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Death Certificate of
Edwin Eugene DeCoursey
(1858 - 1932)![]()
1. PLACE OF DEATH: County Wyandotte
STATE OF KANSAS
State Board of Health � Division Vital StatisticsSTANDARD
CERTIFICATE OF DEATH
205 31676
Township______________ Registered No. 33487
or
City Kansas City, Kansas No.___, ______St., _______Ward
(If death occurred in a hospital of institution, give its NAME instead of street and number)
2. FULL NAME: Edwin E. DeCoursey
(a) Residence. No. 444 North 17th. Kansas City, St. Kansas Ward. _____
(Usual place of abode) (If nonresident give city or town and state)
Length of residence in city or town where death occurred 26 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 White
5. Single, Married, Widowed, or Divorced (write the word) Married
5a. If married, widowed, or divorced HUSBAND of (or) WIFE of Catherine DeCoursey 2
6. DATE OF BIRTH (month, day, and year) Oct. 5 1858
7. AGE 73 Years 11 Months 14 Days
OCCUPATION
8. Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. Creamery Business
9. Industry or business in which work was done, as silk mill, saw mill, bank, etc. Retired
10. Date deceased last worked at this occupation (month and year) 10 years
11. Total time (years) spent in this occupation 16
12. BIRTHPLACE (city or town) Leavenworth 3
(State or country) Kansas
FATHER
13. NAME James DeCoursey
14. BIRTHPLACE (city or town) Nova Scotia
(State or country) __________
MOTHER
15. MAIDEN NAME Mary Murphy
16. BIRTHPLACE (city or town) _________
(State or country) Illinois 4
17. Informant Catherine DeCoursey
(Address) 444 North 17. K. C. K.
18. BURIAL, CREMATION, OR REMOVAL
Place Leavenworth Date Set. [sic] 22 , 19 32
19. UNDERTAKER Jos. A. Butler & Son
(Address) K. C. K.
20. Filed 9-21- 19 32 Howard Payne Registrar.
MEDICAL CERTIFICATE OF DEATH
21. DATE OF DEATH (month, day, and year) Sept 19 , 19 32 ,
22. I HEREBY CERTIFY, That I attended deceased from May 6th , 19 29 , to 9-19 , 19 32 . I last saw h im alive on 9-19 , 19 32 , death is said to have occurred on the date stated above at 7 P m.
The principal cause of death and related causes of importance in order of onset were as follows:
Cerebral hemorrhage
1st hemorrhage three yrs ago resulting in left hemiplegia 5
Contributory causes of importance not related to principal cause:
Gen Arteresclerosis [?]
Name of operation none Date of
What test confirmed diagnosis observation [?] Was there an autopsy? No
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? No
If so, specify ____
(Signed) Geo M Gray ,6 M.D.
(Address) Ks
1 26 years in Kansas City would mean he moved there from Leavenworth about 1906, which is supported by other sources.
2 Catherine was Edwin's second wife. His first wife Mary McCormick died in 1909. Edwin and Catherine were married in 1918. It was her second marriage as well, her first husband, with whom she had three children, was John Ellis. Catherine's maiden name is unknown, though sources indicate it may have been Downs.
3 Edwin was most likely born in McCamish Township in Johnson County, Kansas, not Leavenworth. Sources indicate his parents settled there in March of 1858, and they are enumerated living there in the 1859 Kansas Territorial census.
4 Mary Murphy was not born in Illinois, but rather in Ontario, Canada. She and her family did, however, live in Stephenson County, Illinois. She and James were married there in 1857.
5 Hemiplegia is the total paralysis of the arm, leg, and trunk on the same side of the body (in this case the left side). It is most often caused by stroke, but can also be caused by a variety of other things.
6 Dr. George Morris Gray was apparently a very prominent physician in Kansas City. Another biography on him from 1912 can be found here. He was also mayor of the city for a short period of time in 1906 and 1907.
| Transcribed by Erica DeCoursey
© 2002 |
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