Death Certificates


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Sowinski, Anne

Medical Certificate of Death
Place of death: Resurrection Hospital, Chicago, Cook, Illinois
Length of stay: 3 days
Usual residence: 5622 N. Mulligan Avenue, Chicago, Cook, Illinois
Length of residence: 60 yrs
Lived on a farm: No
Name: Anna Sowinski
Date of death: Dec. 30, 1965, age 77 years
Date of birth: 2-22-1888
Birthplace: Poland
Citizen of what country? USA
Female, White, Widow, Home maker, At home
Father: Unknown Cyrwus
Mother's full maiden name: Not Known
In U.S. armed forces: No.
Social Security Number: Unknown
Informant Signature: S. M. Leonard, 7435 Talcott Avenue, Chicago, Illinois
Relationship of informant to deceased: Hosp. Records
Medical Cause of Death
Immediate cause: Acute congestive heart failure
Interval between onset and death: 12 hrs
Underlying cause: Coronary sclerosis, interval: unknown
Autopsy: Yes.
Other significant conditions contributing: acute pulmonary embolism; acute duodenal ulcers with gastro intestinal hemorrhage; Gangrene - left leg
Operation: 12/27/65, findings: Embolism, popliteac artery
Dr. S. A. Milewski
I hereby attended that I attended the deceased from Dec. 27, 1965, to Dec. 30, 1965, that I last saw the deceased alive on Dec. 30, 1965, and death occurred at 12:10 P.M. from the causes and on the date listed above.
Signed: Stanley A. Milewski, M.D., Dec. 30, 1965, 3929 N. Central Avenue, Chicago Illinois
Burial: 1-3-66, cemetery: St. Adalberts, location: Niles, Cook, Illinois
Funeral director: Potenek Funeral Home, Roy J. Gaseor(?), 5735 Fullerton, Chicago Illinois
Received for filing on: Dec 31 1965, Samuel L. ???, local registrar
Stamped Jan 17, 1995
Source: Illinois Department of Public Health, Bureau of Vital Statistics, Medical Certificate of Death state file number 91183 (1965), Anna Sowinski.

Sowinski, Anne

Owner/Source  Kathy Marshall 
File name  Anne_Sowinski__Death_.jpg 
ID  26 
Dimensions  x  
Linked to  Anna CYRWUS 
Albums  Kathy Marshall Materials 

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