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STATE OF:
Michigan
File Number:
20573 0172271
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CERTIFICATE OF DEATH
DEPARTMENT OF PUBLIC HEALTH
Record Redesigned from original recorded public records to avoid violation of direct reproduction/copyright laws.
This is not an official copy, but research of official documents are listed here for the purpose of family research.
This page will give the researcher a reference number and the location of where to find this official document.
| DECEASED
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DECEASED NAME:
Cloid Harrison Sr. | SEX
M | DATE OF DEATH:
April 17, 1989 |
STATE OF BIRTH:
Clinton, Indiana | Place of Death:
Community Mem. Hospital | AGE
89 | Date of Birth:
April 28, 1899 |
OCCUPATION:
Road Construction | City of DEATH:
Cheboygan | County of DEATH:
Cheboygan, MI |
ADDRESS:
135 N. Second, Onaway | Surviving Spouse:
Widowed |
| | PARENTS | FATHER:
Clarance R. Harrison | MOTHER:
May Wagner |
| | Informant | Informant:
Janice K. Defyter | Address:
1st st. Onaway, MI 49765 |
| | CAUSE
| IMMEDIATE CAUSE:
Urio Sepsis | INTERVAL:
4 days | CAUSE:
Renal insuficency | INTERVAL:
7 days | CAUSE:
Squamous Cell Carcinoma of Bladder (cancer) | INTERVAL:
10 yrs | OTHER CONDITIONS:
Congestive Heart Failure (5 yrs) |
| | BURIAL | All Burial Information:
Hillcrest Cemetery, Onaway, Presque Isle co., MI |
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