitan Hospital Residence Address: City: 5890 Marsh Rd. Orangeville Twp Manner of Death Manner: Not Specified Line 1: Extreme Prematurity Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Never Worked Industry: None Orangeville County: Barry Zip Code: 49344 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 007640 Patient Information Sex: Male Decedents Name: Grover C. Hall Date of Birth: 01/23/1914 SSN: 401-14-5224 Date of Death: 02/14/1998 Spouses Name: None Fathers Name: Oscar Hall Mothers Name: Rose Blair Place of Birth: Kentucky Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Widow, Widower Education: 04 Place of Death County: Allegan City: Plainwell Hospital or Other Place of Death: Patient Status: Inpatient Pipp Community Hospital Residence Address: 11887 Lewis Rd. City: Orangeville Twp Orangeville Manner of Death Manner: Not Specified Line 1: Congestive Cardiomyopathy Line 2: Chronic Obstructive Pulmonary Disease Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Onion Farmer Industry: Farm County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Johanna Hamlett Date of Death: 11/19/993 Date of Birth; 10/22/904 Fathers Last Name: Moerland Sex: Female Age: 89 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49302 Place of Birth: Michigan Armed Forces: No Ancestry: American Education: 08 SSN: 379-32-1995 Address: 7236 Noffke Dr. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214140 613580 621820 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Locat ion: State File Number: 75892 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-^6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Betty Jo Hammond Date of Death: 05/16/994 Date of Birth: 05/03/921 Fathers Last Name: Riley Sex: Female Age: 73 Place of Death Hospital: Blodgett Mem Med Cen City: East Grnd Rapids County: Kent SSN: 370-18-3517 If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 Address: 1003 North Taffee Drive Place of Birth: Michigan Armed Forces: No Ancestry: Irish Education: 4 years of college Marital Status: Married Race: White Underlying Cause of Death: 4140 Related Cause of Death (*) 115184 214240 314140 Autopsy: No Findings Available: Unknown Medical Examiner Case: Unknown Work Injury: State File Number: Actual Place: Hospital Mode of Death: Natural i^Sjibeations 30312 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Frank Hammond, Jr. Date of Death: 12/30/993 Date of Birth: 03/25/929 Fathers Last Name: Hammond Place of Death Hospital: Unknown City: Battle Creek Sex: Male Age: 64 County: Calhoun If Hospital: DOA with hospital name Residence County: Barry City: Assyria Twp Zip Code: 49021 SSN: 377-28-2372 Address: 14980 Jenkins Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 08 Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214149 Autopsy: No Findings Available: Unknown Actual Place: Unknown Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 80519 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 023735 Patient Information Sex: Male Decedents Name: James A. Hardin Date of Birth: 02/04/1925 SSN: 426-30-3138 Date of Death: 04/05/1998 Spouses Name: Helen J. De Boer Fathers Name: Amos C. Hardin,sr. Mothers Name: Mackie A. Mills Place of Birth: Mississippi Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Married 10 Place of Death County: Ingham City: Lansing Patient Status: Inpatient Hospital or Other Place of Death: Michigan Capital Med. Ctr. - Greenlawn Campus Residence Address: City: 8638 Lawrence Rd Maple County: Barry Zip Code: 49073 Maple Grove Twp Manner of Death Manner: Not Specified Line 1: Ventricular Fibrillation Line 2: Myocardial Infarction Line 3: Coronary Artery Disease Line 4: Other Conditions: S/p Coronary Artery Bypass Injury Date: Injury Description: Occupation: General Supervisor Industry: Fisher Body/ General Motors ' ft: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 034894 Decedents Name: Sex: Female Goldie E. Nmn Harper Date of Birth: 08/25/908 Date of Death: 06/21/996 SSN: 368-48-2889 Spouses Name: Fathers Name: Lester Nathan Hoyt Mothers Name: Anna Gilbert Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower High School Place of Death City: Allegan County: Allegan Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 10378 S. Norris Rd. City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Advanced Dementia Injury Date: Description of Injury: Occupation: Industry: Homemaker Prairieville County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o- County of Occurrence 12/02/97 State of Residence: M ichigan File Number: 0219734 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Education: Sex: Male Roy J. Harleston Date of Birth: 11/22/931 05/11/997 SSN: 377-30-7723 Vivian L. Brott Carl W. Harleston Vera L. Swartz Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Borgess Med Cen Residence Address: City: 3625 Strickland Road Johnston Johnstown Twp County: Barry Zip Code: 49017 Manner of Death Manner: Not Specified Line 1: Anoxic Brain Encephalopathy Line 2: Ventricular Fibrillation Line 3: Atherosclerotic Heart Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Machine Operator Industry: Cereal Manufacturing Company ,;££: �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 062605 Decedents Name: Sex: Female Joanne May Hartman Date of Birth: 02/01/938 Date of Death: 10/14/996 SSN: 293-32-2111 Spouses Name: Fathers Name: Fred Phillips Mothers Name: Bemice Me Nett Place of Birth: Ohio Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 11 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 1142 Hickory Rd. Johnstown City: Johnstown Twp Manner of Death: Not Specified Line 1: Metastatic Lung Ca- Pulmonary Edema Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Cook Restaurant County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: MARY C. HARTHY Date of Death: 09/04/993 Date of Birth: 04/15/912 Fathers Last Name: Bishop Sex: Female Age: 81 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Inpatient Residence County: Barry City: Hastings Zip Code: 49058 SSN: 381-24-9195 Address: 502 E. South Street Place of Birth: Michigan Armed Forces: No Marital Status: