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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 8) begins with Quick
and ends with Shoemaker

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: WILLIAM W. QUICK
Date of Death: 03/06/993
Date of Birth: 03/20/924
Fathers Last Name: QUICK
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

SSN: 336-24-8655

If Hospital: Emergency Room/Outpatient

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

Place of Birth: Michigan
Armed Forces: Yes
Ancestry: Irish
Education: 1 year College

Sex: Male
Age: 68

Address: 221 E. ORCHARD STREET

Marital Status: Married
Race: White

Underlying Cause of Death:
410

Related Cause of Death (*)
11410

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Yes

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

49410

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

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

03/25/97

State of Residence:

Michigan

File Number: 048276

Decedents Name:

Sex: Female

Theresa Elizabeth Racine

Date of Birth: 01/28/907
SSN: 381-32-5983

Date of Death: 08/08/996

Spouses Name:
Fathers Name: Daniel Kovacs

Mothers Name:

Mary Levi

Place of Birth: New York

Ancestry:
Armed Forces:

Education:

Other Easter European
Race: White

No

Marital Status: Widow, Widower

High School

Place of Death

City: Battle Creek

County: Calhoun

Hospital or Other Place of Death
Battle Creek Health Systems

Patient Status: Inpatient

Residence

Address:

9733 Jones Rd.

Assyria

City: Assyria Twp

Manner of Death:

Not Specified

Line 1: Cardiomyopathy
Line 2: Congestive Heart Failure
Line 3:

Line 4:

Other Conditions:
Injury Date:

Description of Injury:
Occupation:
Industry:

Homemaker

Own Home

County: Barry

Zip Code: 49021

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
02/02/98

DEATH TRANSCRIPTS
Non-Resident Transcripts

Stale of Residence: Michigan
File Number: 055944

Patient Information
Decedents Name: Nicholas James Rackow

Date of Death: 08/29/997

Sex: Male

Date of Birth: 08/22/997

Spouses Name: None

SSN.

Fathers Name: David Herbert Rackow

Mothers Name:

Paula Marie Swainston

Place of Birth: Michigan
Ancestry: American

Aimed Forces: No

Education: None

Race: Whlte
Marital Status: Never Married

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

County: Kent

Patient Status: Inpatient

Butterworth Hospital

Residence
Address:

City:

601 S. Bassett Lake Road Yankee

Yankee Springs Twp

Manner of Death
Manner: Not Specified
Line 1: Respiratory Failure
Line 2: Severe Perinatal Asphyxia
Line 3:

Line 4:

Other Conditions: Staph Aureus Septicemia
Injury Date:
Injury Description:

Occupation: None
Industry: None

County: Barry

Zip Code: 49333

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

03/25/97

State of Residence:

Michigan

File Number: 049688

Decedents Name:

Sex: Female

Amanda B. Ramsey

Date of Birth: 10/28/991

Date of Death: 08/22/996

SSN: 382-13-5839

Spouses Name:
Fathers Name:

Mothers Name:

Garry Ramsey
Deb Blair

Place of Birth: Michigan
Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish

Race: White

No

Marital Status: Never Married

None

Place of Death

City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Patient Status: Emergency Room/Outpatient

Borgess Med Cen

Residence
Address:

4400 Orchard St.

Hope

City: HopeTwp

Manner of Death:

Accidental

Line 1: Multiple Trauma

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

Description of Injury:
Occupation:
Industry:

08/22/1996
Struck By Pick- Up Truck

Student
Education

County: Barry

Zip Code: 49046

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

03/25/97

State of Residence:

Michigan

File Number: 062573

Decedents Name:

Sex: Female

Rosemary Ramsey

Date of Birth: 08/31/938

Date of Death: 10/06/996

SSN: 384-36-2033

Spouses Name:

Fathers Name: Raymond Johnson
Mary Alice Raver

Mothers Name:

Place of Birth: Michigan
British, Scotch, Welsh, Scotch Irish

Ancestry:
Armed Forces:
Education:

Race: White

No

Marital Status: Divorced

High School

Place of Death

City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Patient Status: Inpatient

Borgess Med Cen
Residence

Address:

2484 Pifer Rd.

Barry

City: Barry Twp

Manner of Death:

Not Specified

Line 1: Pneumonia

Line 2: Sepsis
Line 3: Pneumothorax
Line 4:

Other Conditions:

Bacterial And Yeast Infections

Injury Date:

Description of Injury:
Occupation:

Industry:

Cook

Restaurant

Mi

County: Barry

Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: THORNLEY RAPP RANKIN
Date of Death: 06/14/993
Date of Birth: 10/10/920
Fathers Last Name: Rankin

Sex: Male
Age: 72

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

If Hospital: Emergency Room/Outpatient

Residence
County: Barry
City:
Assyria Twp
Zip Code: 49021
Place of Birth: Michigan
Armed Forces: Yes
Ancestry: American
Education: 08

SSN: 381-12-6194

Address: 5695 Mud Lake Road

Marital Status: Married
Race: White

Underlying Cause of Death:

410
Related Cause of Death (*)

11410

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

48055

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

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

Decedents Name: Mildred H Reed
Date of Death: 01/04/994
Date of Birth: 04/20/898
Fathers Last Name: Hall

Sex: Female
Age: 95

Place of Death
Hospital: Oakland Med Examiner Office
City: Bloomfield Hills
County: Oakland
If Hospital:

SSN: 366-10-5499

Residence
County: Barry
City:
Prairieville Twp
Zip Code: 49080

Address: 12101 Oakridge PO Box

Place of Birth: Michigan
Armed Forces: No
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: 2 years College

Underlying Cause of Death:

410
Related Cause of Death (*)

11410
612500
Autopsy: No

Findings Available: Unknown

Actual Place: Home

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

5106

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
07/30/98

DEATH TRANSCRIPTS FOR 1998
County of Residence o County of Occurrence

State of Residence: Michigan
File Number:

002569

Patient Information
Decedents Name:

Date of Death:
Spouses Name:

Sex: Male

Tom Kenneth Reed

Date of Birth: 07/31/1946

01/25/1998

SSN: 380-46-3272

Rebbecca Cool

Fathers Name: Kenneth Reed
Mothers Name:

Ruth Geib

Place of Birth: Michigan
Ancestry:
Armed Forces:

British, Scotch, Welsh, Scotch Irish
Race: White

Yes

Marital Status: Married

Education: High School

Place of Death
County: Kalamazoo

City: Kalamazoo

Patient Status: Inpatient

Hospital or Other Place of Death:

Borgess Med Cen

Residence
Address:
City:

8060 S. Wall Lake Rd.

Hope

Hope Twp

Manner of Death
Manner: Not Specified

Line 1: Ruptured Cerebral Aneurysm
Line 2:
Line 3:
Line 4:
Other Conditions:
Injury Date:

Injury Description:
Occupation: Farmer

Industry: Farming

County: Bany

Zip Code: 49046

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

03/25/97

State of Residence:

