STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF DEATH # 0190-061194 | |
NAME OF DECEASED: | Edwina Celia MacKenzie |
PLACE OF DEATH: | South Bay Hospital 514 N. Prospect Avenue Redondo Beach, California |
USUAL RESIDENCE: | 1021 6th Street Hermosa Beach, California |
SEX: | Female |
RACE: | White |
USUAL OCCUPATION: | Homemaker |
YEARS IN OCCUPATION: | 50 Years |
EMPLOYER: | Self-employed |
KIND OF INDUSTRY: | Own Home |
BIRTHPLACE: | England |
CITIZEN OF WHAT COUNTRY?: | USA |
SOCIAL SECURITY NUMBER: | 573-70-0791 |
MARITAL STATUS: | Widow |
FATHER'S NAME: | Edwin Charles Troutt-England |
MOTHER'S MAIDEN NAME: | Ellen Elizabeth Gay-England |
DATE OF DEATH: | December 3, 1984 |
HOUR OF DEATH: | 6:20 AM |
CAUSE OF DEATH: | Respiratory Arrest |
DUE TO: | Sepsis |
DUE TO: | Renal Failure |
CERTIFICATION: | I certify that death occurred at the hour, date and place stated from the causes stated. I attended decedent since 11/30/84. I last saw decedent alive on 11/30/84. |
PHYSICIAN: | Ronald J. Ruby, M.D. 1101 N. Sepulveda Blvd. Manhattan Beach, CA |
PLACE OF BURIAL: | Holy Cross Cemetery 5835 W. Slauson Avenue Culver City, California |
DATE OF BURIAL: | 12/7/84 |
FUNERAL DIRECTOR: | Rice Mortuary Torrance, California |
Related Biographies:
Edwina Celia TrouttAcknowledgements
Phillip Gowan