Widow, Widower Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 4 years of college Underlying Cause of Death: 1629 Related Cause of Death (*) 11486 211629 614939 Autopsy: No Actual Place: Hospital Findings Available: Unknown Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 54645 \ (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence <> County of Occurrence 01/15/98 State of Residence: Michigan File Number: 046101 Patient Information Decedents Name: Date of Death: Clarence V. Hartwell Sex: Male Date of Birth: 03/21/920 07/16/997 SSN: 378-01-1013 Spouses Name: Fathers Name: Unknown Mothers Name: Uva Bonn Place of Birth: Ancestry: Armed Forces: Education: Michigan British, Scotch, Welsh, Scotch Irish Yes Race: White Marital Status: Divorced High School Place of Death County: Washtenaw City: Ann Arbor Hospital or Other Place of Death: Patient Status: Inpatient VA Med Cen - Ann Arbor Residence Address: City: 8335 Hayward Rd. Orangeville Orangeville Twp Manner of Death Manner: / Not Specified Line 1: Pulmonary Interstitial Fibrosis Line 2: Line 3: Line 4: Other Conditions: Congestive Heart Failure, Diabetes Mellitus Injury Date: Injury Description: Occupation: Technician Industry: Hospital County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 021265 Decedents Name: Sex: Female Thelma M. Harvath Date of Birth: 07/31/920 Date of Death: 03/30/996 SSN: 369-16-4533 Spouses Name: Fathers Name: Walter P. Jackway Mothers Name: Grace Parker Place of Birth: Michigan British, Scotch, Welsh, Scotch Irish Ancestry: Armed Forces: Education: Race: White No Marital Status: Widow, Widower 08 Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 1250 Leinaar Rd. City: Barry Twp Manner of Death: Not Specified Linel: Myocardial Infarction Line 2: Hypertension Line 3: Shock Line 4: Other Conditions: Injuiy Date: Description of Injury: Occupation: Industry: Homemaker At Home Barry County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048301 Decedents Name: Sex: Female Elsie Elizabeth Haskin Date of Birth: 10/22/927 Date of Death: 08/25/996 SSN: 381-24‘9312 Spouses Name: Morley Edward Haskin Fathers Name: Homer Neal Sexton Mothers Name: Mary Alfaretta Chaney Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish jq0 High School Race: White Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Emergency Room/Outpatient Residence Address: 12738 North Avenue City: Assyria Twp Manner of Death: Not Specified Line 1: Cardiac Arrhythmia Line 2: Dilated Cardiomyopathy Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Export Manager Press Manufacturing Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041539 Decedents Name: Sex: Male Marvin Duane Hathaway Date of Birth: 06/27/929 SSN: 375-24-8297 Date of Death: 07/01/996 Spouses Name: Betty L. Moon Fathers Name: Robert Hathaway Mothers Name: Eva Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White Yes Marital Status: Married 2 years College Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Battle Creek Health Systems Residence Address: 10304 Huff Rd. Assyria City: Assyria Twp Manner of Death: Not Specified Line 1: Hodgkin's Disease Line 2: Line 3: Line 4: Other Conditions: Hypertension, Cva, Seizure Disorder Injury Date: Description of Injury: Occupation: Industry: Printer Printing County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055533 Patient Information Sex: Male Decedents Name: Clarence Russell Hawkins Date of Death: 09/20/997 Spouses Name: Sandra Crampton Date of Birth: 04/25/945 SSN: 385-44-4892 Fathers Name: Roy Albert Hawkins Mothers Name: Mary Elizabeth Buxton Place of Birth: Michigan Ancestry: Armed Forces: American Race: White Yes Marital Status: Married Education: 2 years College Place of Death County: Ionia City: Berlin Twp Patient Status: Hospital or Other Place of Death: Not Classifiable Residence Address: 7818 Scott Rd. City: Castleton Twp Manner of Death Manner: Accidental Line 1: Drowning Line 2: Line 3: Line 4: Other Conditions: Injury Date: 09/20/1997 Injury Description: Drowning Occupation: Self Employed Industry: Construction Castleton County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 048334 Decedents Name: Bernice L. Hayes Sex: Female Date of Death: 08/01/996 Spouses Name: Date of Birth: 05/26/916 William F. Hayes SSN: 364-5°-7805 Fathers Name: Charles Rose Mothers Name: Lenora Kime Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish N0 Race: White Marital Status: Married High School Place of Death City: Emmet Twp County: Calhoun Hospital or Other Place of Death Patient Status: Inpatient Nursing Home or Extended Care Facility Residence Address: 5640 Woodschool Road City: Irving Twp Manner of Death: Not Specified Line 1: Congestive Heart Failure Line 2: Atherosclerosis Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Homemaker Own Home Irving County: Barry Zip Code: 49058 �(Ji" FUDL..1.C HI::.AL. 11rl H i’CH EGAN DF.PAR f HI::.N T DE ATH TRANSCR j PT - STAT IE OF NON- COUNTY RI-TJTDFNT the: state: ofs Michigan MXCHlGA N x:: Male e:: 51 Decedents Narons ROBFRI Da te o f Dea t h:: 01 /22 /993 F a t h e t s La c t Na roe:*. I- la yes Place? of Death I iosp i i*. a 1:: Un known C i t y :: A '11 eg a n T wp C o i a r1t y:: X f Hosp i ta I. s SSN:: Residence County:: Dai vy C i ty s 0 r a ng gv i 11 e. T wp Zip Code?:: 47Of30 Unknown Work Injury:: 81 a t o F i 1 o Nurob o r :: St a t. us:: Findings Av a i 1 a b 1 e r. U n k nown Mv?u i.ea I. E.xaro.i.ns?r Case?:: 406 - 5*0 • 8263 Ad d r©«»«>:: 8489 Ma r sh Rd Ma t i t a .1 Autopsys fc A 3 1 eg a n Neve r Ma r v i ed Race:: White A c t. u a 1 P1 a e:: Horoe Hude? of Death;: Natural L ot. a t i on:: 85’3 S i x d i g :i t s us :i L11 t! i e 1 <:, t d i g :i t b £• i v ig t h e 11 no v t h e 2nd b «:• i ng the po«>:i t i ori w :i t l i i r i the 1 :i ne,, a rid posit juris 3-6 being the I CD code i. