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

Field Detail
Date 14/Feb/1941
Responsible Agency Michigan Department of Health

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

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