Orland William Carver Sr Death Certificate 1930.05.12 Sioux City Iowa
Description:
Orland William Carver Sr Death Certificate
Source:
State of Iowa Death Certificate, Sioux City, Woodbury, Iowa Registered No 441
Transcription:
Orland William Carver Sr Death Certificate
Source:
State of Iowa Death Certificate, Sioux City, Woodbury, Iowa Registered No 441
Transcription:
Place of Death
|
County: Woodbury State:
Iowa Registered No: 441
City: Sioux City No.:
Methodist
|
Full Name
|
Orland W. Carver
|
Residence
|
206 East 4th St, South Sioux City, Neb
|
Sex
|
M
|
Color or Race
|
White
|
Marital
|
Widowed
|
Date of Birth
|
Nov 20, 1869
|
Age
|
60 years, 5 months, 22 days
|
Occupation
|
Labor. Date Last Worked: Dec, 1927. Total Years in Occupation: 40
|
Birthplace
|
Janesville, Wis
|
Parents' Names
|
Unknown
|
Informant
|
Robert A Carver, Norfolk, Neb
|
Burial
|
Dakota City, Nebr May 14, 1930
|
Date of Death
|
May 12, 1930
|
I Hereby Certify
|
That I attended deceased from April 1, 1930 to May 12, 1930. I last saw him alive on May 12, 1930. Death is said to have occurred on the date stated above at 4 a.m.
|
Cause of Death
|
Acute Dilation of Heart. Date of onset May 11.
|
Contributary Causes
|
Prostatectomy, Apr 21, 1930.
|
Image:
0 comments:
Post a Comment