I hereby certify that the attached is a true copy of a
record on file in the division of Vital Records. (signed: Geneva G Sparks)
State of Maryland
Dept of Health and Mental Hygiene
Certificate of Death
Reg. No. 87-??400
Name: Elsie Zametzer
Date of Death: 12/11/1987
Sex: Female
Race: White
Date of Birth: 8/22/1908
Age: 79
Birthplace: Maryland
Citizen of what country: USA
Widowed
Baltimore City or county of death: Baltimore City
City or Town of death: Baltimore
Name of Hospital, Nursing home or other institution: Key Medical Center
Usual Occupation: Own Home
Usual Residence: Maryland
County: Baltimore
City or Town: Dundalk
Inside city limits: No
Street Address: 6816 Brentwood Ave 21222
Father’s name: Stanley Matuszewska
Mother’s Maiden name: Anastasia A. ??
Was deceased ever in Armed Forces: No
SS# 215-05-9175
Informant: Laura Lengrand
Address: 7943 Wise Ave. 21222
Cause of Death: Acute MI (four days)
I certify that this hospital attended the deceased from 12/7/1987 to (blank) and
that I last saw the deceased alive on (blank) and that in my opinion death
occurred on the date and from the causes stated above.
(signed) Dr SS Dang (?)
40 Dundalk Ave.
Baltimore, MD. (Blurred)
Burial: 12/15/1987
Name of cemetery: Oak Lawn
Location: Baltimore, MD
Funeral Director: Duda-Ruck Funeral Home
7922 Wise Ave (Dundalk)
Date received by Regirstar: 12/17/1987
Registrar’s name: (blurred)
[note: Surname is also spelled as “Matuszewski”]
Zellner
Submitted by Tricia Fortney
CERTIFICATE #: D23596
DECEDENT: George Zellner
PLACE of DEATH: 2036 Eastern Ave.
DATE of DEATH: Oct. 21, 1918
CAUSE of DEATH: influenza
CONTRIBUTORY CAUSE(S):
bronchial pneumonia
PRONOUNCING PHYSICIAN: unreadable
USUAL RESIDENCE: 2036 Eastern Ave.
LENGTH of RESIDENCE: 21y
MARITAL STATUS: married
SPOUSE: Emma Zellner
OCCUPATION: Baker
EMPLOYER: not given
DATE of BIRTH: 1887
BIRTHPLACE: Michigan
AGE: 31y
FATHER’S NAME: unknown
BIRTHPLACE: unknown
MOTHER’S NAME: unknown
BIRTHPLACE: unknown
PLACE of BURIAL: Oaklawn Cemetery
DATE of BURIAL: Oct. 23,1918
UNDERTAKER: Peter Nicolaus
ADDRESS: 2046 Eastern Ave.
INFORMANT: Emma Zellner
ADDRESS: 2036 Eastern Ave..
Decedent's Name: Peter Paul ZuromskiDate of Death: March 24, 2004Time of Death: 8:17 amFacility Name: 3510 Wheelhouse RoadCity: BaltimoreCounty of Death: BaltimoreSex: MaleAge: 80Date of Birth: Jan 26, 1924Birthplace: MarylandUsual Residence of Decedent:State: MDCounty: BaltimoreCity, Town: BaltimoreInside City Limits: NoStreet and Number: 3510 Wheelhouse RoadZip Code: 21220Citizen of What Country: USAMarital Status: MarriedWas Decedent Ever in US Armed Forces: YesIf Yes, Give Dates: 1943-1936 (Army during World War II)Race: WhiteDecedent's Education: Elementary/Secondary (12)Decedent's Usual Occupation: SalespersonKind of Business: CarpetFather's Name: Peter Adam ZuromskiMother's Name: Laura Anne TyszkiewiczInformant's Name/Relationship: Maxine Zuromski/SpouseMethod of Disposition: DonationSigned by: Ronald S. Wade, DirectorFacility: State Anatomy Board; 655 W. Baltimore St. Baltimore, MD 21201Immediate Cause of Death: Chronic Obstructive Pulmonary DiseaseDue as a consequence of: Diabetes Mellitus (Type II Diabetes)Other significant conditions: Coronary Artery Disease and HypertensionWas Autopsy Performed: NoWas Case Referred to Examiner: NoPlace of Death: HomeCertifier: Certifying Physician - Eugene Craig, M.D., VA Maryland Healthcare System, Perry Point, MD 21902Date Filed: Apr 22, 2004Registrar's Signature: Geneva G Sparks.
Wednesday, 21-Aug-2024 06:13:40 CDT
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