Alice Gray Silvey (Death Certificate)

MINNESOTA DEPARTMENT OF HEALTH 
SECTION OF VITAL STATISTICS 
CERTIFICATE OF DEATH 
NAME OF DECEASED: Alice Munger Patrick
PLACE OF DEATH:  St. Mary's Hospital
Duluth, St. Louis County, MN
USUAL RESIDENCE:  2514 E. Superior St.
Duluth, Minnesota
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Widow
USUAL OCCUPATION: At Home
DATE OF BIRTH: October 19, 1872
BIRTHPLACE: Duluth, Minnesota
AGE: 85
FATHER'S NAME: Roger S. Munger
MOTHER'S MAIDEN NAME: Olive Gray
SPOUSE'S NAME: Richard S. Patrick
INFORMANT:  W. W. Crawford
Duluth, Minnesota
DATE OF DEATH: May 2, 1958
CAUSE OF DEATH:  Septicemia
(Organism not known)
INTERVAL FROM ONSET: 5 days
DUE TO: Pyelonephritis
INTERVAL FROM ONSET: 7 Days
SIGNIFICANT CONDITION:  Unreverted Cancer-Sigmoid Colon
CERTIFICATION:        I certify that I attended the
deceased from 1957 to 5/1/58
and that I last saw the
deceased alive on 5/1/58 and
that death occurred at 4 AM on
the date stated above and to
the best of my knowledge from
the causes stated.
PHYSICIAN:  William B. Martin, MD
Duluth, Minnesota
PLACE OF BURIAL:  Forest Hill Cemetery
Duluth, Minnesota
DATE OF BURIAL: 5/5/58
FUNERAL DIRECTOR:  W. W. Munford
Duluth

Related Biographies:

Alice Gray Silvey

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20955, published 28 August 2003, generated 18th August 2019 03:04:32 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20955-117.html