Anna Sofia Sjöblom (Death Certificate)

WASHINGTON STATE
DEPARTMENT OF SOCIAL AND HEALTH SERVICES 
BUREAU OF VITAL STATISTICS 
CERTIFICATE OF DEATH #26861 
NAME OF DECEASED: Anna Sophia Kincaid
PLACE OF DEATH:  215 East 10th St.
Olympia, Thurston County
USUAL RESIDENCE: Olympia, Thurston County
SEX: Female
RACE: White
OCCUPATION: Housewife
KIND OF BUSINESS: At Home
MARITAL STATUS: Widowed
SURVIVING SPOUSE: None
DATE OF BIRTH: April 14, 1894
AGE: 81
PLACE OF BIRTH: Finland
FATHER'S NAME: Gabriel Gustavson
MOTHER'S MAIDEN NAME: Unknown (Note: Johanna Nelson)
INFORMANT:   Mr. Harold Kincaid (son)
3110 46TH Ave. N.W.
Olympia, Washington 98502
DATE OF DEATH: November 3, 1975
CAUSE OF DEATH: Acute vascular accident
INTERVAL FROM ONSET: Instantaneous
CONTRIBUTORY:  Arteriosclerotic Cardiovascular Disease
INTERVAL FROM ONSET: 20 Years
OTHER CONDITIONS: Osteoarthritis
CERTIFICATION:        I attended the deceased from
10/16/56 to 11/3/75 and last
saw her alive on 9/22/75. I
did not view the body after
death. Death occurred at the
place, on the date, and to
the best of my knowledge,
due to the causes stated.
PHYSICIAN:   Ferne S. Focht, MD
500 No. Lilly Rd.
Olympia, Washington 98507
PLACE OF BURIAL:  Mountain View Cemetery
Tacoma, Washington
DATE OF BURIAL: Nov. 8, 1975
FUNERAL HOME:   Selene Mortuary
202 E. 9th St.
Olympia, Washington

Related Biographies:

Anna Sofia Sjöblom

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21060, published 28 August 2003, generated 12th November 2019 09:57:33 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21060-222.html