Agnes Davies (Death Certificate)

MICHIGAN DEPARTMENT OF HEALTH 
CERTIFICATE OF DEATH # 3311460   
NAME OF DECEASED: Agnes Edwards
PLACE OF DEATH:  St. Joseph's Hospital
Hancock, Houghton County
USUAL RESIDENCE: 940 Railroad Avenue, Ward 4
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Married
HUSBAND'S NAME: Richard Edwards
DATE OF BIRTH: November 22, 1866
PLACE OF BIRTH: England
AGE: 66 Years, 8 Months, 12 Days
FATHER'S NAME: John White
FATHER'S BIRTHPLACE: England
MOTHER'S MAIDEN NAME: Unknown
MOTHER'S BIRTHPLACE: England
OCCUPATION: Housewife
INFORMANT:  Richard Edwards
Hancock, Michigan
DATE OF DEATH: August 4, 1933
CAUSE OF DEATH:    Complete obstruction of bowel-
large-due to Carcinoma.
Senility Bronchiestosis-right
lung
DATE OF OPERATION: August 4, 1933
CONDITION FOR WHICH PERFORMED: Poor risk
ORGAN AFFECTED: Large Sigmoid Colon
CERTIFICATION:      I hereby certify that I attended
deceased from July 28, 1933 to
August 4, 1933. I last saw her
alive at 5 PM, death is said to
have occurred on the date stated
above at 5:30 PM.
PHYSICIAN:  A. J. Farina, MD
Houghton, Michigan
PLACE OF BURIAL: Calumet Michigan
DATE OF BURIAL: 8-7-1933
UNDERTAKER:  J. D. Crawford & Son
Hancock, Michigan

Related Biographies:

Agnes Davies

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20985, published 28 August 2003, generated 11th November 2019 01:23:21 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20985-147.html