| MINNESOTA DEPARTMENT OF HEALTH CERTIFICATE OF DEATH # 1-2283031689 | |
| NAME OF DECEASED: | Nelle Stevenson Snyder |
| SEX: | Female |
| DATE OF DEATH: | December 9, 1983 |
| AGE: | 94 |
| DATE OF BIRTH: | January 15, 1889 |
| RACE: | Caucasian |
| COUNTY OF DEATH: | Hennepin |
| LOCATION OF DEATH: | Wayzata |
| BIRTHPLACE: | Wisconsin |
| CITIZEN OF WHAT COUNTRY? USA | |
| MARITAL STATUS: | Widow |
| SPOUSE: | John Pillsbury Snyder |
| SOCIAL SECURITY NUMBER: | 470-07-6354 |
| OCCUPATION: | Homemaker |
| RESIDENCE: | 520 Indian Mound Street Wayzata, Hennepin County, Minnesota |
| FATHER'S NAME: | Thomas W. Stevenson |
| FATHER'S BIRTHPLACE: | Wisconsin |
| MOTHER'S MAIDEN NAME: | Cora Vincent |
| MOTHER'S BIRTHPLACE: | Wisconsin |
| INFORMANT: | John P. Snyder 2520 Cedar Pt. Rd. Wayzata, MN |
| CAUSE OF DEATH: | Congestive Heart Failure |
| DUE TO: | Aortic Stenosis |
| OTHER SIGNIFICANT CONDITIONS: | Osteoarthritis Diabetes Mellitus |
| CERTIFICATION: | I attended he deceased from January 4, 1966 to December 9, 1983 and last saw her alive on December 6, 1983. I did not view the body after death. Death occurred at 9:55 A.M. at the place and time and on the date stated above and to the best of my knowledge due to the causes stated. |
| PHYSICIAN: | Kamal Lumar Sahgal 250 N. Central Ave. Wayzata, MN 55347 |
| PLACE OF BURIAL: | Lakewood Cemetery Minneapolis, Minnesota |
| DATE OF BURIAL: | December 12, 1983 |
| FUNERAL HOME: | Washburn McReavy Chapels 2301 Dupont Ave. S. Minneapolis, Minn. 55405 |
| FUNERAL DIRECTOR: | James I. Paulman |
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