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gloria N. Hayward Date of Death: 05/09/994 Date of Birth: 07/08/933 Fathers Last Name: Mathews Sex: Female Age: 60 Place of Death Hospital: Ionia County Memorial Hospital City: Ionia County: Ionia If Hospital: Inpatient Residence County: Barry City: Thornapple Twp Zip Code: 49333 SSN: 366-32-8491 Address: 2100 Yankee Springs Road Place of Birth: Michigan Armed Forces: No Marital Status: Divorced Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 06 Underlying Cause of Death: 3051 Related Cause of Death (*) 113051 121629 21586 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 29920 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 048775 Decedents Name: Sex: Male Arthur J. Haywood Date of Birth: 05/02/900 Date of Death: 08/27/995 SSN; 366-20-4404 Spouses Name: Fathers Name: Alfred Haywood Mothers Name: Lydia Ruckle Place of Birth: Michigan Ancestry: Armed Forces: Education: American Race: White A No Marital Status: Widow, Widower Unknown Place of Death County: Eaton City: Charlotte Hospital or Other Place of Death Patient Statuftlnpatient Hayes Green Beach Hospital Residence Address: 411E. Green St City: Hastings Manner of Death: Hastings County: Barry , Zip Code: 49058 Not Specified Line 1: Peritonitis Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injuiy: Occupation*. Industry: •jjp Self Employed Farming X-M- • .i '• �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015784 Decedents Name: Sex: Female Patricia Julia Hazen Date of Birth: 05/18/940 Date of Death: 03/16/996 SSN: 381-38-8921 Spouses Name: Fathers Name: Alexander Gorman Mothers Name: Clara Wolschon Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Divorced High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4005 S. Shore Cloverdale City: Hope Twp Manner of Death: Not Specified Line 1: Metastatic Breast Carcinoma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Accounting Clerk County Government County: Barry Zip Code: 49035 �FUNERAL NOTICE FOR THE STURGIS DAILY JOURNAL ii-Ii------------First Full name of deceased 207 oscond St., ... Address ------------------------ Age __j2.--------------Middle Last Trufant, xich. 1-------------------------------------------------------------------------------------- Day and time of death ?-J.1?— -1-—--—I—2’£i._1.’_.1£'.Zf— Cause------------------------------------------------------- Where death occurred ..iL0.?® .°.L±-3ZrX_-C12.usen .in Period of illness ___________________________________ x.SdtS- Where bornF£rA£l?yALl=jL__^rry__Oo .^_Mich_.„„Date of birth___ IL1.?-------------------------------------Child of whom .^LL.-L-.L^ .*r^L-^121HL.L ^LL1. Places of residence for what perio^°2^L?l®£^L£®-w?s^spent Jn_Kalainazoo_._Jioyed _tp..._. Trufant Just one week ajo. When married and to whom -------------------------------------------------------- ---------------------------------------------------------------------- where married —^31333322------------------------- ------------- REMARKS: (Life work, etc.) -JL2J£32J£1££ Member of what church -21-2L----------------------------- —------------------------------------- “ . . XXX .... .. . .a Loyalty Chapter # 497 0. S. 3. of Kalamazo^o------------------ C2-C--------- ------ - ------------------------------------------------------- Society affiliations Friends are be inc? received at the HentonX.A31ife—------- Home where services will be conducted_aLt__2__oc_loc_k_-Tu_es-t_-^.fisrJ295.&-*--------------- wil 1_bejLn^^Pr^airis.yXlls^JDejnet_ery A____________________ ________________ ,, ... Husband of Trufant, Mich., 2 brothers: Rpll_inj^p_f_Kala!nazop_t— Richard of Doster, 3 sisters: Mrs. Lyle (_La;jm)_JFr_an_cis_cp__of__Do_sterj__Mrs_’— Arthur ( Frances ) Paul of Kalamazoo, and Mrs. Kirby( --------- of Richland, Mich, also her parents Mr and Mrs Myron JjL_Hall_p.f__Lp_3t£E.*-----Place of funeral service Hour Undertaker �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 063123 Decedents Name: Sex: Male Raymond John Helrigel Date of Birth: 09/11/925 Date of Death: 10/05/995 SSN: 365-22-2530 Spouses Name: Lila M. Babcock Fathers Name: Arthur Helrigel Mothers Name: Bernice Johnson Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Married 3 years College Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Bronson Methodist Hospital Residence Address: 4545 Scott Road City: Hastings Twp Manner of Death: Hastings County: Barry Zip Code: 49058 if.: ‘ Accidental ■ Line 1: Multiple Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 10/05/1995 Auto Hit Tree Worker Various Factories �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Donald James Hermenitt Date of Death: 12/08/993 Date of Birth: 05/08/9-27 Fathers Last Name: Hermenitt Place of Death Hospital: Unknown City: Plainwell Sex: Male Age: 66 County: Allegan If Hospital: DOA with hospital name Residence County: Barry City: Orangeville Twp Zip Code: 49344 SSN: 380-28-4372 Address: 12120 Marsh Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: High School Underlying Cause of Death: 4140 Related Cause of Death (*) 114140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 73906 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 068772 Decedents Name: Sex: Female Stephanie Gail Heykoop Date of Birth: 10/09/943 Date of Death: ] 0/31 /996 SSN: 382-42-3769 Spouses Name: Timothy J. Heykoop Fathers Name: Gerald Me Coy Brown Mothers Name: Alzada M. Me Kown Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death County: Kent City: Grand Rapids Hospital or Other Place of Death Patient Status: Inpatient Butterworth Hospital Residence Address: 5590 N. Irving Drive City: Irving Twp Manner of Death: Not Specified Line 1: Non Hodgkins Lymphoma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Housewife Industry: Own Home Irving County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 024384 Patient Information Sex: Male Decedents Name: Johnnie Richard Hicks Date of Birth: 03/23/1947 SSN: 278-44-9003 Date of Death: 04/10/1998 Spouses Name: Fathers Name: Johnnie Hicks Mothers Name: Lorenia May Keown Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Divorced Education: High School Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death: Patient Status: Inpatient Kent Comm Hospital Complex Residence Address: City: 4545 Walldorff Road Hope Hope Twp Manner of Death Manner: Not Specified Line 1: Chronic Renal Failure Line 2: Line 3: Line 4: Other Conditions: Cardiomyopathy, Cirrhosis With Ascites Injury Date: Injury