Harold Theodor Johnson (Death Certificate)

STATE OF ILLINOIS 
MEDICAL CERTIFICATE OF DEATH # 68-019719 
NAME OF DECEASED: Harold T. Johnson
SEX: Male
RACE: White
AGE: 60 Years
DATE OF BIRTH: January 28, 1908
BIRTHPLACE: Illinois
CITIZEN OF WHAT COUNTRY?:USA  
MARITAL STATUS: Married
NAME OF SPOUSE: Harriet Trull
USUAL OCCUPATION: Metal Work
KIND OF BUSINESS: Farm Machinery
PLACE OF RESIDENCE: Wayne, DuPage County, Illinois
PLACE OF DEATH:  Delnor Hospital
St. Charles, Kane County
NAME OF FATHER: Oscar Johnson
MOTHER'S MAIDEN NAME: Alice Berg
INFORMANT:  Harriet J. Johnson
P.O. Box Wayne, Illinois
DATE OF DEATH: April 10, 1968
CAUSE OF DEATH: Acute Pancreatitis
INTERVAL FROM ONSET: 1 Week
DUE TO: Laennec's Cirrhosis
INTERVAL FROM ONSET: 2 Months
CERTIFICATION         I certify that to the best of my
knowledge this death occurred at
4:30 A.M. on the date, at the
place and from the causes stated.
I attended the deceased from Nov.
8, 1946 to Apr. 10, 1968 and last
saw him alive on Apr. 9, 1968.
PHYSICIAN:   F. E. Hoskins, MD
105 E. Main St.
Charles, Ill. 60174
PLACE OF BURIAL:  Little Woods Cemetery
St. Charles Twp., Illinois
DATE OF BURIAL: April 12, 1968
FUNERAL HOME:   Yurs Funeral Home
405 E. Main St.
St. Charles, Ill. 60174

Related Biographies:

Harold Theodor Johnson

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21039, published 28 August 2003, generated 15th November 2019 08:32:41 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21039-201.html