Karl Albert Midtsjø (Death Certificate)

STATE OF ILLINOIS 
DEPARTMENT OF PUBLIC HEALTH 
DIVISION OF VITAL STATISTICS 
CERTIFICATE OF DEATH # 953 
NAME OF DECEASED: Karl Albert Midtsjo
PLACE OF DEATH:  1838 S. 2nd Ave.
Maywood, Cook County, Illinois
PLACE OF RESIDENCE:  1838 S. 2nd Ave.
Maywood, Cook County, Illinois
SEX: Male
COLOR OR RACE: White
MARITAL STATUS: Married
WIFE'S NAME: Anna
TRADE OR PROFESSION: Gardener
INDUSTRY OR BUSINESS: Private Estates
DATE DECEASED LAST WORKED: October 1937
TOTAL TIME SPENT IN THIS OCCUPATION: 10 Years
DATE OF BIRTH: August 4, 1890
AGE: 48 Years, 5 Months, 21 Days
BIRTHPLACE: Oslo, Norway
FATHER'S NAME: Johannes Hansen Midtsjo
FATHER'S BIRTHPLACE: Ski, Norway
MOTHER'S MAIDEN NAME: Maria Johanson
MOTHER'S BIRTHPLACE: Eidsberg, Norway
INFORMANT:   Marvin G. Midtsjo
1838 S. 2nd Ave.
Maywood, Illinois
DATE OF DEATH: January 25, 1939
CAUSE OF DEATH: Chronic Mitral Endocarditis
DATE OF ONSET: 1925
CERTIFICATION:      I hereby certify that I attended
deceased from Jan 1935 to Jan 25
1939. I last saw him alive on
Sept. 1938; death is said to have
occurred on the date stated above
at 2:10 AM.
PHYSICIAN:  R. L. Reynolds, MD
Maywood, Illinois
PLACE OF BURIAL:  Mt. Olive Cemetery
Chicago, Illinois
DATE OF BURIAL: January 28, 1939
UNDERTAKER:  John M. Pederson & Sons
Maywood, Illinois

Related Biographies:

Karl Albert Midtsjø

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21045, published 28 August 2003, generated 17th November 2019 10:15:20 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21045-207.html