Description: Occupation: Laborer Industry: Factories County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Gordon Leroy Hill Date of Death: 09/23/994 Date of Birth: Fathers Name: Samuel Raymond Hill Mothers Name: Myrtie Wyckoff Spouses Name: Dora E. Ogden Place of Death Hospital: Unknown City: Grand Rapids If Hospital: Inpatient Residence County: Barry City: Middleville Zip Code: 49333 Sex: Male 09/26/912 County: Kent SSN: 380-01-1377 Address: 10561 Garbow Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 1 year College Underlying Cause of Death: 436 Related Cause of Death 11586 21436 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 056972 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 041540 Patient Information Decedents Name: Date of Death: Sex: Female Mildred B. Hill 06/02/997 Date of Birth: 02/07/909 SSN: 376-22-9342 Spouses Name: Fathers Name: Mothers Name: John Miller Eltie Cheesman Place of Birth: Michigan Ancestry: American Armed Forces: Education: Race: White No 08 Marital Status: Widow, Widower Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death: Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 2605 S. Charlton Park Rd.Hastings Hastings Twp Manner of Death Manner: Not Specified Line 1: Dementia Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Nurse’s Aid Industry: Home Health Care County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Delores Hinds Date of Death: 05/26/993 Date of Birth: 01/17/914 Fathers Last Name: Wright Place of Death Hospital: Unknown City: Grand Rapids Sex: Female Age: 79 County: Kent If Hospital: Inpatient SSN: 368-09-2320 Residence County: Barry City: Orangeville Twp Zip Code: 49340 Place of Birth: Michigan Armed Forces: No Ancestry: French Education: High School Address: 11980 Marsh Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 3310 Related Cause of Death (*) 113310 127994 Autopsy: Yes Findings Available: No Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 29982 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 02/02/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 055933 Patient Information Sex: Male Decedents Name: Kenneth L. Hirst Date of Death: Date of Birth: 05/25/915 SSN: 368-10-9824 09/28/997 Spouses Name: Fathers Name: Frank H. Hirst Mothers Name: VeraB. Moxom Place of Birth: Michigan Ancestry: Armed Forces: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Widow, Widower Education: High School Place of Death County: Kent City: East Grand Rapids Hospital or Other Place of Death: Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: City: C-210 Barlow Lake Yankee Yankee Springs Twp Manner of Death Manner: Not Specified Line 1: Cerebrovascular Accident (Stroke) Line 2: Hypertension Line 3: Carotid Artery Occlusive Disease Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Maintenance Industry: Rapistan County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 001251 Decedents Name: Sex: Female Daisy Mae Hoag Date of Birth: 08/17/941 Date of Death: 01/28/996 SSN: 384-40-9453 Spouses Name: Fathers Name: Mothers Name: George Danke, Sr. Christine Brown Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Divorced 2 years College Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death Patient Status: Inpatient Battle Creek Health Systems Residence Address: 14125 M-66 City: Assyria Twp Manner of Death: Not Specified Line I: Breast Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Beautician Beauty Salon Assyria County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 09/03/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 022735 Patient Information Sex: Female Decedents Name: Evelyn M. Hodgden Date of Birth: 08/16/1913 SSN: 382-38-6141 Date of Death: 03/27/1998 Spouses Name: Roger T. Hodgden Fathers Name: Emest Smith Mothers Name: Martha Ferrari Place of Birth: Pennsylvania Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Marital Status: Married Education: 4 years of college Place of Death County: Calhoun City: Battle Creek Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 4182 Bristol Oakes Drive Johnstown Twp Manner of Death Manner: Not Specified Line 1: Senile Dementia Alzheimers Type Line 2: Line 3: Line 4: Other Conditions: Injury Date: Injury Description: Occupation: Teacher Industry: Public School System County: Barry Zip Code: 49050 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 070081 Decedents Name: Sex: Male Rudolph George Hodgemire Date of Birth: 09/15/916 SSN: 366-10-6431 Date of Death: 11/26/995 Spouses Name: Fathers Name: Fred Hodgemire Mothers Name: Maybelle Youngs Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White Yes Marital Status: Widow, Widower 08 Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death Patient Status: Emergency Room/Outpatient Borgess Med Cen Residence Address: 11045 Gilkey Road City: Prairieville Twp Manner of Death: Prairieville County: Barry Zip Code: 49080 Not Specified Line 1: Acute Myocardial Infarct Line 2: Coronary Heart Disease Line 3: Line 4: Other Conditions: Hyperlipidemia | /a - »,, Injury Date: * Description of Injury: Occupation: Industry: Foreman Paper Manufacturing *■' �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OFs Michigan Decedents Names LAWRENCE ELLWYN HOLCOMB Date of Deaths 02/16/993 Date of Births 05/22/896 Fa there Last Names: HOLCOMB Place of Death Hosp ita 1 s Un l< nown City:: Sp ri ng field County s Ca1h oun I f Hosp i t a 1 n I rip a t ient Residence Count y s Ba r r y C ity a Assyr ia Twp Zip Code s 4902.1 Place of Births Michigan A r med Fo r c es:: No Ancestrys No r th Afrlean Ed uc a t i on:: Hi g h Sc h oo 1 Sexs Male Ages 96 SSNs 366-07-3638 Addresss 9520 Tasker Road Ma r i t a 1 St a t us:: Ma r r ied Races White Underlying Cause of Deaths 410 Related Cause of Death <$> 11410 61436 627845 632699 Autop sys No Findings Available.*: Unknown Actual Places Nursing Home Med ic a1 Examine r Ca se s Un k nown Mo cl e o f Dea t h s Na t u r a 1 Work Injurys Locations 81 a t e F i 1 e Numb e r7377 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code.. