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Ida Daisy Minahan (Death Certificate)

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STATE OF CALIFORNIA 
DEPARTMENT OF HEALTH SERVICES 
STANDARD CERTIFICATE OF DEATH # 19-017629 
NAME OF DECEASED: Daisy Minahan
PLACE OF DEATH:  1811 N. Berendo
Los Angeles
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Single
DATE OF BIRTH: January 9, 1879
AGE: 40 Years, 3 Months, 21 Days
BIRTHPLACE: Wisconsin
NAME OF FATHER: William B. Minahan
FATHER'S BIRTHPLACE: Ireland
MAIDEN NAME OF MOTHER: Mary Shaughnessy
MOTHER'S BIRTHPLACE: Ireland
LENGTH OF RESIDENCE AT
PLACE OF DEATH:
1 Year
INFORMANT:   Mrs. Grace Phillips
1811 N. Berendo St.
Los Angeles
DATE OF DEATH: April 30, 1919
CAUSE OF DEATH:  Chronic Pulmonary
Tuberculosis
DURATION: 9 Years, 6 Months
CONTRIBUTORY CAUSE: Tuberculous Laryngitis
DURATION: 3 Months
CERTIFICATION:       I hereby certify that I attended
deceased from Sept. 11, 1918 to
Apr. 30, 1919, that I last saw her
alive on April 29, 1919 and that
death occurred on the date stated
above at 4 A.M.
PHYSICIAN:  W. James Barlow, M.D.
616 Leewick Bldg.
PLACE OF BURIAL: Calvary Cemetery
DATE OF BURIAL: May 2, 1919
UNDERTAKER: Robert Sharp & Son

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Ida Daisy Minahan

Contributors

Phillip Gowan, USA

Citation

Encyclopedia Titanica (2003) Ida Daisy Minahan (Death Certificate) ( ref: #20938, published 28 August 2003, generated 5th December 2021 01:31:41 PM); URL : https://www.encyclopedia-titanica.org/death-certificate-20938-100.html