| WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH #26861 | |
| NAME OF DECEASED: | Anna Sophia Kincaid |
| PLACE OF DEATH: | 215 East 10th St. Olympia, Thurston County |
| USUAL RESIDENCE: | Olympia, Thurston County |
| SEX: | Female |
| RACE: | White |
| OCCUPATION: | Housewife |
| KIND OF BUSINESS: | At Home |
| MARITAL STATUS: | Widowed |
| SURVIVING SPOUSE: | None |
| DATE OF BIRTH: | April 14, 1894 |
| AGE: | 81 |
| PLACE OF BIRTH: | Finland |
| FATHER'S NAME: | Gabriel Gustavson |
| MOTHER'S MAIDEN NAME: | Unknown (Note: Johanna Nelson) |
| INFORMANT: | Mr. Harold Kincaid (son) 3110 46TH Ave. N.W. Olympia, Washington 98502 |
| DATE OF DEATH: | November 3, 1975 |
| CAUSE OF DEATH: | Acute vascular accident |
| INTERVAL FROM ONSET: | Instantaneous |
| CONTRIBUTORY: | Arteriosclerotic Cardiovascular Disease |
| INTERVAL FROM ONSET: | 20 Years |
| OTHER CONDITIONS: | Osteoarthritis |
| CERTIFICATION: | I attended the deceased from 10/16/56 to 11/3/75 and last saw her alive on 9/22/75. I did not view the body after death. Death occurred at the place, on the date, and to the best of my knowledge, due to the causes stated. |
| PHYSICIAN: | Ferne S. Focht, MD 500 No. Lilly Rd. Olympia, Washington 98507 |
| PLACE OF BURIAL: | Mountain View Cemetery Tacoma, Washington |
| DATE OF BURIAL: | Nov. 8, 1975 |
| FUNERAL HOME: | Selene Mortuary 202 E. 9th St. Olympia, Washington |
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