.BARRY .
| JOSEPH R.
BARRY
JULY 14, 1976 contributor: Richard
A. McLean
|
contributor: Richard
A. McLean
DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH ORIGINAL CERTIFICATE OF DEATH STATE FILING DATE FEB - 8 1973 STATE DEATH NO. 73 000172 LOCAL FILE NUMBER 133 DECEASED--NAME First Middle Last 1. Alice COREY SEX 2. Female DATE OF DEATH Month Day Year 3. January 24, 1973 RACE--White, Negro, American Indian, Etc. 4. White (Specify) Age Last Birthday Years 5a. 83 Under One Year Months Days 5b. Under One Day Hours Minutes 5c. DATE Month Day Year OF BIRTH 6. September 14, 1889 COUNTY OF DEATH 7a. Brown NAME OF CITY, VILLAGE (If Neither, Name Township) (Location of Death) 7b. Green Bay Inside City or Village Limits 7c. X Yes No HOSPITAL OR OTHER INSTITUTION--NAME (If Not in Either Give Street and Number or Location) 7d. St. Vincent's Hospital STATE OF BIRTH (If Not in U.S.A., Name Country) 8. Wisconsin CITIZEN of What Country 9. USA X Married Never Married 10. Widowed Divorced SURVIVING SPOUSE (If Wife, Give Maiden Name) 11. Floyd Corey SOCIAL SECURITY NO. 12. 391-09-4528B* USUAL OCCUPATION Give Kind of Work During Most of Working Life Even if Retired 13a. Housewife KIND OF BUSINESS OR INDUSTRY 13b. Own Home RESIDENCE: STATE 14a. Wisconsin COUNTY 14b. Brown NAME OF CITY, VILLAGE (If Neither, Name Township) 14c. Green Bay Inside City or Village Limits 14d. X Yes No MAILING ADDRESS (Home Address at Time of Death) 14e. 200 S. Maple FATHER--NAME First Middle Last 15. Daniel RYAN MOTHER--MAIDEN NAME First Middle Last 16. Sarah BERK* INFORMANT--NAME 17a. Floyd Corey MAILING ADDRESS Street or R.F.D. No. City or Village State Zip 17b. 200 S. Maple Green Bay,Wis. WAS DECEASED EVER IN U.S. ARMED FORCES? (If Yes, Give War or Dates of Service) 17c. Yes X No Unknown 18. PART I DEATH WAS CAUSED BY - Enter Only One Cause Per Line For (A), (B), and (C) Conditions, If Any, Which Gave Rise to Immediate Cause (A) Stating the Under- Lying Cause Last. Duration A. Immediate Cause: A.S.D.H. & failure Due to, or as a B. Consequence of: Due to, or as a C. Consequence of: PART II OTHER SIGNIFICANT CONDITIONS: Conditions Contributing to Death but not Related to Cause Given in Part I (A) Hypostatic Pneumonia AUTOPSY (Specify) 19a. Yes X No WERE AUTOPSY FINDINGS CONSIDERED IN DETERMINING CAUSE OF DEATH? 19b. Yes No ACCIDENT SUICIDE 20a. HOMICIDE DATE OF Month Day Year INJURY 20b. Hour M. 20c. HOW INJURY OCCURRED (Enter Nature of Injury in Part I or Part II, Item 18) 20d. INJURY AT WORK Yes No 20e. PLACE OF INJURY (Home, Farm, Street, Factory, Etc. 20f. (Specify) LOCATION Street or R.F.D. No. City or Village State Zip 20g. CERTIFICATION--Month Day Year PHYSICIAN I Attended The Deceased From 21a. To Month Day Year 21b. Jan. 24, 1973 AND LAST SAW HIM/HER ALIVE ON Month Day Year 21c. DID YOU VIEW THE BODY AFTER DEATH 21d. Yes No DEATH OCCURRED At The Place, on The (Hour) Date, and, To The Best of My Knowledge, Due To The Cause(s) Stated. 21e. 5:30 P.M. CERTIFICATION--MEDICAL EXAMINER OR CORONER: On The Basis of The Examination of The Body and/or The Investigation, In My Opinion, Death Occurred on The Date and Due To The Cause(s) Stated. HOUR OF DEATH 22a. M. THE DECEDENT WAS PRONOUNCED DEAD Month Day Year Hour 22b. M. CERTIFIER--NAME (Type or Print) 23a. R. E. Jensen, M.D. SIGNATURE--CERTIFIER Title 23b. R.E. Jensen MD DATE SIGNED Month Day Year 23c. MAILING ADDRESS--CERTIFIER Street or R.F.D. No. City or Village State Zip 23d. 621 E. Walnut Street, Green Bay, Wisconsin 54301 X BURIAL CREMATION 24a. REMOVAL CEMETERY OR CREMATORY--NAME 24b. Mt. Olivet Cemetery LOCATION City State 24c. DePere, Wisconsin BURIAL--DATE Month Day Year 24d. January 27, 1973 FUNERAL HOME--NAME AND ADDRESS Street or R.F.D. No. City or Village State Zip 336 S. Broadway 25a. Lyndahl Funeral Home, Inc. Green Bay, Wis. 54303 FUNERAL DIRECTOR--SIGNATURE 25b. Dale L. Lyndahl REGISTRAR--SIGNATURE 26a. Patrick N. Kennedy DATE RECEIVED By Local Registrar Month Day Year 26b. JAN 30 1973 * The entries have been transcribed exactly from the original so that any misspelling or errors of a person's name, place name, date, or any other entry is intentional. Her Social Security number is: 387-68-4697, NOT 391-09-4528B, which is Floyd's Social Security number |