Michigan

File Number: 022863

Decedents Name:

Sex: Male

Thomas Terry Reid

Date of Birth: 12/30/957

Date of Death: 03/17/996

SSN: 373-68-7482

Spouses Name:
Fathers Name: Meredith J. Reid

Mothers Name:

Shirley M. Morgan

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Divorced

High School

Place of Death

City: RossTwp

County: Kalamazoo

Hospital or Other Place of Death
Patient Status:

Unclassified
Residence

Address:

902 S Hayes Street

Hastings

City: Hastings

Manner of Death:

Undetermined

Line 1: Aspiration Suffocation
Line 2: Plastic Bag In Air Way

Line 3:
Line 4:

Other Conditions:

Recent &amp; Chronic Cocaine Use

Injury Date:

Description of Injury:

Occupation:
Industry:

Unknown

Maintenance Supervisor
Apartment Complex

County: Barry
Zip Code: 49058

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
09/03/98

DEATH TRANSCRIPTS FOR 1998
County of Residence &lt;&gt; County of Occurrence

State of Residence: Michigan
File Number: 024462

Patient Information
Sex: Female

Decedents Name: Erma W. Reigler
Date of Death: 04/19/1998

Spouses Name:

Date of Birth: 09/14/1916
SSN: 381-03-4816

Fathers Name: Oscar Boyer
Mothers Name: Myrtle Me Withy
Place of Birth: Michigan
Ancestry:

Armed Forces:

British, Scotch, Welsh, Scotch Irish

Race: White

No

Education: High School

Marital Status: Widow, Widower

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

County: Kent

Patient Status: Inpatient

St Mary's Health Services - Grand Rapids

Residence
Address:
City:

9955 Chief Noonday Rd. Yankee

Yankee Springs Twp

Manner of Death
Manner: Not Specified

Line 1: Congestive Heart Failure
Line 2: M. I.

Line 3: Renal Failure
Line 4:

Other Conditions:
Injury Date:
Injury Description:
Occupation: Homemaker

Industry: Own Home

County: Barry

Zip Code: 49333

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

11/27/95

NON-COUNTY RESIDENT

State: Michigan
File Number: 016443
Decedents Name:

Sex: Male

Herbert Lee Reigler

Date of Birth: 02/04/919

Date of Death: 03/11/995

SSN: 367-12-3617

Spouses Name: Bertha J. Vermat
Fathers Name: Seymore A. Reigler

Mothers Name: Mabie Kenyon

Place of Birth: Michigan
Hospital:

Unknown

Ancestry:

German

Armed Forces:

Education:

Race: White

No

Marital Status: Married

08

Place of Death
City: Grand Rapids

County: Kent

If Hospital: Unknown

Residence

Address:

1330 Patterson Lot 41

City: Yankee Springs Twp
Manner of Death:

Not Specified

Line 1: Liver Metastasis
Line 2: Colon Carcinoma

Line 3:
Line 4:

Other Conditions:
Injury Date:

Description of Injury:

Occupation:

Laborer

Industry:

Factory

Yankee

County: Bany
Zip Code: 49348

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Jason Lee Rein
Date of Death: 12/26/994
Date of Birth:
Fathers Name: Gary R. Rein
Mothers Name: Pamela S. Magoon
Spouses Name:
Place of Death
Hospital: Unknown
City: Bowne Twp

Sex: Male

10/31/971

County: Kent

If Hospital:

SSN: 369-90-4140

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

Address: 4777 Lot 29 Barber Rd.

Marital Status: Never Married
Race: White

Underlying Cause of Death:

8150
Related Cause of Death

11(54
618150
Autopsy: Yes

Findings Available: Yes

Actual Place: Other

Medical Examiner Case: No

Mode of Death: Accident

Work Injury: No

Location: Street and Highway

State File Number: 077137

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Mildred Irene Rhodes
Date of Death: 09/08/993
Date of Birth: 07/12/918
Fathers Last Name: Mack
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

If Hospital: Inpatient

SSN: 367-26-7591

Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49050
Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: High School

Sex: Female
Age: 75

Address: 4900 Butler Road

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:
4149

Related Cause of Death (*)
114149
Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

55832

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
12/02/97

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan

File Number: 025894

Patient Information
Decedents Name:

Date of Death:
Spouses Name:
Fathers Name:

Mothers Name:
Place of Birth:

Ancestry:
Armed Forces:

Sex: Male

Millard John Rideout

Date of Birth: 11/23/925

03/23/997

SSN: 722-01-0211

Marie Gail Hooker

Wilmont Earl Rideout
Della G. Nye

Maine
British, Scotch, Welsh, Scotch Irish
Race: White

Yes

Marital Status: Married

Education: High School

Place of Death
City: Ann Arbor

County: Washtenaw

Hospital or Other Place of Death:

Patient Status: Inpatient

VA Med Cen - Ann Arbor

Residence
Address:

City:

8020 Day Road
Assyria Twp

Manner of Death
Manner: Not Specified

Line 1: Asystole
Line 2: Myocardial Infarction

Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Auto Mechanic

Industry: Automobile Dealer

Assyria

County: Barry
Zip Code: 49021

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

04/17/96

State of Residence:

Michigan

File Number: 063402

Decedents Name:

Sex: Male

Frank D. Rider

Date of Birth: 10/27/917

Date of Death: 10/08/995

SSN: 389-14-5141

Spouses Name:
Fathers Name: James Rider
Mothers Name:

Myrtle Heacock

Place of Birth: Wisconsin
Ancestry:
Armed Forces:

Education:

Irish

Race: White

Yes

Marital Status: Widow, Widower

08

Place of Death
County: Kent

City: Grand Rapids

Hospital or Other Place of Death

Patient Status: Inpatient

Metropolitan Hospital

Residence
Address:

12856 Meadows Dr.

Yankee

City: Yankee Springs Twp

Manner of Death:

Not Specified

County: Barry
Zip Code: 49348
&lt;

Line 1: Ventricular Tachycardia
Line 2: Non Q Wave Myocardial Infarction
Line 3: Congestive Heart Failure

Line 4: Respiratory Failure
Other Conditions:

Emphysema.

