| STATE OF ILLINOIS MEDICAL CERTIFICATE OF DEATH # 19978 | |
| NAME OF DECEASED: | Hilda Marie Larson |
| PLACE OF DEATH: | 206 West Livingston Reading Township, Streator, Illinois |
| LENGTH OF STAY: | 46 Days |
| USUAL RESIDENCE: | 1870 Green Bay Road Highland Park, Lake County Illinois |
| LENGTH OF RESIDENCE: | 50 Years |
| SEX: | Female |
| RACE: | White |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | December 7, 1889 |
| PLACE OF BIRTH: | Sweden |
| DATE OF DEATH: | March 16, 1962 |
| AGE: | 72 Years |
| USUAL OCCUPATION: | Housewife |
| KIND OF BUSINESS: | Own home |
| CITIZEN OF WHAT COUNTRY?: | USA |
| FATHER'S NAME: | Unknown |
| MOTHER'S MAIDEN NAME: | Unknown |
| INFORMANT: | Ellen M. Centko (daughter) 206 W. Livingston Streator, Illinois |
| CAUSE OF DEATH: | Carcinoma, generalized |
| INTERVAL FROM ONSET: | 1 month |
| DUE TO: | Carcinoma of uterus |
| INTERVAL FROM ONSET: | 3 months |
| CERTIFICATION: | I hereby certify that I attended the deceased from Jan. 1, 1962, to Mar. 16, 1962, that I last saw the deceased alive on March 14, 1962, and death occurred at 12:30 A.M., from the causes and on the date stated above. |
| PHYSICIAN: | R. S. Moore, MD Streator, Illinois |
| PLACE OF BURIAL: | Memorial Park Skokie, Illinois |
| DATE OF BURIAL: | 3/19/62 |
| FUNERAL DIRECTOR: | Winterrowd Funeral Home 305 South Park Streator, Illinois |
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