Mary Anne Perreault (Death Certificate)

1968
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STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF DEATH # 070003040

NAME OF DECEASED: Mary Ann Pickett
PLACE OF DEATH: Church Ln. Convalescent Hospital
1900 Church Lane
San Pablo, Contra Costa County
USUAL RESIDENCE: #1 Thomas Court
Rodeo, California
SEX: Female
COLOR OR RACE: White
BIRTHPLACE: Canada
LAST OCCUPATION: Housewife
MARITAL STATUS: Widowed
AGE: 90 YEARS
DATE OF BIRTH: July 29, 1878
PLACE OF BIRTH: Canada
FATHER'S NAME: John Perrault
FATHER'S BIRTHPLACE: Canada
MOTHER'S MAIDEN NAME: Unknown
MOTHER'S BIRTHPLACE: Canada
INFORMANT: Earnest Pickett (son)
3066 Willow Pass Road
Concord, California
DATE OF DEATH: November 18, 1968
HOUR OF DEATH: 3:45 A.M.
CAUSE OF DEATH: Congestive Heart Failure
INTERVAL FROM ONSET: 3 Years
DUE TO: Hypertensive Arteriosclerotic
Heart Disease
INTERVAL FROM ONSET: 8 Years
DUE TO: Generalized Arteriosclerosis
PHYSICIAN: Gerald Petrovich
1617 Canyon Dr.
Pinole, California
PLACE OF ENTOMBMENT: St. Joseph's Mausoleum
San Pablo, California
DATE OF ENTOMBMENT: November 20, 1968
FUNERAL DIRECTOR: Wilson & Kratzer
San Pablo, California

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Mary Anne Perreault

Acknowledgements

Phillip Gowan

Citation

Encyclopedia Titanica (2003) Mary Anne Perreault (Death Certificate) ( ref: #20943, published 28 August 2003, generated 25th September 2021 10:47:13 PM); URL : https://www.encyclopedia-titanica.org/death-certificate-20943-105.html