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 07/30/98 DEATH TRANSCRIPTS FOR 1998 County of Residence o County of Occurrence State of Residence: Michigan File Number: 001147 Patient Information Sex: Female Decedents Name: Ruth Charlotte Holder Date of Death: 01/06/1998 Date of Birth: 04/16/1907 SSN: 370-10-9297 Spouses Name: Fathers Name: Williaim Bryans Mothers Name: Lydia Garrison Place of Birth: Michigan Ancestry: British, Scotch, Welsh, Scotch Irish Race: White Armed Forces: No Education: 2 years College Marital Status: Widow, Widower Place of Death City: Battle Creek Hospital or Other Place of Death: County: Calhoun Patient Status: Inpatient Battle Creek Health Systems Residence Address: City: 25060 Battle Creek Hwy. Assyria Assyria Twp Manner of Death Manner: Not Specified Line 1: Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Dementia Injury Date: Injury Description: Occupation: Secretary Industry: Legal Insurance County: Barry Zip Code: 49021 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 000893 Decedents Name: Sex: Male William C. Holloway Date of Birth: 11/09/927 Date of Death: 01/18/997 SSN: 375-20-8110 Spouses Name: None Fathers Name: Mothers Name: Unknown Mildred Unknown Place of Birth: Michigan Ancestry: Armed Forces: Education: Irish Race: White Yes Marital Status: Widow, Widower 08 Place of Death County: Allegan City: Allegan Hospital or Otheir Place of Death Patient Status: Inpatient Unknown Residence Address: 12430 Anson Point City: Prairieville Twp Manner of Death: Not Specified Line 1: Advanced Copd Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Truck Driver Trucking Prairieville County: Barry Zip Code: 49080 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 01/15/98 DEATH TRANSCRIPTS County of Residence <> County of Occurrence State of Residence: Michigan File Number: 048213 Patient Information Decedents Name: Date of Death: Sex: Female Hazel Catherine Hommerding Date of Birth: 11/14/904 08/23/997 SSN: 366-07-5333 Spouses Name: Fathers Name: Henry E. Turner Mothers Name: Emma A. Howald Place of Birth: Ancestry: Armed Forces: Education: Michigan British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Widow, Widower 08 Place of Death County: Calhoun City: Battle Creek Patient Status: Inpatient Hospital or Other Place of Death: Convalescent home, nursing home, medical care facility or hospice Residence Address: 9211 Keller Road City: Orangeville Twp Orangeville County: Barry Zip Code: 49046 Manner of Death Manner: Not Specified Line 1: Pneumonia With Aspiration Line 2: Line 3: Line 4: Other Conditions: Multi-factorial Dementia, Chf, Hypertension, Psychiatric Disturbance With Agitation Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 015768 Decedents Name: Sex: Male Reynold George Homrich Date of Birth: 06/30/910 Date of Death: 03/10/996 SSN: 384-16-6675 Spouses Name: Caroline Steffes Fathers Name: Matt Homrich Mothers Name: Emma Schmidt Place of Birth: Michigan Ancestry: Armed Forces: Education: German Race: White No Marital Status: Married 08 Place of Death County: Kalamazoo City: Kalamazoo Hospital or Other Place of Death Patient Status: Inpatient Borgess Med Cen Residence Address: 7084 S. Shore Dr. City: Prairieville Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Truck Broker Trucking Prairieville County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 058255 Decedents Name: Sex: Male Vernon J. Hooper Date of Birth: 07/13/903 Date of Death: 08/08/996 SSN: 380-05-8352 Spouses Name: Helen J. Smith Fathers Name: Curtis B. Hooper Mothers Name: Lolah M. Reed Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No Marital Status: Married High School Place of Death City: Tallmadge Twp County: Ottawa Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 512 Briarwood Dr. City: Middleville Manner of Death: Not Specified Line 1: Metastatic Prostate Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Customer Service Bradford White Corp. Middleville County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Lawton R. Horne Date of Death: 09/19/994 Date of Birth: Fathers Name: George Horne Mothers Name: Rosa Blount Spouses Name: Helen L. Newton Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Hope Twp Zip Code: 49046 Sex: Male 08/17/917 County: Kalamazoo SSN: 408-28-6109 Address: 505 Harrington Place of Birth: Tennessee Armed Forces: Yes Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 10 Underlying Cause of Death: 492 Related Cause of Death 117855 217860 227990 31496 41492 615750 625768 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Locat ion: State File Number: 56650 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Donald E. Hough Date of Death: 03/25/994 Date of Birth: 02/11/935 Fathers Last Name: Hough Place of Death Hospital: Unknown City: Grand Rapids Sex: Male Age: 59 County: Kent If Hospital: Inpatient Residence County: Barry City: Irving Twp Zip Code: 49058 SSN: 372-32-4526' Address: 2555 Buehler Road Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: British, Scotch, Welsh, Scotch Race: White Education: 09 Underlying Cause of Death: 1629 Related Cause of Death (*) 111629 214280 312500 417169 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 16982 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 041607 Decedents Name: Sex: Male Darwin C. Houston Date of Birth: 10/09/948 Date of Death: 07/05/996 SSN: 363-50-8818 Spouses Name: Jacqueline L. Waidelich Fathers Name: Coy Dar Houston Mothers Name: Clarabelle Van Nocker Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married 1 year College Place of Death County: Calhoun City: Bedford Twp Hospital or Other Place of Death Patient Status: Unclassified Residence Address: 1182 Cherry Lane Johnstown City: Johnstown Twp Manner of Death: Accidental Line 1: Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Inj ury: Occupation: Industry: 07/05/1996 Bicycle- Motorvehicle Accident Packing Line Operator Cereal Manufacturing County: Barry Zip Code: 49017 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS 09/17/97 State of Residence: Michigan File Number: 008234 Decedents Name: Sex: Female Edna M. Howard Date of Death: 01/17/997 Date of Birth: 04/13/910 SSN: 381-32-5592 Spouses Name: Fathers Name: Mothers Name: Clarence