.
STATE OF:
Michigan
File Number:
127
CERTIFICATE OF DEATH
DEPARTMENT OF PUBLIC HEALTH


Record Redesigned from original recorded public records to avoid violation of direct reproduction/copyright laws.
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DECEASED



DECEASED NAME:
Charlie Everingham
SEX
M
DATE OF DEATH:
April 10, 1966
STATE OF BIRTH:
Canada
Place of Death:
Carson City Hospital (1 day)
AGE
81
Date of Birth:
November 4, 1884
OCCUPATION:
farmer
City of DEATH:
Carson City
County of DEATH:
Montcalm, MI
ADDRESS:
Carson City, MI
Surviving Spouse:
Clara Jane Everingham
PARENTS

FATHER:
Ira Everingham
MOTHER:
Louise
Informant

Informant:
Raymond Everingham (son)
Address:
Carson City, Montcalm co., MI
CAUSE



IMMEDIATE CAUSE:
Respiratory Failure
INTERVAL:
12 hrs
CAUSE:
Medullary Paralysis
INTERVAL:
12 hrs
CAUSE:
Cerebral hemorrhage
INTERVAL:
36 hrs
OTHER CONDITIONS:
Arteriosclerosis
BURIAL

All Burial Information:
No Social Security Number
Bloomer Cemetery, Bloomer Township, Montcalm County, MI

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