Cook County IL Archives Deaths.....Rusin, Wladislaw February 10, 1904 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/il/ilfiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Keely Deuschle keelyde@bellsouth.net September 29, 2009, 10:02 am Name: Rusin, Wladislaw Date Of Death: February 10, 1904 Time: 6:00 PM Place Of Death: 387 W Chicago Ave Residence: Unavailable Gender: Male Race: W Age: 6 Mths Marital Status: Single Spouse: None, None Date Of Birth: Unavailable Place Of Birth: Chicago Mother's Name: Unavailable, Unavailable Mother's Birthplace: Austria Father's Name: Unavailable, Unavailable Father's Birthplace: Austria Cause Of Death: Capillary Bronchitis Hospital: Unavailable SS Number: Unavailable Occupation: Unavailable Funeral Home: Jozeph Korzeniewski Doctor: S. W. Menclewski, M.D. Coroner: Unavailable Informant: Unavailable Date Of Burial: February 12, 1904 Place Of Burial: Polish Cemetery (St. Adelbert) Date Recorded: February 10, 1904 Source Of Record: Department of Health: City of Chicago: Undertaker's Report of Death Certificate No.: 9208 Address of undertaker: 320 W. Carpenter St Witness: S. W. Menclewski, M.D. Address: 201 Sohaller St, Flat I Telephone: Dearborn 4404 Witness Dated: 10 Feb 1904 Additional Comments: Believe that this child is the son of Frank and Josephine (Kielbasa) Rusin. Parents names not included, but a birth of a child named Wladislaw was born 4 days shy of 6 months prior to a Frank and Josephine/Josie Rusin in Chicago. File at: http://files.usgwarchives.net/il/cook/vitals/deaths/rusin55gdt.txt This file has been created by a form at http://www.genrecords.org/ilfiles/ File size: 2.0 Kb