| STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF DEATH # 61-042902 | |
| NAME OF DECEASED: | Edward Pennington Calderhead |
| SEX: | Male |
| COLOR OR RACE: | Caucasian |
| PLACE OF DEATH: | Hollywood Presbyterian Hospital 1322 North Vermont Los Angeles, California |
| LENGTH OF STAY IN CALIFORNIA: | 24 Years |
| USUAL RESIDENCE: | 1621 North Hobart Blvd. Los Angeles, California |
| OCCUPATION: | Salesman |
| NAME OF LAST EMPLOYER: | George Pabst Engraving Co. |
| KIND OF BUSINESS: | Engraving |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | June 4, 1869 |
| PLACE OF BIRTH: | Pennsylvania |
| AGE: | 91 Years |
| FATHER'S NAME: | Edward Calderhead |
| MOTHER'S MAIDEN NAME: | Josephine Conrad |
| INFORMANT: | Margaret Calderhead 1621 North Hobart Blvd. Los Angeles, California |
| DATE OF DEATH: | April 5, 1961 |
| TIME OF DEATH: | 7:10 P.M. |
| CAUSE OF DEATH: | Pulmonary Edema |
| INTERVAL FROM ONSET: | 3 Hours |
| DUE TO: | Cerebral Vascular Accident |
| INTERVAL FROM ONSET: | 7 Days |
| DUE TO: | Generalized Arteriosclerosis |
| INTERVAL FROM ONSET: | 20 Years |
| OTHER SIGNIFICANT CONDITION: | Hypertensive Heart Disease |
| CERTIFICATION: | I hereby certify that death occurred at the hour, date and place stated above from the causes stated and that I attended the deceased from 11-6-58 to 9-5-61 and that I last saw the deceased alive on 4-5-61. |
| PHYSICIAN: | Junger M. Reinhold, M.D. 2650 Griffith Park Blvd. |
| PLACE OF BURIAL: | Forest Lawn Memorial Park Glendale, California |
| DATE OF BURIAL: | April 8, 1961 |
| FUNERAL DIRECTOR: | Forest Lawn Memorial Park Glendale, California |
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