1941 MACDONALD SUTHERLAND, JESSIE (Michigan Certificate of Death 275190)

Field Detail
Publication  
Originator / Author  
Date 14/Feb/1941
Responsible Agency Michigan Department of Health
Filed by Entry  
References  

Text

CERTIFICATE OF DEATH

MICHIGAN DEPARTMENT OF HEALTH

Bureau of Records and Statistics

State file No. 275190


Social Security No.: None

If veteran, name war: None

Full Name: Jessie MacDonald Sutherland

Local File No. 1945


Place of Death:

  • County: Wayne

  • City: Detroit

  • Name of Hospital: Grace


Length of Stay:

  • in Hospital: 1 day

  • in this community: 17 years


Usual Residence of Deceased:

  • State: Mich.

  • County: Wayne

  • City: Detroit

  • Street No. 9751 Holmur

  • If foreign born, how long in U.S.A.: Scotland years


Sex: Female

Color or Race: White

Condition: Married

Husband:

  • Name: Donald Sutherland

  • Age, if alive: 67


Birth date of deceased: July 7, 1869

Birthplace: Scotland

Usual Occupation: Housewife

Industry or business: Home


Father:

  • Name: Jame MacDonald

  • Birthplace: Scotland


Mother:

  • Name: Christina Ross

  • Birthplace: Scotland


Informant: Donald Sutherland

Address: 9751 Holmur Ave.


Burial

  • Place: Detroit, Mich.

  • Cemetary Grandlawn

  • Date: Feb. 15, 1941

Funeral Director:

  • Name: John Armstrong

  • Address: 10300 Puritan Ave.


MEDICAL CERTIFICATION

Date of Death: Feb 12, 1941

I hereby certify that I attended the deceased from Feb 10, 1941 to Feb 12, 1941. I last saw her alive on Feb. 12, 1941. Death is said to have occurred on the date above at 12:45 PM


Immediate cause of death: __ ___

Duration: 5 years

Other contributory causes of importance: __; Massive Gastro-intestinal hemorrages - 4 days


Was disease or injury related to occupation or deceased: No

Signature: C. E. Thompon M.D.

Address: 1190 S-Grand River Ave. Detroit, Mich.



Filed: Feb 14, 1941

Source Referenced by