Guillaume Joseph De Messemaeker (Death Certificate)

STATE OF MONTANA 
CERTIFICATE OF DEATH # 55-120162 
NAME OF DECEASED: William DeMessemaker
PLACE OF DEATH:   Montana State Hospital
Warm Springs Township
Deer Lodge County, Montana
USUAL RESIDENCE: Glasgow, Valley County
SEX: Male
COLOR OR RACE: White
MARITAL STATUS: Married
USUAL OCCUPATION: Farmer
KIND OF BUSINESS: Agriculture
DATE OF BIRTH: December 31, 1875
PLACE OF BIRTH: Belgium
AGE: 79 Years
NAME OF SPOUSE: Marie DeMessemaker
FATHER'S NAME: William DeMessemaker
MOTHER'S MAIDEN NAME: Therese Poels
INFORMANT: Hospital Records
DATE OF DEATH: June 5, 1955
CAUSE OF DEATH: Arteriosclerotic Heart Disease
CERTIFICATION:        I hereby certify that I attended
the deceased from April 7, 1954
to June 5, 1955, that I last saw
the deceased alive on June 5, 1955,
and that death occurred at 4:45
P.M. from the causes and on the
date stated above.
NAME OF CEMETERY:  No record
Glasgow, Montana
DATE OF REMOVAL: 6-6-55
FUNERAL DIRECTOR:    Duggan-Merrill Mortuary
Butte, Montana
Holland & Penland Funeral Home
Glasgow, Montana

Related Biographies:

Guillaume Joseph De Messemaeker

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21022, published 1 August 2003, generated 16th November 2019 01:00:38 AM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21022-185.html