Injury Date:
Description of Injury:
Occupation:

Industry:

Tool &amp; Die
General Motors

/

.•

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: LaVerne Wendell Ridgeway
Date of Death: 05/13/994
Date of Birth: 07/11/920
Fathers Last Name: Ridgeway

Sex: Male
Age: 73

Place of Death
Hospital: Battle Creek Health Systems
City: Battle Creek
County: Calhoun
If Hospital: Emergency Room/Outpatient
Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49017

SSN: 370-16-0767

Address: 1452 West Hickory Rd

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

Underlying Cause of Death:

4149
Related Cause of Death (*)
114149
214409
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

28823

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
12/02/97

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan

File Number: 029708
Patient Information
Decedents Name:
Date of Death:

Jo Anne Hampton

Fathers Name:

Newman Ridner

Place of Birth:

Ancestry:
Armed Forces:

Date of Birth: 03/13/936
SSN: 406-44-9407

05/08/997

Spouses Name:

Mothers Name:

Sex: Male

Leslie, Sr T. Ridner

Ellen Norman

Kentucky

British, Scotch, Welsh, Scotch Irish

Race: White

Yes

Marital Status: Married

Education: 09

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death:

Patient Status: Emergency Room/Outpatient

Bronson Methodist Hospital

Residence
Address:
City:

11399 Sprague Rd.

Barry

Barry Twp

Manner of Death
Manner: Not Specified
Line 1: Locally Advanced Lung Cancer

Line 2:
Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Welder
Industry: Manufacturing

County: Barry
Zip Code: 49046

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
DEATH TRANSCRIPTS
County of Residence &lt;&gt; County of Occurrence

01/15/98

State of Residence: Michigan
File Number: 043272

Patient Information
Decedents Name:
Date of Death:

Spouses Name:

Fathers Name:
Mothers Name:

Jospehine Rincione

Sex: Female
Date of Birth: 02/18/927
SSN: 384-24-3565

07/13/997
„
None

Philip Rincione

Rosie Nihols

Place of Birth: Michigan
Ancestry:
Armed Forces:
Education:

Italian
No

Race: White

Marital Status: Never Married

10

Place of Death
County: Kent

City: Grand Rapids

Patient Status: Inpatient

Hospital or Other Place of Death:

Convalescent home, nursing home, medical care facility or hospice

Residence
Address:
City:

6735 Maplewood Dr

Delton

Barry Twp

Manner of Death
Manner:

Not Specified

Line 1: Cerebrovascular Accident
Line 2:
Line 3:
Line 4:

Other Conditions:

Injury Date:
Injury Description:

Occupation: Never Worked

Industry: None

County: Barry
Zip Code: 49046

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
07/30/98

DEATH TRANSCRIPTS FOR 1998
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 009121
Patient Information
Sex: Male

Decedents Name: Max Dean Rischow

Date of Birth: 02/15/1937
SSN: 385-36-3166

Date of Death: 02/06/1998
Spouses Name:

Fathers Name: Carl Ludwick Rischow
Mothers Name: Tena Hoogeveen
Place of Birth: Michigan

Ancestry: American Indian

Race: White

Armed Forces: No

Marital Status: Divorced

Education: High School

Place of Death
City: Lansing

County: Ingham

Hospital or Other Place of Death:

Patient Status: Inpatient

Sparrow, Edward W Hospital

Residence
Address:

351 Donna Dr.

City:

Woodland Twp

Woodland

Manner of Death
Manner: Not Specified
Line 1: Sepsis
Line 2: Acute Leukemia
Line 3:

Line 4:

Other Conditions:

Injury Date:
Injury Description:

Occupation: Quality Control Specialist
Industry: Automotive

County: Barry

Zip Code: 48849

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
07/30/98

DEATH TRANSCRIPTS FOR 1998
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 002549
Patient Information
Sex: Male

Decedents Name: Paul Risner

Date of Birth: 11/30/1926

Date of Death: 01/19/1998

Spouses Name:

SSN: 378-22-1489

Opal Marshall

Fathers Name: Green Risner

Mothers Name:

Eva Howard

Place of Birth: Ohio

Ancestry:

German
Race: White

Armed Forces: Yes

Marital Status: Married

Education: 05

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death:

Patient Status: Inpatient

Borgess Med Cen

Residence
Address:

City:

5415 Marsh Road

Orangeville

Orangeville Twp

Manner of Death
Manner: Accidental
Line 1: Subdural Hematoma

Line 2: Closed Head Injury
Line 3:
Line 4:
Other Conditions: Chronic Renal Failure
Injury Date: 01/12/1998
Injury Description: Fell &amp; Struck Head At Home

Occupation: Self-employed
Industry: Logging Industry

County: Barry

Zip Code: 49344

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

04/17/96

State of Residence:

Michigan

File Number. 068225

Decedents Name:

Sex: Female

Rebecca Risner

Date of Birth: 10/25/904

Date of Death: i1/22/995

SSN: 281-18-3450

Spouses Name:
Fathers Name: Buel Fletcher
Mothers Name:

Louise Risner

Place of Birth: Kentucky
Ancestry:
Armed Forces:

■Education:

American
Race: White

No

Marital Status: Widow, Widower

08

Place of Death
City: Plainwell

County: Allegan

Hospital or Other Place of Death

Nursing Home or Extended Care Facility

Patient Status: Inpatient

Residence
Address:

5415 Marsh Road

Orangeville

City: Orangeville Twp

Manner of Death:

Not Specified

Line 1: Congestive Cardiomyopathy

Line 2:
Line 3:

Line 4:
Other Conditions:

Injury Date:

Description of Injury:
Occupation:

Industry:

Home Maker
Own Home

County: Barry

Zip Code: 49344

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
DEATH TRANSCRIPTS
County of Residence o County of Occurrence

05/13/98

State of Residence: Michigan

File Number: 081124
Patient Information
Sex: Female

Decedents Name: Janice Marie Roach

Date of Birth: 05/25/948
SSN: 363-50-8075

Date of Death: 12/25/997
_
. D
.
Spouses Name: Gary L. Roach

Fathers Name:
Mothers Name:

Norman W. Quick
Bertha Jewell Rackley

Place of Birth: Michigan
American Indian
„
Armed Forces: No
Ancestry:

Race: White

Education: HighSchool

Marital Status: Married

Place of Death
County: Calhoun

City: Battle Creek

Patient Status: Inpatient

Hospital or Other Place of Death:

Battle Creek Health Systems

Residence
Address:

City:

996 Gerke Road

Castleton

Castleton Twp

Manner of Death
Manner Not Specified
Linel: Pneumonia
Line 2: Adenocarcinoma Unknown Primary
Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Steno Clerk

Industry: Railroad

County: Barry

Zip Code: 49058

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

03/25/97

State of Residence:

Michigan

File Number: 055853

Decedents Name:

Sex: Male

Oswald E. Roberts

Date of Death: 09/09/996
Spouses Name: Katherine Vander Weele

Date of Birth: 01/14/917
SSN: 366-05-6220

Fathers Name: Charles Roberts

Mothers Name:

Cordelia Peake

Place of Birth: Michigan
Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish

Race: Black

Yes

Marital Status: Married

High School

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death

Patient Status: Inpatient

Borgess Med Cen
Residence

Address:

226 East Shore Drive

City: Prairieville Twp

Manner of Death:

Not Specified

Line 1: Cardiogenic Shock

Line 2: Myocardial Infarction
Line 3: Coronary Artery Disease

Line 4:

Other Conditions:
Injury Date:

2/ /

Description of Injury:
Occupation:

Industry:

Repairman
Auto Supply Company

Prairieville

County: Barry
Zip Code: 49060

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: ASHTON MICHAEL ROBERTSON
Date of Death: 09/10/993
Date of Birth: 09/10/993
Fathers Last Name: Barnes

Sex: Male
Age: 01

Place of Death
Hospital: Bronson Methodist Hospital
City: Kalamazoo
County: Kalamazoo
If Hospital: Inpatient

SSN:

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

Address: 8226 Pine Lake Rd.