A. Guilford Ethel Rice Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No 1 year College Marital Status: Divorced Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 6334 Thom Apple Lake City: Castleton Twp Manner of Death: Not Specified Line 1: Pneumonia Line 2: Gangrene Of Right Foot Line 3: Diabetes Mellitus Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Dietery Department Hospital County: Barry Zip Code: 49073 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH 29/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 028090 Decedents Name: Sex: Male Ronald Ray Howard Date of Death: 05/10/995 Spouses Name: Bethany Carmoney Date of Birth: 08/23/955 SSN: 381-62-7539 Fathers Name: Agnew Howard Mothers Name: Marian Keeler Place of Birth: Michigan Hospital: Unknown Ancestry: American Armed Forces: Education: Race: White No Marital Status: Married 11 Place of Death County: Calhoun City: Penfield Twp If Hospital: Inpatient Residence Address: 6900 Bird Rd. Baltimore City: Baltimore Twp Manner of Death: Not Specified Line 1: Brain Cancer (astrocytoma) Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Laborer Iron Industry County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Wiley Howard Date of Birth: 05/14/914 Date of Death: 02/10/994 Fathers Last Name: Howard Place of Death Hospital: Borgess Med Cen City: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Place of Birth: Kentucky Armed Forces: No Ancestry: American Education: 04 Sex: Male Age: 7 9 County: Kalamazoo SSN: 407-07-8699 Address: 5797 Marsh Road Marital Status: Widow, Widower Race: White Underlying Cause of Death: 410 Related Cause of Death (*) 114279 21410 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 9834 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/28/97 State of Residence: Michigan File Number: 076307 Decedents Name: Sex: Male William, J D. Hubbell Date of Death: 12/25/996 Spouses Name: Donna J. Polhemus Date of Birth: 03/01/926 SSN: 378-22-2533 Fathers Name: William D. Hubbell Mothers Name: Gladys D. Wolcott Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White Yes Marital Status: Married High School Place of Death City: East Gmd Rapids County: Kent Hospital or Other Place of Death Patient Status: Inpatient Blodgett Mem Med Cen Residence Address: 810 S. Broadway City: Hastings Manner of Death: Not Specified Line 1: Ventricular Tachycardia Line 2: Myocardial Infarction Line 3: Coronary Heart Disease Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Area Manager Consumers Power Co. Hastings County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/27/98 DEATH TRANSCRIPTS County of Residence o County of Occurrence State of Residence: Michigan File Number: 069456 Patient Information Sex: Female Decedents Name: Mildred F. Hull Date of Death: Spouses Name: Date of Birth: 12/23/910 SSN: 383-50-4783 11/10/997 Sidney Hull Fathers Name: Charles Bert Graft Mothers Name: Alvina Buchholz Place of Birth: Missouri Ancestry: Armed Forces: German Race: White No Marital Status: Married Education: 08 Place of Death County: Kent City: East Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Blodgett Mem Med Cen Residence Address: City: 3866 Brass Road Rutland Rutland Twp Manner of Death Manner: Not Specified Line 1: Atherosclerotic Heart Disease Line 2: Line 3: Line 4: Other Conditions: Respiratory Failurejrenal Failure Injury Date: Injury Description: Occupation: Homemaker Industry: Own Home County: Barry Zip Code: 49058 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: John Jr. Date of Death: 01/28/994 Fathers Last Name: Hulst Place of Death Hospital: Borgess Med Cen City: Kalamazoo Hulst Date of Birth: 03/24/915 County: Kalamazoo If Hospital: Inpatient Residence County: Barry City: Orangeville Twp Zip Code: 49344 Sex: Male Age: 78 SSN: 380-03-8987 Address: 11671 Marsh Rd. Place of Birth: Michigan Armed Forces: No Marital Status: Married Ancestry: Other Western European Race: White Education: 08 Underlying Cause of Death: 185 Related Cause of Death (*) 11185 215966 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Yes Mode of Death: Natural Work Injury: Location: State File Number: 9782 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN 29/95 NON-COUNTY RESIDENT State: Michigan File Number: 029568 Decedents Name: Sex: Female Sami Jo Hunsberger Date of Birth: 10/17/990 SSN: 386-11-0211 Date of Death: 05/06/995 Spouses Name: Fathers Name: David Thomas Hunsberger, Sr. Mothers Name: Carrie Louise Hoffman Place of Birth: Michigan Hospital: Butterworth Hospital Ancestry: American Race: White Armed Forces: No Education: Marital Status: Never Married None Place of Death City: Grand Rapids County: Kent If Hospital: Inpatient Residence Address: 5914 W. Osborne Road Barry City: Barry Twp Manner of Death: Accidental Line 1: Asphyxia By Drowning Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 05/05/1995 Found In Neighbors Swimming Pool Never Employed County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 043696 Decedents Name: Sex: Male Paul C Husman Date of Birth: 04/03/936 Date of Death: 07/14/995 SSN: 376-38-3999 Spouses Name: Fathers Name: Henry Husman Mothers Name: Eula Guy Place of Birth: Michigan Ancestry: German Race: White Armed Forces: No Education: Marital Status: Divorced 07 Place of Death County: Kent City: Grand Rapids Hospital or Ollier Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 170 Florence St. City: Woodland Manner of Death: Not Specified Line 1: Small Cell Lung Cancer Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: General Labor Factory Woodland County: Barry Zip Code: 48897 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 04/17/96 State of Residence: Michigan File Number: 070296 Decedents Name: , Sex: Male Daniel C. Hutchings Date of Death: 11/12/995 Spouses Name: Date of Birth: 08/24/971 SSN:-372-02-3517 Fathers Name: Daniel E. Hutchings Mothers Name: Suze A. Sherrington Place of Birth: Michigan Ancestry: Armed Forces: Education: British, Scotch, Welsh, Scotch Irish Race: White No High School Marital Status: Never Married Place of Death City: Grand Rapids County: Kent Hospital or Other Place of Death Butterworth