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Death Certificate of Charles DeCoursey (1916 - 1918) Charles was the third born child of Edwin J. and Mary (Pfaff) DeCoursey. Tragically, he was also the third child not to survive, their first lived only a few days and their second was still born. Charles was born in Mexia, Texas and died in Casa Grande, Arizona at the age of 1 year and 9 months about a year before the birth of their next child, William J. Prior to the discovery of this record Charles' existance was not known. Related Items Death records for his older brothers Edward R. and Baby Boy. Notices concerning his death in Casa Grande newspapers. Picture of Charles' tombstone in Mt. View Cemetery, Casa Grande, AZ. Birth records for his younger siblings William J., Mary Ann J., and Robert O. Accounts of family life in The DeCoursey Family written by Charles' cousin Frank and his sister Mary Ann. ARIZONA STATE BOARD OF HEALTH Bureau of Vital Statistics ORIGINAL CERTIFICATE OF DEATH   PLACE OF DEATH County______________ District______________ Town or City_________ No.________________St.   (If death occurred in a hospital or institution, give its NAME instead of street and number.) State Index No.  423   County Registered No.  544   Local Registrar's No._____ FULL NAME   Charles De Coursey   PERSONAL AND STATISTICAL PARTICULARS SEX   Male   COLOR OR RACE   White   SINGLE MARRIED WIDOWED OR DIVORCED   Single   DATE OF BIRTH (Month, Day, Year)   August 31  , 191  6   AGE   1    yrs   9    mos   17    days OCCUPATION     (a) Trade, profession, or particular kind of work   Baby       (b) General nature of industry, business, or establishment in which employed (or employer)__________ BIRTHPLACE (State or country)   Mexia, Texas   PARENTS     NAME OF FATHER   Edwin J. De Coursey       BIRTHPLACE OF FATHER (State or country)   Alma, Colorado       MAIDEN NAME OF MOTHER   Mary Poff       BIRTHPLACE OF MOTHER (State or country)   Leavenworth Kansas   The above is true to the best of my knowledge       (Informant)   Edwin J. De Coursey         (Address)   Casa Grande, Ariz   PLACE OF BURIAL OR REMOVAL   Martin  1 DATE OF BURIAL   Apr. 2 , 19  18   UNDERTAKER___________   ADDRESS   Casa Grande Ariz.   MEDICAL CERTIFICATE OF DEATH DATE OF DEATH (month, day, and year)   April 1 ,191  8  , I hereby certify, that I attended deceased from   March 17  , 191  8  , to   Apr 1  , 191  8  ; that I last saw h  im   alive on   Apr 1 , 191  8  , and that death occurred on the date stated above at   4 P m. The DISEASE or INJURY causing death was as follows:      Pneumonia Broncho       (Duration) ___yrs. ___mos.   14  ds. Was disease contracted in Arizona?   yes   CONTRIBUTORY ___________   (Duration) ___yrs. ___mos. ___ds. (Signed)   William G. Raber M.D. ,2 ________, 191___ (Address)   Casa Grande, Ariz   LENGTH OF RESIDENCE    At place of death   0  yrs.   1  mos.   0  ds.     In Arizona   0  yrs.   3  mos.   0  ds.    Former or usual residence   San Diego, Cal.   Filed   June 15th , 191  8     E G Lavers    Local Registrar Filed   June 20 , 191  8     W. G. Randall    County Registrar 1 Charles is buried in Mt. View Cemetery in Casa Grande. It is possible that "Martin" is the undertaker. 2 29-year old William Raber is enumerated in the 1920 Federal Census living in Winkelman Precinct in neighboring Gila County, Arizona, working as a doctor for a copper mining company.

Transcribed by Erica DeCoursey © 2004