Gertrude Isabelle Hippach (Death Certificate)

THE COMMONWEALTH OF MASSACHUSETTS
STANDARD CERTIFICATE OF DEATH # 726
NAME OF DECEASED: Jean Scharin (Hippach)
PLACE OF DEATH:   796 Seaview Ave.
Barnstable, Massachusetts
USUAL RESIDENCE:   796 Seaview Avenue
Barnstable, Massachusetts
SEX: Female
COLOR: White
MARITAL STATUS: Divorced
NAME OF HUSBAND: "Cannot be Learned"
USUAL OCCUPATION: Housewife
INDUSTRY OR BUSINESS: At Home
AGE: 79 Years, 1 Month, 14 Days
PLACE OF BIRTH: Chicago, Illinois
NAME OF FATHER: Louis H. Hippach
FATHER'S BIRTHPLACE: Fon Du Lac, Wisconsin
MOTHER'S MAIDEN NAME: Ida Fisher [sic: should be Ida Fischer]
MOTHER'S BIRTHPLACE: Chicago, Illinois
INFORMANT:    Mrs. Jean Spalding
Dutch Hollow Farm
Middlebrook, Va.
DATE OF DEATH: November 14, 1974
CAUSE OF DEATH: Metastatic Adenocarcinoma
INTERVAL FROM ONSET: 2 Years
DUE TO: Adenocarcinoma of Uterus
INTERVAL FROM ONSET: 11 Years
SIGNIFICANT CONDITION: Renal Failure
INTERVAL FROM ONSET: 96 Hours
WHAT TEST CONFIRMED DIAGNOSIS?: Surgery-biopsy-pathology

CERTIFICATION:        

I hereby certify that I
attended deceased from April
12, 1973, to November 14,
1974. I last saw her alive
on November 14, 1974, death
is said to have occurred on
the date stated above at
4:45 AM.
PHYSICIAN:   Henry M. Putnam, MD
Dedham, MA
PLACE OF BURIAL:   Rose Hill Cemetery
Chicago, Illinois
DATE OF BURIAL: November 16, 1974
FUNERAL DIRECTOR:    Gordon L. Homer
160 W. Main St.
Hyannis, MA.

Related Biographies:

Gertrude Isabelle Hippach

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20926, published 28 August 2003, generated 13th November 2019 10:20:33 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20926-88.html