DEATH CERTIFICATE FOR MARY A. CARNS
State of Illinois 37816 266 5423 ( these numbers at top of
certificate)
Place of death: County of Randolph, Coulterville, IL
Full name: Mary A. CARNS
Residence: Coulterville, Randolph, Illinois
Sex: Female
Color: White
Status at death: Widow
Date of Birth: April 10, 1855
Age: 78 yrs 6 months 14 days
Profession: Housework
Date last worked at this profession: 1932
Total years spent at this occupation: 50 yrs
Birthplace: IL
Father name: John McLaughlin
Birthplace of father: Ireland
Mother name: Mary E. McLaughlin
Birthplace of mother: Ireland
Informant: J. M. Shaw
Informant address: Coulterville, Randolph, IL
Place of Burial: Coulterville Cemetary Oct 25, 1933
Location of cemetary: Coulterville, Randolph, Illinois
Undertakers: R. M. Burns
Names of firm: Burns ? unreadable... Coulterville, Randolph, IL
Date of death: Oct. 23, 1933
I hereby certify that I attended deceased from April 20, 1933 to October
23, 1933 I last saw her alive on October 24, 1933 (note this the the day
after stated death date) at 10:00 A.M. The principal cause of death and
related causes of importance were as follows: Chronic Unyacaribilty?
Chronic Parinchgrsiatime Uychristis???? (cannot read the Doctors
writing) no operation was preformed, no autopsy test
confirmed.Lavocatory of onistouse???
Signed: H. B. Drikursan M. D. Coulteville, Randolph, IL Oct 27, 1933
telephone 370
Filed Oct 27, 1933 H. W. Katludrske ? Coulterville, IL
This is my translation of the death Certificate of my Great Grandmother
Mary Ann McLaughlin CARNS.
Marcia