Place of Birth: Michigan
Armed Forces: No
Marital Status: Never Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: None

Underlying Cause of Death:
7689
Related Cause of Death (*)
117689
217650

Autopsy: No

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

,
55813

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: JONATHAN ROSE ROBERTSON
Date of Death: 10/10/993
Date of Birth: 09/10/993
Fathers Last Name: Barnes

Sex: Male
Age: 01

Place of Death
Hospital: Bronson Methodist Hospital
City: Kalamazoo
County: Kalamazoo

SSN:

If Hospital: Inpatient
Residence
County: Barry
City:
Orangeville Twp
Zip Code: 49046

Address: 8226 Pine Lake Road

Place of Birth: Michigan
Armed Forces: No
Marital Status: Never Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: None

Underlying Cause of Death:

0389
Related Cause of Death (*)
110389
210090
317651

Autopsy: Yes

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

61990

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

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

03/25/97

State of Residence:

Michigan

File Number: 041625

Decedents Name:

Sex: Male

Claude Edwin Romans

Date of Birth: 05/26/904

Date of Death: 07/18/996

SSN: 363-36-3644

Spouses Name:

Fathers Name:
Mothers Name:

Squire E. Romans
Jessie M. Eaton

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Widow, Widower

High School

Place of Death
City: Emmet Twp

County: Calhoun

Hospital or Other Place of Death
Patient Status:

Unclassified
Residence
Address:

4081 Strickland Road

City: Johnstown Twp
Manner of Death:

Not Specified

Line 1: Multi Organ Failure
Line 2: Congestive Heart Failure

Line 3: Coronary Artery Dx
Line 4:

Other Conditions:

Injury Date:
Description of Injury:

Occupation:

Finance Clerk

Industry:

Postal System

Johnstown

County: Barry
Zip Code: 49021

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

04/17/96

State of Residence:

Michigan

File Number: 063233

Decedents Name:

Sex^Female

Dorothy Teresa Pea Ross

Date of Birth: 07/28/901

Date of Death: 10/12/995

SSN: 383-34-6422

Spouses Name: Percy H. Ross
Fathers Name: Charles Carlton

Mothers Name: Nettie England
Place of Birth: Louisiana
Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish

Race: White

No

Marital Status: Married

High School

Place of Death

County: Kalamazoo

City: OshtemoTwp

Hospital or Other Place of Death

Nursing Home or Extended Care Facility

Patient Status: Inpatient

Residence
Address:

4227 England Dr.

City: Orangeville Twp

Manner of Death:

Orangeville

County: Barry

Zip Code: 49344

Not Specified

Line 1: Renal Failure
Line 2:
Line 3:
Line 4:

1

Other Conditions:
Injury Date:
Description of Injury:

Occupation:

Industry:

Beautician

Cosmetology

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

03/25/97

State of Residence:

Michigan

File Number: 062797

Decedents Name:

Sex: Male

Percy Henry Ross

Date of Birth: 08/21/904

Date of Death: 09/29/996

SSN: 367-05-5359

Spouses Name:
Fathers Name: Herbert Ross

Mothers Name:

Bertha Voorheis

Place of Birth: Michigan

Ancestry:
Armed Forces:
Education:

Other Western European

Race: White

No

Marital Status: Widow, Widower

08

Place of Death
City: Grand Rapids

County: Kent

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

Patient Status: Inpatient

Residence
Address:

4227 England Dr.

Orangeville

City: Orangeville Twp

Manner of Death:

County: Barry

Zip Code: 49344

Not Specified

Line 1: Adenocarcinoma Of Colon - Metastatic
Line 2:

Line 3:

Line 4:

Other Conditions:

Arteriosclerotic Heart Disease, Diabetes Mellitus; Depression

Injury Date:

Description of Injury:
Occupation:

Industry:

Resort Owner

Recreation Entertainment

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OFa
Michigan
Decedents Names DOROTHY M., ROUNDS
Date of Deaths 02/09/993
D a t e o f B i r t h s 11/15/921
Fathers Last Names French

Place of Death
Hosp i t a 1 s Un k noun
Ci ty :: Gr and Rap ids

Sex a Female
Ages 71

Count y s l&lt; e nt

I f Hosp i t a 1 s I rip a t i en t
Residence
Count y s Ba r r y
Citys
Yankee Springs Twp
Zip Codes 49333

*.Pl ace of B i rth s Hiehigan
A r med Fo r ces s No
Ancest r y s North A fr ican
Educations 08

SSNs 368-22-2898

Addresss 905 N« Bassett Lake Rd«

Marital Statues Widow, Widower
Races White

U rid &gt;:•? r 1 y i ng Ca use o f Dea t h::

1749
Re 1 a t ed Ca use o f Dea th &lt; &gt;X)

111749
Aut op sy s No

F i ndi ngs Ava x1ab1e s Unk nown

Actual Places Nursing Home

Med i c a 1 E x a m 1 ner Ca se s U n known

Mode of Deaths Natural

Work Injury::

Locations

St a t e F11 e Nuifib er s

8791

&lt; # &gt; Six d i g i ts w i 111 the 1st digit being the line, the 2nd being the
p os iti on w i t hi n the line, and positions 3-6 being the ICD code.

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

04/17/96

State of Residence:

Michigan

File Number: 043332

Sex: Female

Geraldine Ann Rowbotham

Decedents Name:

Date of Birth: 10/31/928

Date of Death: 07/06/995

SSN: 366-28-5495

Spouses Name: Richard Rowbotham
Fathers Name: Norman Gray

Mothers Name:

Reatha Robertson

Place of Birth: Michigan
Ancestry:
Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

Marital Status: Married

10

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death
Patient Status: Inpatient

Borgess Med Cen
Residence

Address:

375 Hickory Road

City: Johnstown Twp
Manner of Death:

Not Specified

Line 1: Hypoxia

Line 2: Pneumonia
Line 3:

Line 4:
Other Conditions:

Sepsis

Injury Date:

Description of Injury:
Occupation:

Industry:

Homemaker

Own Home

Johnstown

County: Barry
Zip Code: 49017

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Brett D. Royer
Date of Birth: 11/16/967
Date of Death: 04/19/994
Fathers Last Name: Royer

Sex: Male
Age: 26

Place of Death
Hospital: Community Health Center of Branch County
City: Coldwater
County: Branch
If Hospital: Emergency Room/Outpatient

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

SSN: 379-96-9249

Address: 1874 Yeckley Road

Place of Birth: Michigan
Armed Forces: No
• Marital Status: Never Married
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: High School

Underlying Cause of Death:
9588

Related Cause of Death (*)

11(53
219588
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: No

Mode of Death: Suicide

Work Injury: No

Location: Street and Highway

State File Number :

(*)

22219

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

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

04/17/96

State of Residence:

Michigan

File Number: 056652

Decedents Name:

Sex: Male

Ralph 11 Elliott Rugh

Date of Birth: 12/12/948

Date of Death: 09/23/995

, SSN: 268-50-8761

Spouses Name: Melinda Hammond
Fathers Name: J. L. Rugh
Mothers Name:

v-'.