Hospital Patient Status: Inpatient Residence Address: 11126 Chief Noon- Day RoaYankee City: Yankee Springs Twp Manner of Death: Accidental Line 1: Craniocerebral Trauma Line 2: Line 3: Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: 11/11/1995 Struck By Car That Crossed Centerline Technician Plumbing & Heating County: Barry Zip Code: 49333 �State File No? CERTIFICATE OF DEATH MICHIGAN DEPARTMENT OF HEALTH Vital Records Section BIRTH No. _________ Odlhoun____________ __ b. CITY (if outside corporate limits, write BUBAL and give o o OR village ui township) ----------_____ C. TOWNSHIP. Michigan (Name &) c. LENGTH OF STAY (in thia place) Battle Creek________ CITY OR VILLAGE 26 Yra. '8. TFlrst) (Type or Print) MARGIN RESERVED FOR BINDING Housewife___________ 13. FATHER'S NAME x W 9. AGE (In years last birthday) 8. DATE OF BIRTH 10b. KIND OF BUSINESS OR INDUSTRY 11. BIRTHPLACE (State or f Home________ 1 I 14. MOTHER'S MAIDEN NAME Lafeyette________________ IVAS DECEASED 16. WAS ---------------- EVER IN U.S. ARMED FORCES? (Yes. no. or unknown) (If yes. giro war or dates of service) (Day) (Month) (Year) OF DEATH IAug» 7» 1878 Widowed White FemdL e 1 I « 4.2$ PlaRsantviftW Dr 4. OATt Irving B> Hattie __________________ 10a. USUAL OCCUPATION (Give kind of work done during moat of working life, even If retired) x C. (Last) 7. MARRIED. NEVER MARRIED, WIDOWED, DIVORCED (Specify) , ADDRESS b. (Middle) 6. COLOR OR RACE 5. SEX „ „ -Cal houn—------ 0. Is Besldence within limits of a city or Incorporated village T Yes No — —Battle. .Creek STREET (if rural, give location) d. FULL NAME OF (If not in hospital or institution, five street address or location) HOSPITAL OR INSTITUTION m 3. NAME OF DECEASED local Filo No. 2. USUAL RESIDENCE (Where deceased lived. If Institution: residence before admission.) a. STATE b. COUNTY 1. PLACE OF DEATH a. COUNTY 79 sign country) If under 1 rear Days Months 1253 If under 24 Hrs, Hours 12. CITIZEN OF WHAT COUNTRY? Mic USA Igaa_________ NXftE OF HUSBAND OR WIFE OF DECEASED Henrietta Frost ________ ----------------lg |HF0RMAMrs mnn Charles Trying RFD # 1 ABDRKS Averett" Trying___ Augusta JLLnhlgai Nodjs._______ MEDICAL CERTIFICATION 17. SOCIAL SECURITY NO. No Interval Between 19. CAUSE OF DEATH I. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH*(a). Enter only one cause per lino for (a), (b). and (c) ANTECEDENT CAUSES o * This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease. Injury or complication which caused death. Morbid conditions. If any, giving DUE TO (b) rise to the above cause (a) stating the underlying cause last. --------------------------------------------------------- DUE TO (0 II. OTHER SIGNIFICANT CONDITIONS Conditions contributing to the death but not related to the disease or condition causing death, 19d. DATE OF OPERATION 19o. MAJOR FINDINGS OF OPERATION 20. AUTOPSY? X Tea 21a. ACCIDENT SUICIDE HOMICIDE o ui (Specify) 21b. PLACE OF INJURY (e.g.. In or about home. farm, factory, street, office bldg., etc.) /7^ & , 19i£j£7and that death occurred atj ? • on ■ tn to 1 AM~^ “---------- '--------------------------- 1 1 1 n (Decree or title) 23b. ADDRESS 23a. SIGNATURE/ B-38 (STATE) While at f-1 Not While f“| Work LJ at Work LJ 22. I hereby certify that I attended the deceased from REMOVAL (COUNTY) INJURY OCCUR? OF INJURY DAl? 21 c. (CITY, VILLAGE. OR TOWNSHIP) •19—that I last saw the deceased alive the causes and on the date stated above. 23c. DATE SIGNED (Specify) H?A?lIjUaL REG. REGISTRARS SIGHATtHfE-7^ Hlckory Cemetery _____ Hickory Corners, Mich 25. FUNERAL DIRECTOR’S SIGNATURE , NeaaaTifM ADDRESS Clyde B* Schimmel �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Laverne Joel Jackson Date of Death: 03/22/994 Date of Birth: 04/20/930 Fathers Last Name: Jackson Place of Death Hospital: Unknown City: Lowell Sex: Male Age: 63 County: Kent SSN: 384-38-0435 If Hospital: Inpatient Residence County: Barry City: Woodland Twp Zip Code: 48849 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 9691 Brown Rd. Marital Status: Married Race: White Underlying Cause of Death: 2901 Related Cause of Death (*) 112901 Autopsy: No Findings Available: Unknown Actual Place: Nursing Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 17037 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 054660 Decedents Name: Sex: Male Gordon Andrew 0. Jerome Date of Birth: 08/23/915 Date of Death: 09/14/996 SSN: 373-07-6905 Spouses Name: Fathers Name: Andrew Jerome Mothers Name: Anna Johnson Place of Birth: North Dakota Ancestry: Armed Forces: Education: French Race: White No Marital Status: Widow, Widower 3 years College Place of Death City: Springfield County: Calhoun Hospital or Other Place of Death Nursing Home or Extended Care Facility Patient Status: Inpatient Residence Address: 4351 Indian Isle Johnstown City: Johnstown Twp Manner of Death: County: Barry Zip Code: 49017 Not Specified Line 1: Acute Myocardial Infarction Line 2: Atherosclerotic Heart Disease Line 3: Line 4: Other Conditions: Adult Onset Diabetes; Congestive Heart Failure; Peripheral Vascular Disease. Injury Date: Description of Injury: Occupation: Industry: Pharmacist Self-employed/retail Pharmacy �„n MICHIGAN DEPARTMENT OF PUBLIC HEALTH 27/95 DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT State: Michigan File Number: 016176 Decedents Name: Sex: Male Richard L. Jelinek Date of Birth: 09/08/928 SSN: 366-22-9642 Date of Death: 03/24/995 Spouses Name: Frances Beatty Fathers Name: Frank Jelinek Mothers Name: Evangeline Gilbert Place of Birth: Michigan Hospital: Borgess Med Cen Ancestry: Other Easter European Armed Forces: Education: Race: White Yes Marital Status: Married High School Place of Death City: Kalamazoo County: Kalamazoo If Hospital: Inpatient Residence Address: 8840 Wertman Rd. Hope City: Hope Twp Manner of Death: Not Specified Line 1: Intracerebral Hemorrhage Line 2: Acute Myocardial Infarction Line 3: Dementia Line 4: Other Conditions: Injury Date: Description of Injury: Occupation: Industry: Machine Operator Manufacturing County: Barry Zip Code: 49064 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPTS Non-County Residents 