Richard F. Becker (Death Certificate)

STATE OF ILLINOIS 
CERTIFICATE OF DEATH # 75049008   
NAME OF DECEASED: Richard F. Becker
SEX: Male
DATE OF DEATH: September 6, 1975
RACE: White
AGE: 65 Years
DATE OF BIRTH: June 26, 1910
PLACE OF DEATH:  Proctor Community Hospital
Peoria, Illinois
BIRTHPLACE: India
CITIZEN OF WHAT COUNTRY?: USA
MARITAL STATUS: Widowed
SOCIAL SECURITY #: 319-30-0530
USUAL OCCUPATION: Safety Supervisor
KIND OF BUSINESS: Tractor Co.
US WAR VETERAN?" No 
RESIDENCE:  2139 N. Wellington Dr.
Peoria, Peoria County, Ill.
FATHER'S NAME: Allen O. Becker
MOTHER'S MAIDEN NAME: Nellie Baumgarten
INFORMANT:   Richard F. Becker, Jr.
586 Beechwood Rd.
Buffalo Grove, Ill 60090
RELATIONSHIP: Son
CAUSE OF DEATH: Hypernephroma of Left Kidney
INTERVAL FROM ONSET: 3 Weeks
CERTIFICATION:    I attended the deceased from
August 24, 1970 to September 6,
1975 and last saw him alive on
September 6, 1975.
HOUR OF DEATH: 5:10 A.M.
PHYSICIAN:   Ameel G. Rashid, M.D.
723 NE Glen Oak Ave.
Peoria, Ill.
PLACE OF BURIAL:  Swan Lake Memory Gardens
Peoria, Illinois
DATE OF BURIAL: September 9, 1975
FUNERAL HOME:   Gauss Memorial Chapel
6501 N. Sheridan Rd.,
Peoria, Ill. 61614
FUNERAL DIRECTOR: Warren C. Gauss

Related Biographies:

Richard F. Becker

Acknowledgements

Phillip Gowan

Citation

Encyclopedia Titanica (2003) Richard F. Becker (Death Certificate) ( ref: #20979, published 1 August 2003, generated 1st December 2020 03:30:26 PM); URL : https://www.encyclopedia-titanica.org/richard-f-becker-death-certificate.html