CERTIFICATE OF DEATH: Herman L. Davis, 1948:
Isabella County, Coe Township, Michigan

Contributed for use in USGenWeb Archives by
Carmen Clouse-McDonald  carmie1969@hotmail.com


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Transcript of Death Certificate:

CERTIFICATE OF DEATH
MICHIGAN DEPARTMENT OF HEALTH
Bureau of Records and Statistics

FULL NAME:  Herman L. Davis
Local File No. 3

Left Column reads:
PLACE OF DEATH:  County:  Isabella; Township: Coe
Length of stay in this community:  24 years
Sex: Male; Color or Race:  W; Married
Name of Wife:  Eva Grace Spinney; age if alive: 66
Birth date of deceased:  June 15, 1870
Birthplace:  Jasper Co, Mo
Usual Occupation:  Farmer
Industry or business:  Farm
Father Name:  John Davis; Birthplace: Rhode Island
Mother Name:  Susan Davis: Birthplace: New York State
Informant:  Orvist J. Davis; Address:  R3 Shepherd, Mich
Burial, cremation or removal:  Place:  Freemont twp, Isabella Co.
Cemetery: Freemont; Date: 2-25,1948
Funeral director's signature:  Robert A. Garber
Address:  Shephed, Mich
Filed:  2-28, 1948 Signed: L.H.Ardner, Local Registrar

Right Column reads:
Usual Residence of Deceased:  State: Mich; County: Isabella; Township: Coe
MEDICAL CERTIFICATION:
Date of death:  Feb. 22, 1948
I hereby certify that I attended the deceased from Oct 14, 1941 to Feb. 21, 
1948.
Death is said to have occurred on the date stated above at 10:30 p.m.
Immediate cause of death:  Mitral Insufficiency; Duration: 3 years
Other contributory causes of importance:  Arteris sclerosis: 6 years
Signature:  W.W. Harper, D.O.
Address:  Shepherd, Mich.