03/25/97 State of Residence: Michigan File Number: 028646 Decedents Name: Sex: Male Walter E. Jodon Date of Birth: 01/24/918 SSN: 377-14-9716 Date of Death: 05/14/996 Spouses Name: Margaret M. Armour Fathers Name: Walter B. Jodon Mothers Name: | Grace Bolyen Place of Birth: Michigan Ancestry: Armed Forces: Education: French Race: White Yes High School Marital Status: Married Place of Death City: Battle Creek County: Calhoun Hospital or Other Place of Death Battle Creek Health Systems Patient Status: Inpatient Residence Address: 5021 W. Sheffield Road Barry City: Barry Twp Manner of Death: Not Specified Line 1: Ischemic Cardiomyopathy Line 2: Line 3: Line 4: Other Conditions: Cerebral Embolism Injury Date: Description of Injury: Occupation: Industry: Facilities Maintenance Supervi State Of Michigan County: Barry Zip Code: 49060 �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DEATH TRANSCRIPTS County of Residence o County of Occurrence 12/02/97 State of Residence: Michigan File Number: 022722 Patient Information Decedents Name: Date of Death: Spouses Name: Fathers Name: Mothers Name: Place of Birth: Ancestry: Armed Forces: Carrol W. Johnson Sex: Male 04/09/997 Date of Birth: 03/20/917 SSN: 397-01-4174 Kathleen Johnson Me Kinley Johnson Esther Jackson Ohio British, Scotch, Welsh, Scotch Irish Y Race: White Marital Status: Married Education: High School Place of Death City: Kalamazoo County: Kalamazoo Hospital or Other Place of Death: Patient Status: Inpatient Convalescent home, nursing home, medical care facility or hospice Residence Address: City: 5754 Mckibbin Rd. Orangeville Orangeville Twp Manner of Death Manner: Not Specified Line 1: Gangrene Of Lower Extremity Line 2: Line 3: Line 4: Other Conditions: Diabetes Mellitus Injury Date: Injury Description: Occupation: Supervisor Industry: Automobile County: Barry Zip Code: 49046 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: CLIFFORD IRVIN JOHNSON Date of Death: 08/02/993 Date of Birth: 01/10/911 Fathers Last Name: JOHNSON Place of Death Hospital: Unknown City: Athens Twp Sex: Age: County: Calhoun SSN: 366-07-2260 If Hospital: Residence County: Barry City: Johnstown Twp Zip Code: 49017 Place of Birth: Michigan Armed Forces; No Ancestry: American Education: 10 Address: 2341 FINE LAKE Marital Status: Divorced Race: White Underlying Cause of Death: 7999 Related Cause of Death (*) 117997 Autopsy: No Findings Available: Unknown Actual Place: Home Medical Examiner Case: Unknown Mode of Death: Natural Work Injury:. Location: * State File Number: 48193 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF COMMUNITY HEALTH 03/05/98 DEATH TRANSCRIPTS Non-Resident Transcripts State of Residence: Michigan File Number: 062875 Patient Information Sex: Male Decedents Name: Gerry Eguene Johnson Date of Birth: 08/30/958 Date of Death: 10/11/997 SSN: 307-64-6259 Spouses Name: Fathers Name: Gerald C. Johnson Mothers Name: Alice M. Hughett Place of Birth: Indiana Ancestry: American Indian Armed Forces: No Education: 10 Race: White Marital Status: Never Married Place of Death County: Kent City: Grand Rapids Patient Status: Inpatient Hospital or Other Place of Death: Butterworth Hospital Residence Address: 812 Greenwood Middleville City: , Middleville Manner of Death Manner: Accidental Line 1: Medical Complications Of Multiple Injuries Line 2: Line 3: Line 4: Other Conditions: Injury Date: 10/03/1997 Injury Description: Pedestrian Hit By Vehicle Occupation: Painter Industry: Construction County: Barry Zip Code: 49333 �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: JANICE MARIE JORDAN Date of Birth: 05/15/940 Date of Death: 07/01/993 Fathers Last Name: Boulter Place of Death Hospital: Unknown City: Grand Rapids Sex: Age: County: Kent SSN: 365-40-4822 If Hospital: Unknown Residence County: Barry City: Woodland Twp Zip Code: 48897 Place of Birth: Michigan Armed Forces: No Ancestry: German Education: High School Address: 7617 Jordan Rd. Marital Status: Widow, Widower Race: White Underlying Cause of Death: 1579 Related Cause of Death (*) 111579 Autopsy: No Findings Available: Unknown Actual Place: Medical Examiner Case: Unknown Mode of Death: Natural Work Injury: Location: State File Number: 42955 (*) Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. �MICHIGAN DEPARTMENT OF PUBLIC HEALTH DEATH TRANSCRIPT - STATE OF MICHIGAN NON-COUNTY RESIDENT THE STATE OF: Michigan Decedents Name: Anton Jurisic Date of Death: 04/09/994 Date of Birth: 12/01/902 Fathers Last Name: Jurisic Sex: Male Age: 91 Place of Death Hospital: Battle Creek Health Systems City: Battle Creek County: Calhoun If Hospital: Emergency Room/Outpatient Residence County: Barry City: Baltimore Twp Zip Code: 49058 SSN: 297-14-1813 Address: 3506 Lawrence Road Place of Birth: Pennsylvania Armed Forces: No Marital Status: Widow, Widower Ancestry: Other Southern European Race: White Education: Unknown Underlying Cause of Death: 410 Related Cause of Death (*) 11410 214140 Autopsy: No Findings Available: Unknown Actual Place: Hospital Medical Examiner Case: Unknown Mode of Death: Natural Work Inj ury: Location: State File Number: 22254 Six digits with the 1st digit being the line, the 2nd being the position within the line, and positions 3-6 being the ICD code. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Deaths Outside Barry County Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Death Transcripts (Vol. 4) of Barry County Residents who died outside of Barry County, 1900-1998. Guthrie to Jurisic. Subject The topic of the resource BarryCounty.DeathRecords.OutsideCounty Description An account of the resource Death Transcripts (Vol. 4) of Barry County Residents who died outside of Barry County. Guthrie to Jurisic Type The nature or genre of the resource PDF Format The file format, physical medium, or dimensions of the resource Text Creator An entity primarily responsible for making the resource Michigan Department of Health Rights Information about rights held in and over the resource http://rightsstatements.org/vocab/NKC/1.0/ Rights Holder A person or organization owning or managing rights over the resource. Michigan Department of Health and HPL