Velin Matilda Öhman (Death Certificate)

STATE OF ILLINOIS 
MEDICAL CERTIFICATE OF DEATH # 66-062173 
NAME OF DECEASED: Vivian Forsander
PLACE OF DEATH:  Little Co. of Mary Hospital
Evergreen Park, Illinois
LENGTH OF STAY: DOA
SEX: Female
RACE: White
MARITAL STATUS: Widowed
USUAL RESIDENCE:  2525 W. 99th St.
Chicago, Illinois
LENGTH OF RESIDENCE: 54 Years
USUAL OCCUPATION: Housewife
KIND OF BUSINESS: Own Home
DATE OF BIRTH: March 14, 1892
AGE: 74 Years
PLACE OF BIRTH: Sweden
CITIZENSHIP: USA
FATHER'S NAME: Unknown
MOTHER'S MAIDEN NAME: Unknown
INFORMANT:  Mrs. Carson, daughter
2525 W. 99th St.
DATE OF DEATH: November 19, 1966
CAUSE OF DEATH: Coronary Occlusion
INTERVAL FROM ONSET: Sudden
DUE TO: Generalized Arteriosclerosis
INTERVAL FROM ONSET: Years
CERTIFICATION:       I hereby certify that I attended
the deceased from -- to Nov. 19,
1966, that I last saw the deceased
alive on Nov. 14, 1966, and death
occurred at 4:30 PM from the
causes and on the date stated above.
PHYSICIAN:   Wesley H. Ryd, MD
1832 E. 87th St.
Chicago, Illinois
PLACE OF BURIAL:  Chapel Hill Gardens
West Elmhurst, DuPage Co., Illinois
DATE OF BURIAL: 11-22-66
FUNERAL DIRECTOR:   W. W. Fern & Sons
10001 S. Western
Chicago, Illinois

Related Biographies:

Velin Matilda Öhman

Acknowledgements

Phillip Gowan

Comment and discuss

500
Leave a comment...

Citation

Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21055, published 28 August 2003, generated 23rd July 2019 05:56:55 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21055-217.html