Suzanne Findley

Place of Birth: Pennsylvania
Ancestry:
Armed Forces:

Education:

French
Race: White

No

Marital Status: Married

5 years of college

Place of Death
City: East Gmd Rapids

County: Kent

Hospital or Other Place of Death

Patient Status: inpatient

Blodgett Mem Med Cen

Residence

Address:

54 Leach Lake

Carlton

City: Carlton Twp

Manner of Death:

Not Specified

Line 1: Squamous Cell Carcinoma Of Lung And Pleura
Line 2: Esophageal Carcinoma

Line 3:
Line 4:

Other Conditions:
Injury Date:

Description of Injury:
Occupation:

Industry:

Program Coordinator

Health Care

County: Barry
Zip Code: 49058

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

Decedents Name: George H. Russell
Date of Death: 12/28/993
Date of Birth: 07/19/912
Fathers Last Name: Russell
Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

If Hospital: Emergency Room/Outpatient
Residence
County: Barry
City:
Prairieville Twp
Zip Code: 49080

Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: 08

Sex: Male
Age: 81

SSN: 366-10-0865

Address: 15848 Enzian Rd.

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:
4280

Related Cause of Death (*)
114280

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: No

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

75815

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

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

11/27/95

NON-COUNTY RESIDENT

State: Michigan
File Number: 016587
Decedents Name:

Sex: Female

Elizabeth A. Sanford

Date of Birth: 01/07/963
SSN: 378-86-1614

Date of Death: 03/05/995
Spouses Name: David Sanford
Fathers Name: Gerald Zimmer

Mothers Name:

Geraldine DeYoung

Place of Birth: Michigan
Hospital:

Ancestry:
Armed Forces:

Education:

Unknown
Other Western European
Race: White

No

Marital Status: Married

2 years College

Place of Death
City: Wyoming

County: Kent

If Hospital:

Residence
Address:

438 Cider Mill

City: Middleville

Manner of Death:

Not Specified

Line 1: Astroblastoma

Line 2:
Line 3:
Line 4:

Other Conditions:
Injury Date:
Description of Injury:

Occupation:
Industry:

Home Maker
Own Home

Middleville

County: Barry

Zip Code: 49333

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

Decedents Name: ISRAEL JOSE SAUCEDO SR.
Date of Death: 05/24/993
Date of Birth: 03/15/935
Fathers Last Name: Saucedo

Sex: Male
Age: 58

Place of Death
Hospital: Bronson Methodist Hospital
City: Kalamazoo
County: Kalamazoo

If Hospital: Inpatient

SSN: 463-50-3108

Residence
County: Barry
City:
Orangeville Twp
Zip Code: 49344

Address: 6869 S Boulter Rd

Place of Birth: Texas
Armed Forces: No
Marital Status: Married
Ancestry: Other and unknown Spanish
Race: White
Education: 06

Underlying Cause of Death:
3481
Related Cause of Death (*)
113481
217991
31436
414331
612780
624019
63496

Autopsy: Yes

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

29666

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

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

03/25/97

State of Residence:

Michigan

File Number: 056062

Decedents Name:

Sex: Male

Scott Alon Savacool

Date of Birth: 06/02/971
SSN: 368-80-1518

Date of Death: 09/02/996

Spouses Name:
Fathers Name: Wayne Douglas Savacool
Mothers Name:

Susan Jean Britten

Place of Birth: Michigan

Ancestry:

Armed Forces:
Education:

French
Race: White

No

Marital Status: Never Married

High School

Place of Death
City: Grand Rapids

County: Kent

Hospital or Other Place of Death
Patient Status: Inpatient

Metropolitan Hospital

Residence
Address:

10051 Upson Drive

Praireville

City: Prairieville Twp

Manner of Death:

Not Specified

Line 1: Pneumonia
Line 2:
Line 3:
Line 4:
Other Conditions:

Duchenne's Muscular Dystrophy

Injury Date:
Description of Injury:

Occupation:

Industry:

Never Employed

County: Barry
Zip Code: 49046

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
05/13/98

DEATH TRANSCRIPTS
County of Residence o County of Occurrence

State of Residence: Michigan
File Number: 081931
Patient Information
Sex: Female

Decedents Name: Kathleen Elizabeth Schantz
Date of Death: 12/24/997

Spouses Name: Stanley R. Schantz

Date of Birth: 03/06/956
SSN: 378-70-5167

Fathers Name: Thomas C. Girrbach Sr.

Mothers Name: Florence M. Sclater

Place of Birth: Michigan

Ancestry: German
Race: White

Armed Forces: No

Education: 1 year College

Marital Status: Married

Place of Death
County: Washtenaw

City: Ann Arbor
Hospital or Other Place of Death:

Patient Status: Inpatient

University of Mich Hosps

Residence
Address:

City:

150 E. Carlton Center Rd.Carlton
Carlton Twp

Manner of Death
Manner: Not Specified
Line 1: Tracheal Anastomotic Dehiscence

Line 2: Heart Lung Transplant
Line 3: Tetralogy Of Fallot
Line 4:

Other Conditions:
Injury Date:
Injury Description:
Occupation: Underwriter

Industry: Insurance Company

County: Barry

Zip Code: 49058

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

Decedents Name: MYRL W. SCHANTZ
Date of Death: 12/19/993
Date of Birth: 05/27/920
Fathers Last Name: Schantz

Sex: Male
Age: 73

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

SSN: 368-18-2810

If Hospital: Inpatient
Residence
County: Barry
City:
Thornapple Twp
Zip Code: 49333
Place of Birth: Michigan
Armed Forces: Yes
Ancestry: German
Education: High School

Address: 2084 Fawn Ave.

Marital Status: Married
Race: White

Underlying Cause of Death:
4148

Related Cause of Death (*)
117855
214148
615789

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

)
(*

76198

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

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

Decedents Name: Gayla Sue Schaubel
Date of Death: 10/07/994
Date of Birth:
Fathers Name: Howard James Schaubel
Mothers Name: Marjorie Moody
Spouses Name: Gary John Klooster
Place of Death
Hospital: Unknown
City: Cascade Twp

Sex: Female
01/12/954

County: Kent

If Hospital:

SSN: 384-60-7470

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

Address: 6099 Head Rd.

Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: 4 years of college

Marital Status: Married
Race: White

Underlying Cause of Death:
5733

Related Cause of Death

115722
215789
315733
61303

Autopsy: No

Findings Available: No

Actual Place: Home

Medical Examiner Case: No

Mode of Death: Natural

Work Inj ury:

Location:

State File Number:

063553

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
01/15/98

DEATH TRANSCRIPTS
County of Residence &lt;&gt; County of Occurrence

State of Residence: Michigan
File Number: 043295
Patient Information
Decedents Name:
Date of Death:

Spouses Name:

Fathers Name:
Mothers Name:

Place of Birth:

Ancestry:
Armed Forces:

Education:

Sex: Female

Margaret A. Schleh

Date of Birth: 03/13/940

07/17/997

SSN: 381-42-1447

William L. Schleh
Walter James Brown

Lucille Mildred Gillespie
Michigan

Irish
Race: White

No

Marital Status: Married

1 year College

Place of Death
County: Kent

City: Grand Rapids

Patient Status: Inpatient

Hospital or Other Place of Death:

Metropolitan Hospital

Residence
Address:

City:

6181 Whitneyville Rd.

Thornapple Twp

Manner of Death
Manner:

Not Specified

Line 1: Myocardial Infarction
Line 2: Diabetes
Line 3:
Line 4:

Other Conditions:

Injury Date:
Injury Description:

Occupation: Housewife
Industry: Own Home

Thomapple

County: Barry

Zip Code: 49333

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

03/25/97

State of Residence:

Michigan

File Number: 002461

Decedents Name:

Sex: Female

Ruth Jeannette Schlenker

Date of Death: 01/17/996

DateofBirth: 12/18/917

SSN: 363-22-7568

Spouses Name: Albert Schlenker
Fathers Name: Jerry Hubbard
Mothers Name:

Ivah Louise Sturgis

Place of Birth: Michigan

Ancestry:

Armed Forces:

Education:

British, Scotch, Welsh, Scotch Irish
Race: White

No

43

Marital Status: Married

Place of Death
City: Blackman Twp

County: Jackson

Hospital or Other Place of Death

Nursing Home or Extended Care Facility

Patient Status: Inpatient

Residence
Address:

2251 Springport Rd. Apt Blackman

City: Assyria Twp

Manner of Death:

Not Specified

Line 1: Carcinoma Of Breast With Metastasis
Line 2:
Line 3:

Line 4:
Other Conditions:

Injury Date:

Description of Injury:
Occupation:

Industry:

Homemaker

Domestic

County: Barry

Zip Code: 49202

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

11/27/95

NON-COUNTY RESIDENT

State: Michigan
File Number: 002450
Decedents Name:

Sex: Female

Irene L. Schley

Date of Death: 01/08/995
Spouses Name: Merle Schley

Date of Birth: 11/19/929
SSN: 226-30-1302

Fathers Name: lames Asa Nichols
Mothers Name:

Virginia Tyre Noblin

Place of Birth: Virginia
Hospital:

Borgess Med Cen

Ancestry:

British, Scotch, Welsh, Scotch Irish

Armed Forces:

Education:

Race: White

No

08

Marital Status: Married

Place of Death
City: Kalamazoo

County: Kalamazoo

If Hospital: Inpatient

Residence
Address:

7707 Guernsey Lake Rd.

City: Orangeville Twp

Maimer of Death:

Not Specified

Line 1: Advanced Malignant Lymphoma

Line 2:
Line 3:
Line 4:

Other Conditions:

Past Cancer Of Breast; Cerebral Hemorrhage

Injury Date:
Description of Injury:
Occupation:

Industry:

Homemaker
At Home

County: Barry

Zip Code: 49046

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

Decedents Name: Robert M. Schoder
Date of Death: 01/01/994
Date of Birth: 08/24/918
Fathers Last Name: Schoder

Sex: Male
Age: 75

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

If Hospital: Inpatient
Residence
County: Barry
City:
Johnstown Twp
Zip Code: 49017
Place of Birth: Michigan
Armed Forces: Yes
Ancestry: Irish
Education: High School

SSN: 366-09-2742

Address: 14981 Uldriks Drive

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:

4280

Related Cause of Death (*)
114280

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

1375

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

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

04/17/96

State of Residence:

Michigan

File Number: 043469

Decedents Name:

Sex: Female

Patty Lou Schondelmayer

Date of Birth: 08/30/928

Date of Death: 07/11/995

SSN: 373-24-1916

Spouses Name: Glenn Schondelmayer
Fathers Name: Cleotis Cummings

Mothers Name:

Genevieve Sturgeon

Place of Birth: Indiana
Ancestry:
Armed Forces:

Education:

American

Race: White

No

Marital Status: Married

High School

Place of Death
City: East Gmd Rapids

County: Kent

Hospital or Other Place of Death
Patient Status: Inpatient

Blodgett Mem Med Cen

Residence
Address:

1600 Middleville Road

Yankee

City: Yankee Springs Twp

Manner of Death:

Not Specified

Line 1: Acute Myocardial Infarction
Line 2: Severe Chronic Obstructive Lung Disease
Line 3: Status Post Aorta-femoral Bypass
Line 4:

Other Conditions:

Injury Date:

Description of Injury:
Occupation:

Insurance Owner

Industry:

Insurance Agent

County: Bany
Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

11Z27/95

DEATH TRANSCRIPT - STATE OF MICHIGAN

NON-COUNTY RESIDENT

State: Michigan
File Number: 015816
Decedents Name: Doris Leatha Schott
Date of Death: 03/04/995

Sex: Female
Date of Birth: 01/21/919

SSN: 363-36-4090

c
xi
Spouses Name:
Fathers Name: Gail Kelly

Mothers Name: Blanch VanSickle
Place of Birth: Michigan

Hospital:

Unknown

Ancestry: Other Western European
.__ . —
xi
Armed Forces: No
Education:

Race: White
Marital Status: Widow, Widower

High School

Place of Death
County: Ionia

City: Ionia

If Hospital: Inpatient

Residence
Address:

13507 Bedford Road

Johnstown

City: Johnstown Twp
Manner of Death:

County: Barry

Zip Code: 49017

Not Specified

Line 1: Adenocarcinoma Of Ovary With Abdominal Carcinomatosis
Line 2:
Line 3:

Line 4:
Other Conditions:

Diabetes Mellitus - Insulin Dependent

Injury Date:
Description of Injury: •

Occupation:
Industry:

Processing Dept.

Kellogg Cereal Co.

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Pauline Margaret Seburg
Date of Birth: 07/16/907
Date of Death: 10/04/993
Fathers Last Name: Pierce

Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo

County: Kalamazoo

SSN: 384-09-9121

If Hospital: Inpatient
Residence
County: Barry
City:
Barry Twp
Zip Code: 49046

Sex: Female
Age: 86

Address: 5369 Orchard Rd.

Place of Birth: Michigan
Armed Forces: No
Ancestry: German
Education: 11

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:

4402
Related Cause of Death (*)

11586
214409
617854
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

)
(*

61977

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
01/15/98

DEATH TRANSCRIPTS
County of Residence &lt;&gt; County of Occurrence

State of Residence: Michigan

File Number: 041589

Patient Information
Decedents Name:
Date of Death:

Sex: Male

Charles L. Secord

Date of Birth: 08/08/921

06/23/997

Spouses Name:

Juanita Kelderhouse

Fathers Name:

Charles L. Secord Sr.

