| STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF DEATH # 71-044102 | |
| NAME OF DECEASED: | Emilie Wurm |
| PLACE OF DEATH: | St. Joseph's Hospital Park Hill & Buena Vista Ave. San Francisco |
| USUAL RESIDENCE: | 1319 30th Avenue San Francisco, California |
| SEX: | Female |
| COLOR OR RACE: | White |
| OCCUPATION: | Housewife |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | October 1, 1882 |
| PLACE OF BIRTH: | Germany |
| CITIZEN OF WHAT COUNTRY?: | USA |
| FATHER'S NAME: | Theodore Kreuchen |
| FATHER'S BIRTHPLACE: | Germany |
| MOTHER'S MAIDEN NAME: | Anna Bauer |
| MOTHER'S BIRTHPLACE: | Germany |
| INFORMANT: | Mrs. Anna Schneider (sister) 491 Anita Drive Millbrae, California 94030 |
| DATE OF DEATH: | March 25, 1971 |
| HOUR OF DEATH | 9:15 AM |
| CAUSE OF DEATH: | Pulmonary Edema |
| INTERVAL FROM ONSET: | 12 Hours |
| DUE TO: | Decompensated arteriosclerotic heart disease |
| INTERVAL FROM ONSET: | 6 Months |
| DUE TO: | Arteriosclerosis of coronary arteries |
| INTERVAL FROM ONSET: | Several years |
| CERTIFICATION: | I hereby certify that death occurred at the hour, date, and place stated above from the causes stated and that I attended deceased from 4/19/68 to 3/25/71 and that I last saw her alive on 3/25/71. |
| PHYSICIAN: | Arthur Tremenborg, MD 760 Market Street |
| METHOD OF DISPOSAL: | Cremation |
| DATE OF CREMATION: | March 29, 1971 |
| NAME OF CREMATORY: | Cypress Lawn Colma, California |
| FUNERAL DIRECTOR: | Gantner Felder Kenny |
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