Death Certificate of
George J. Becker
(1866 - 1932)
George was the son of James W. (De)Coursey's younger sister Elizabeth. She was born in Bangor, Maine in 1835. She married George M. Becker in Leavenworth in 1865, their only child George was born about a year later. Elizabeth died 4 days after his birth, nothing is known about the life of George Sr. He appears to have either died or left, as George was raised in his uncle James' family. He did not marry, and lived with the DeCoursey family on their farm until around 1907 when most of them had moved to Kansas City. It appears he stayed in Leavenworth, working as a farm manager on a farm in High Prairie Township that was owned by his cousin Edwin E. in 1905 and might have been James (De)Coursey's Stone Hinge. Four years before his death, in about 1928, he moved to neighboring Atchison County, Kansas.
STATE OF KANSAS
State Board of Health � Division Vital Statistics |
STANDARD
CERTIFICATE OF DEATH |
203 3949 |
1. PLACE OF DEATH: County Atchison
Township______________ Registered No. 125 3-E
or
City Atchison No. Atchison Hospital St., _______Ward
(If death occurred in a hospital of institution, give its NAME instead of street and number)
2. FULL NAME: George Becker
(a) Residence. No. 501 1/2 Commercial St., _______Ward. ______
(Usual place of abode) (If nonresident give city or town and state)
Length of residence in city or town where death occurred 4 yrs.1 __mos. __ds.
How long in U.S. if of foreign birth? __yrs. __mos. __ds.
Was deceased ever a member of the Army, Navy, or Marine Corps of the United States? No
PERSONAL AND STATISTICAL PARTICULARS
3. SEX Male
4. COLOR OR RACE Wht
5. Single, Married, Widowed, or Divorced (write the word) Single
5a. If married, widowed, or divorced HUSBAND of (or) WIFE of __________
6. DATE OF BIRTH (month, day, and year) Sept 1866
7. AGE 65 Years 8 Months ___Days
OCCUPATION
8. Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. None
9. Industry or business in which work was done, as silk mill, saw mill, bank, etc. __________
10. Date deceased last worked at this occupation (month and year) __________
11. Total time (years) spent in this occupation __________
12. BIRTHPLACE (city or town) Leavenworth
(State or country) Kans.
FATHER
13. NAME George Becker
14. BIRTHPLACE (city or town) __________ (State or country) Unknown 2
MOTHER
15. MAIDEN NAME Elizabeth De Coursey 3
16. BIRTHPLACE (city or town) _________ (State or country) Unknown
17. Informant Harry De Coursey 4
(Address) 1025 S 4th Leavenworth, Kans.
18. BURIAL, CREMATION, OR REMOVAL
Place Leavenworth Date May 31st , 19 32
19. UNDERTAKER O Donnell Undertaking Co.
(Address) Leavenworth, Kansas
20. Filed 5/31/ 19 31 Nelle Blythe Registrar.
MEDICAL CERTIFICATE OF DEATH
21. DATE OF DEATH (month, day, and year) May 29th , 19 32 ,
22. I HEREBY CERTIFY, That I attended deceased from May 28 , 19 32 , to May 29 , 19 32 . I last saw h im alive on May 29 , 19 32 , death is said to have occurred on the date stated above at 12:00 m. Noon
The principal cause of death and related causes of importance in order of onset were as follows:
Hemorrhage from Stomach Ulcer??? Date of onset May 28, 1932
Contributory causes of importance not related to principal cause: Myocarditis 5
Name of operation No Date of
What test confirmed diagnosis? _______ Was there an autopsy? ____
23. If death was due to external causes (violence) fill in also the following: [...]
24. Was disease or injury in any way related to occupation of deceased? ____
If so, specify ____
(Signed) WF Smith , M.D.
(Address) May 29, 1932 Atchison KS
1 4 years residence in Atchison means George would have moved there about 1928. I believe he lived in Leavenworth previously. I have been unable to locate him in the 1930 US census.
2 George Becker Sr. is believed to have been born in Kansas, though I have not been able to find any trace of him or his family.
3 Elizabeth (Coursey) Becker was James William Coursey's sister. She is believed to have been born in Maine. She died on 16 Sep 1866 probably from complications of childbirth, as George was born on the 12th. His father also died in 1866. George was raised by his uncle James W. and wife Mary.
4 Harry (Thomas H.) DeCoursey was one of James W.'s sons, and therefore George's cousin.
5 Myocarditis is an inflammation or degeneration of the heart muscle. It causes symptoms of heart failure, which may mimic a heart attack. It is an uncommon disorder most often caused by viral infection, but may also appear as a primary disease in adults or as a degenerative disease of old age.
|