Mothers Name:
Place of Birth:

Ancestry:
Armed Forces:

Education:

SSN: 366-18-5472

Julia Swarthout

Michigan
British, Scotch, Welsh, Scotch Irish

Race: White

Yes

Marital Status: Married

11

Place of Death
City: Battle Creek

County: Calhoun
Patient Status: Inpatient

Hospital or Other Place of Death:

Battle Creek Health Systems

Residence
Address:

5718 Long Lake

City:

Johnstown Twp

Johnstown

Manner of Death
Manner:

Not Specified

Line 1: Ventricular Fibrillation

Line 2: Abdominal Aortic Aneurysm Resection

Line 3: Peripheral Vascular Disease
Line 4: Chronic Obstructive Pulmonary Artery Disease

Other Conditions: Coronary Artery Disease
Injury Date:
Injury Description:
Occupation: Form Maker
Industry: Manufacturing

County: Barry
Zip Code: 49050

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

27/95

DEATH TRANSCRIPT - STATE OF MICHIGAN

NON-COUNTY RESIDENT

State: Michigan
File Number: 016257
Decedents Name:

Sex: Female

Myrtle C. Secord

Date of Birth: 09/12/928
SSN: 374-28-4411

Date of Death: 02/27/995

Spouses Name: Lawrence R. Secord
Fathers Name: Clifford Davis

Mothers Name:

Jennie Converse

Place of Birth: Michigan

Hospital:

Blodgett Mem Med Cen

Ancestry:

British, Scotch, Welsh, Scotch Irish

Armed Forces:

Education:

Race: White

No

Marital Status: Married

High School

Place of Death

City: East Gmd Rapids

County: Kent

If Hospital: Inpatient

Residence

Address:

9425 Adams Rd.

City: Thomapple Twp
Manner of Death:

Not Specified

Line 1: Intracerebral Hemorrhage
Line 2:
Line 3:
Line 4:

Other Conditions:

Injury Date:
Description of Injury:
Occupation:

Housewife

Industry:

Own Home

Thomapple

County: Barry
Zip Code: 49333

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Charles Raymond Seegar
Date of Death: 11/01/994
Date of Birth:
Fathers Name: William Seegar
Mothers Name: Racheal Unknown
Spouses Name: Onie Willie

Place of Death
Hospital: Borgess Med Cen
City: Kalamazoo
If Hospital: Inpatient
Residence
County: Barry
City:
Castleton Twp
Zip Code: 49058
Place of Birth: Indiana
Armed Forces: No
Ancestry: German
Education: High School

Sex: Male

04/18/915

County: Kalamazoo
SSN: 366-09-8783

Address: 1035 Valentine

Marital Status: Married
Race: White

Underlying Cause of Death:

1991
Related Cause of Death

111991
215768
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number: 069723

)
(*

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

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

03/25/97

State of Residence:

Michigan

File Number: 041143

Decedents Name:

Sex: Male

Edwin Albert Seibert

Date of Birth: 07/28/910

Date of Death: 06/29/996

SSN: 377-03-8106

Spouses Name:

Fathers Name:
Mothers Name:

Clarence Seibert
Gertrude Miller

Place of Birth: Michigan

Ancestry:

Armed Forces:
Education:

German

Race: White

Yes

Marital Status: Widow, Widower

High School

Place of Death
City: Plainwell

County: Allegan

Hospital or Other Place of Death

Patient Status: Inpatient

Pipp Community Hospital

Residence
Address:

12091 England Dr.

Yankee

City: Yankee Springs Twp

Manner of Death:

Not Specified

Line 1: Respiratory Failure

Line 2: Chronic Obstructive Pulmonary Disease
Line 3: Congestive Heart Failure
Line 4: Acute + Chronic Renal Failure

Other Conditions:

Cerebral Vascular Accident - Ischemic

Injury Date:
Description of Injury:

Occupation:

Industry:

Sales Representative
Auto Dealership

County: Barry
Zip Code: 49344

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

Decedents Name: BENJAMIN K. C. SELLECK-WALKOWS
Date of Death: 07/03/993
Date of Birth: 07/02/993
Fathers Last Name: Walkowski

Sex: Male
Age: 03

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

SSN:

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

Place of Birth: Michigan
Armed Forces: No
Ancestry: Polish
Education: None

Address: 10590 Parmelee Rd.

Marital Status: Never Married
Race: White

Underlying Cause of Death:.

7483
Related Cause of Death (*)
117483
617651
62769

Autopsy: Yes

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

42936

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

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
05/13/98

DEATH TRANSCRIPTS
County of Residence &lt;&gt; County of Occurrence

State of Residence: Michigan

File Number: 081041
Patient Information
Sex: Female

Decedents Name: Margarita E. Sema
Date of Death:

Spouses Name:

Fathers Name:
Mothers Name:

Date of Birth: 08/06/917

12/29/997

SSN:

Jose G. Sema
Andres Escalon

Concepcion Gonzales

Place of Birth: Texas
Ancestry:

Armed Forces:
Education:

Mexican
Race: White

No

Marital Status: Married

Unknown

Place of Death
City: Plainwell

County: Allegan
Patient Status: Emergency Room/Outpatient

Hospital or Other Place of Death:
Pipp Community Hospital

Residence
Address:
City:

12325 9 Mile Road

Orangeville

Orangeville Twp

Manner of Death
Manner:

Not Specified

Line 1: Arteriosclerotic Cardiovascular Disease
Line 2: Diabetes Mellitus And Hypertension

Line 3:
Line 4:

Other Conditions:
Injury Date:
Injury Description:

Occupation: Home Maker
Industry: Own Home

County: Barry
Zip Code: 49344

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

04/17/96

State of Residence:

Michigan

File Number: 061800

Decedents Name:

Sex: Female

Bertha J. Shafer

Date of Birth: 05/22/926

Date of Death: 10/29/995

SSN: 373-20-8106

Spouses Name:
Fathers Name: Kenneth Rogers

Mothers Name:

Sarah Henrixson

Place of Birth: Michigan

Ancestry:
Armed Forces:

Education:

Other Western European

Race: White

No

Marital Status: Widow, Widower

High School

Place of Death
City: Springfield

County: Calhoun

Hospital or Other Place of Death
Patient Status: Inpatient

Nursing Home or Extended Care Facility

Residence
Address:

1671 Bristol Road

City: Johnstown Twp
Manner of Death:

County: Barry

Johnstown

Zip Code: 49050

Not Specified

Line 1: Congestive Heart Failure

Line 2: Arteriosclerotic Heart Disease
Line 3:
Line 4:
Other Conditions:

Severe Copd; Myocardial Infarction, Abdominal Cyst

Injury Date:
Description of Injury:

Occupation:
Industry:

