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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
|
DECEASED NAME:
Clara Jane Everingham | SEX
F | DATE OF DEATH:
Feb 10, 1969 |
STATE OF BIRTH:
Michigan | Place of Death:
Maple Valley Rest Home | AGE
85 | Date of Birth:
November 4, 1883 MI |
OCCUPATION:
housewife | City of DEATH:
Ashley | County of DEATH:
Gratiot, MI |
ADDRESS:
Carson City, MI | Surviving Spouse:
widowed |
| | PARENTS | FATHER:
Sheldon Graves | MOTHER:
Catherine Ann Grogan |
| | Informant | Informant:
Raymond Everingham (son) | Address:
Crystal, Montcalm co., MI |
| | CAUSE
| IMMEDIATE CAUSE:
Medullary failure | INTERVAL:
2 hrs | CAUSE:
CVA | INTERVAL:
3 day | CAUSE:
Chronic Arteriosclerosis | INTERVAL:
indef | OTHER CONDITIONS:
|
| | BURIAL | All Burial Information:
Bloomer Cemetery, Bloomer Township, Montcalm County, MI |
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