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Kern, Mary Ellen "Ella" (Death Record)

KERN, SHOEMAKER, PAEPER

Posted By: Viv Reeves, Volunteer (email)
Date: 2/9/2007 at 19:08:08

From the Register of Deaths, Plymouth County, Iowa:
Volume/Page: 4-236
Place of Death-
County: Plymouth
City or Town: LeMars
Length of Stay: 43 days
Full name of Hospital or Institution: Sacred Heart Hospital
Usual Residence-
State: Iowa
County: Plymouth
Town: LeMars
St. Address: 335 2nd Ave, NW
Name of Deceased: Mary Ellen Kern
Date of Death: Oct. 8, 1957
Sex: Female
Color or Race: White
Marital Status: Widowed
Date of Birth: Feb. 17, 1887
Age last Birthday: 70
Usual Occupation: Housework
Kind of Business: Home
Birthplace: Maurice, Iowa
Citizen of what country: USA
Father's Name: Theo Shoemaker
Mother's Maiden Name: Louisa Paeper
Veteran of what war: No
Social Security Number: 480-28-4418
Informant's Name: Mrs. Clyde Coppock, LeMars
Cause of Death: Cerebrovascular hemorrhage. Arteriosclerotic cardiovascular disease.
Attendant's Name and Title: L. C. O'Toole, M. D.
Attendant's Address: LeMars, Iowa
Date signed: 10-9-57
Burial, Cremation or Removal: Burial
Date: 10-10-57
Name of Cemetery or Crematory: City
Location: LeMars, Iowa
Name of Funeral Director: S. H. Luken
Address: LeMars, Iowa
License No.: 142
Date Rec'd by Local Registrar: Oct. 16, 1957
Registrar's Name:
File No.: #129
Date Registered by Co. Reg.: Oct. 17, 1957
Name of Co. Registrar: E. F. Remer


 

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