STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF DEATH # 45-027334 |
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NAME OF DECEASED: | Mahala Dutton Douglas |
PLACE OF DEATH: | 95 El Circulo Drive Pasadena, Los Angeles County |
LENGTH OF STAY: | 5 Months |
USUAL RESIDENCE: | Wayzata, Hennepin County Minnesota |
SEX: | Female |
COLOR OR RACE: | White |
MARITAL STATUS: | Widowed |
NAME OF SPOUSE: | Walter D. Douglas |
BIRTHDATE: | January 26, 1864 [Note:the records of Oak Hill Cemetery in Cedar Rapids, Iowa give her year of birth as 1862] |
AGE: | 81 Years, 2 Months, 25 Days |
BIRTHPLACE: | Cedar Rapids, Iowa |
USUAL OCCUPATION: | Housewife |
INDUSTRY OR BUSINESS: | Own home |
NAME OF FATHER: | Rollin Henry Dutton |
FATHER'S BIRTHPLACE: | St. Albans, Vermont |
MOTHER'S MAIDEN NAME: | Sophia Mahala Bradford |
MOTHER'S BIRTHPLACE: | North Adams, Massachusetts |
INFORMANT: | Edward Bruce Douglas 1896 Pacific Ave. San Francisco, California |
DATE OF DEATH: | April 21, 1945 |
HOUR OF DEATH: | 1:05 P.M. |
CAUSE OF DEATH: | Coronary Thrombosis |
DURATION: | 2 Days |
DUE TO: | Hypertensive Heart Disease |
DUE TO: | Hypertension |
CERTIFICATION: | I hereby certify that I attended the deceased from 2-5-1939 to 4-21-1945, that I last saw her alive on 4-21- 1945 and that death occurred on the date and hour stated above. |
PHYSICIAN: | Leonard J. Brinnell 60 So. Grand Ave. |
DISPOSAL: | Burial |
PLACE OF BURIAL: | Oak Hill Cemetery Cedar Rapids, Iowa |
DATE OF BURIAL: | April 23, 1945 |
EMBALMER: | Robert L. Stump |
FUNERAL DIRECTOR: | Turner & Stevens Co. 95 N. Marengo Ave. Pasadena, California |
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