contributor: Richard
A. McLean
WISCONSIN STATE BOARD OF HEALTH NOV 10 1942 Bureau of Vital Statistics Original Certificate of DEATH Local Registrar's No. 563 1. PLACE OF DEATH: (a) County Brown (b) Township or City or Village Green Bay (c) Name of Hospital or institution St. Vincent 2. USUAL RESIDENCE OF DECEASED: (a) State Wisc (b) County Brown (c) Township If rural give township or City or Village Green Bay (d) Street No. 803 Christiana (e) If foreign born, how long in U. S. A.? 3. (a) Full Name Mrs. Catherine Barry 3. (b) If veteran, name war 3. (c) Social Security No. 4. Sex F 5. Color or race W 6. (a) Single, widowed, married, divorced Widowed 6. (b) Name of husband or wife James Barry 6. (c) Age of husband or wife if alive years. 7. Birth date of deceased 9 12 1878 (Month)(Day)(Year) 8. AGE: Years Months Days If less than one day 64 1 10 hr. min. 9. Birthplace Brown Co Wisc. (City, town, or county) (State or foreign country) 11. Industry or business Housewife Father 12. Name Daniel Ryan 13. Birthplace Ireland (City, town, or county) (State or foreign country) Mother 14. Maiden name Sarah Burke* 15. Birthplace Mass (City, town, or county) (State or foreign country) 16. (a) Informant Jos. Barry (b) Address Green Bay, Wisc. 17. (a) Burial (Burial, cremation, or other) (b) Date thereof 10-26-42 (Mo.)(Da.)(Yr.) (c) Place: burial or cremation Allouez Cem. 18. (a) Signature of funeral director Crads (b) Address Green Bay, Wisc. 19. (a) 10-23-42 (b) G. M. SHINNERS (Date received local registrar) (Registrar's signature) (c) (d) (Date received sub-registrar) (Sub-registrar's signature) MEDICAL CERTIFICATION 94a 20. Date of death: Month 10 Day 22 Year 42 21. I hereby certify that I attended the deceased from 10- 15, 1942 to 10-22, 1942; I last saw her alive on 10- 21, 1942 and that death occurred on the date stated above at 330 a.M. Immediate cause of death Duration Due to
Coronary Thrombosis
Angina Pectoris
Other conditions
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| contributor: Richard
A. McLean
DEATH CERTIFICATE No. 130 02865 1. Full name of deceased, Infant of James Barry 2. Maiden name (If wife or widow), -------- 3. Color and sex, White Female 4. Race, Caucasian 5. Occupation of deceased, -------- 6. Age (years, months and days), -------- 7. Name of father, James F. Barry 8. Birthplace of father, Oconto Wis 9. Name of mother, Kate* Barry* 10. Birthplace of mother, Rockland 11. Birthplace of deceased, Oconto Falls 12. Condition (single, married, widowed, or divorced), -------- 13. Name of wife or husband of deceased, -------- 14. Date of birth of deceased, January 31 - 02 15. Date of death, January 31 - 02 16. Residence at time of death, Oconto Falls 17. Place of death, Oconto Falls 18. Cause of death, Primary Premature Birth 7mo. Secondary -------- 19. Duration of disease, -------- 20. Was deceased ever a U. S. soldier or sailor? -------- 21. Place of burial, St Anthony's Cem. 22. Name of undertaker or other person conducting burial, MAMcCune 23. Name of physician, coroner or justice, -------- 24. Residence of such person, -------- 25. No. and date of burial permit, --- January 31 - 1902 26. Date of certificate, January 31 - 1902 27. Name of health officer or clerk, -------- 28. Date of registration, -------- 29. Other important facts, (Note interline- -------- ations. * The entries have been transcribed exactly from the original so that any misspelling or errors of a person's name, place name, date, or any other entry is intentional |