Homemaker
Own Home

i

�MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
05/13/98

DEATH TRANSCRIPTS
County of Residence &lt;&gt; County of Occurrence

State of Residence: Michigan

File Number: 076047
Patient Information
Sex: Male

Decedents Name: George Henry Shanahan
Date of Death:

Date of Birth: 05/26/924
SSN: 372-20-2832

11/25/997

Spouses Name:
Fathers Name: Floyd O’ Berry

Mothers Name: Ethel M. Warren
Place of Birth: Michigan
Ancestry:

Irish

Armed Forces:

Yes

Race: White

Marital Status: Divorced

Education: 09

Place of Death
City: Kalamazoo

County: Kalamazoo

Hospital or Other Place of Death:

Patient Status: Inpatient

Borgess Med Cen

Residence
Address:
City:

6427 Osbome Road

Barry Twp

Manner of Death
Manner: Not Specified
Linel: Lung Cancer

Line 2:
Line 3:
Line 4:

Other Conditions: Coronary Artery Disease

Injury Date:
Injury Description:

Occupation: Assembly Worker
Industry: Auto Industry

Delton

County: Barry

Zip Code: 49046

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

11/29/95

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT

State: Michigan
File Number: 028066
Decedents Name:

Sex: Female

Dolores E. Shedd

Date of Death: 05/26/995

Spouses Name:

Date of Birth: 11/04/917
SSN: 373-28-4119

Fathers Name: Charles London

Mothers Name:

Minna Peters

Place of Birth: Michigan
Hospital:

Battle Creek Health Systems

Ancestry:

German

Armed Forces:
Education:

Race: White

No

11

Marital Status: Widow, Widower

Place of Death
City: Battle Creek

County: Calhoun

If Hospital: Inpatient

Residence
Address:

14835 Hutchinson Road

City: Johnstown Twp
Manner of Death:

Not Specified

Line 1: Adenocarcinoma Of The Lung
Line 2:
Line 3:
Line 4:

Other Conditions:

Injury Date:
Description of Injury:
Occupation:

Industry:

Homemaker

Own Home

County: Barry

Zip Code: 49017

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

Decedents Name: Steven Sr. Allen Sheldon
Date of Death: 01/29/994
Date of Birth: 06/03/951
Fathers Last Name: Sheldon

Sex: Male
Age: 42

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

If Hospital: Inpatient

SSN: 367-56-1488

Residence
County: Barry
City:
Orangeville Twp
Zip Code: 49080

Address: 6843 Dennison Rd.

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

4148
Related Cause of Death (*)

114275
214151
314148
617860
Autopsy: Yes

Findings Available: Yes

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

9942

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

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

Decedents Name: Marguerite H. Sheler
Date of Birth: 12/25/905
Date of Death: 07/05/993
Fathers Last Name: Scott
Place of Death
Hospital: Unknown
City: Maple Valley Twp

Sex: Female
Age: 87

County: Montcalm

SSN: 377-26-9945

If Hospital:
Residence
County: Barry
City:
Castleton Twp
Zip Code: 49058

Address: 2735 W. State Rd.

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

Underlying Cause of Death:

4140
Related Cause of Death (*)

114140
614293
Autopsy: Yes

Findings Available: Yes

Actual Place: Home

Medical Examiner Case: No

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

44055

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: WILLIAM JOHN SHERIDAN
Date of Death: 05/21/993
Date of Birth: 09/23/923
Fathers Last Name: SHERIDAN

Sex: Male
Age: 69

Place of Death
Hospital: Blodgett Memorial Medical Center
City: Grand Rapids
County: Kent

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

Place of Birth: Unknown
Armed Forces: Yes
Ancestry: Irish
Education: High School

SSN: 383-14-5737

Address: 2222 ROBINWOOD DR.

Marital Status: Married
Race: White

Underlying Cause of Death:
1541

Related Cause of Death (*)
111541
Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

29953

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Laura B. Sherk
Date of Death: 02/07/994
Date of Birth: 02/10/905
Fathers Last Name: Schleh

Sex: Female
Age: 88

Place of Death
Hospital: Blodgett Mem Med Cen
City: East Grnd Rapids
County: Kent
SSN: 378-22-0386

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

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

Address: 705 S. Briggs Road

Marital Status: Widow, Widower
Race: White

Underlying Cause of Death:

4140
Related Cause of Death (*)

117855
214140

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

(*)

9950

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

DEATH TRANSCRIPT - STATE OF MICHIGAN
NON-COUNTY RESIDENT
THE STATE OF:
Michigan
Decedents Name: Jeanette De Roo Sherman
Date of Death: 08/23/994
Date of Birth: 03/04/909
Fathers Last Name: DeRoo

Sex: Female
Age: 85

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

SSN: 367-22-3394

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

Address: 7858 Moe Road

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

Underlying Cause of Death:
410

Related Cause of Death (*)
11410

Autopsy: No

Findings Available: No

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

49874

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

�MICHIGAN DEPARTMENT OF PUBLIC HEALTH

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

Decedents Name: Fred nmn Sherriff
Date of Death: 02/21/994
Date of Birth: 02/13/912
Fathers Last Name: Sherriff

Sex: Male
Age: 82

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

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

SSN: 081-07-5604

Address: 11709 E. Baseline Road

Place of Birth: Michigan
Armed Forces: Yes
Marital Status: Widow, Widower
Ancestry: British, Scotch, Welsh, Scotch
Race: White
Education: 5 years of college

Underlying Cause of Death:

4254
Related Cause of Death (*)

114279
214254

Autopsy: No

Findings Available: Unknown

Actual Place: Hospital

Medical Examiner Case: Unknown

Mode of Death: Natural

Work Injury:

Location:

State File Number:

)
(*

8527

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

�'

I

MICHIGAN DEPARTMENT OF PUBLIC HEALTH
DEATH TRANSCRIPTS
Non-County Residents

03/25/97

State of Residence:

Michigan

File Number: 047880

Decedents Name:

Sex: Female

Marjorie Ann Shoemaker

Date of Birth: 07/02/927
SSN: 368-26-4823

Date of Death: 08/28/996
Spouses Name: James Shoemaker
Fathers Name: Conrad Haveman

Mothers Name:

Anna Buist

Place of Birth: Michigan

Ancestry:

Armed Forces:
Education:

Other Western European
Race: White

No

Marital Status: Married

1 year College

Place of Death

City: Allegan

County: Allegan

Hospital or Other Place of Death

Patient Status: Inpatient

Allegan General Hospital

Residence
Address:

5289 Marsh Road

City: Orangeville Twp
Manner of Death:

Not Specified

Orangeville

County: Barry
Zip Code: 49344

•

Line 1: Asystole

Line 2: Congestive Heart Failure
Line 3: Cardiomyopathy

Line 4: Coronary Artery Disease
Other Conditions:

Hyperkalemia, Dehydration, Adriamycin Cardiotoxicity, Breast Cancer, Cva

Injury Date:

Description of Injury:
Occupation:

Homemaker

Industry:

Own Home

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