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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: Charlie Everingham | SEX M | DATE OF DEATH: April 10, 1966 |
STATE OF BIRTH: Canada | Place of Death: Carson City Hospital (1 day) | AGE 81 | Date of Birth: November 4, 1884 |
OCCUPATION: farmer | City of DEATH: Carson City | County of DEATH: Montcalm, MI |
ADDRESS: Carson City, MI | Surviving Spouse: Clara Jane Everingham |
| PARENTS | FATHER: Ira Everingham | MOTHER: Louise |
| Informant | Informant: Raymond Everingham (son) | Address: Carson City, Montcalm co., MI |
| CAUSE
| IMMEDIATE CAUSE: Respiratory Failure | INTERVAL: 12 hrs | CAUSE: Medullary Paralysis | INTERVAL: 12 hrs | CAUSE: Cerebral hemorrhage | INTERVAL: 36 hrs | OTHER CONDITIONS: Arteriosclerosis |
| BURIAL | All Burial Information: No Social Security Number Bloomer Cemetery, Bloomer Township, Montcalm County, MI |
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