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Note: Name: Henry L. Pederson Titles & Terms: Death Date: 06 Aug 1913, 12:10 PM Death Place: Chicago, Cook, Illinois, Passavant Memorial Hospital (8/14/13) Gender: Male Race (Original): white Race (Standardized): White Death Age: 21 years 6 months 3 days Birth Date: 03 Feb 1892 Birthplace: Chicago, Ill Marital Status: married Spouse: Spouse's Titles & Terms: Father: Sigward Pederson Father's Birthplace: Bergen, Norway Mother: Matilda Pederson Mother's Birthplace: Christiania, Norway Occupation: packer, asst. ship clrk, Druggist Sunds., from 1910 to Aug. 3, 1913 Street Address: 3140 No Troy St, Ward 27 Residence: 21 years in city and state Cemetery: Arlington Cemetery Burial Place: Burial Date: 08 Aug 1913, 11 AM Undertaker: Frank Dettler, 2537 Fullerton Ave, Tel. Humboldt 4410 Informant: (can't read, maybe R F Mors, 2816 Lee Ave. Additional Relatives: Film Number: 1287682 Digital Folder Number: 4005075 Image Number: 1502 Reference Number: cn 22220 Collection: Illinois, Cook County Deaths, 1878-1922 Physician's Certificate of Cause of Death attended deceased from Aug. 2, 1913 to Aug. 6, 1913 Cause of Death Paralytic Ileus, Duration 36 hrs. Contributory Chronic Appendicitis with adhesions causing Intestinal obstruction, 4 days F.O.Bowe, 3000 Belmund Ave __________________________ Maybe Groom: Henry L. Pedersen Groom's Age: 21 Groom's Estimated Birth Year: 1892 Groom's Birth Date: 1892 Groom's Birthplace: Of Chicago, Cook, Illinois Bride: Catherine M. Helsper Bride's Age: 18 Bride's Estimated Birth Year: 1895 Bride's Birth Date: 1895 Bride's Birthplace: Of Chicago, Cook, Illinois Marriage Type: Marriage Marriage Date: 03 Feb 1913 Marriage Place: Chicago, Cook, Illinois, Usa Film Number: 1030540 Frame Number: Digital Film Number: 4271764 Image Number: 623 Reference Number: 620190 Collection: Illinois, Cook County Marriages, 1871-1920 Groom: Henry Peterson Groom's Age: 21 Groom's Estimated Birth Year: 1892 Groom's Birth Date: 1892 Bride: May Coster Bride's Age: 18 Bride's Estimated Birth Year: 1895 Bride's Birth Date: 1895 Marriage Type: Marriage Marriage Date: 07 Jul 1913 Marriage Place: Chicago, Cook, Illinois Film Number: 1030550 Digital Film Number: 4271768 Image Number: 1336 Reference Number: 634527 ______________ Illinois, Cook County Birth Registers, 1871-1915 Name: Petersen Birth Date: 03 Feb 1893 Birthplace: Chicago, Cook, Illinois Gender: Male Father's Name: Sigward Petersen Mother's Name: Otelia Petersen Film Number: 1287738 Digital Folder Number: 4280707 Image Number: 1153 Reference Number: Pg. 251 Line 12,728 February Register of Births City of Chicago, 1893 line 12728 Peterson ____ M 7th child of this mother, W, 3, 1831 Milwaukee, Ward 15, Father's nativity Nor., age 44, Mother's nativity Nor., (next page) Mother's name Otelia Peterson, Father's name Sigward Peterson, father's occupation Painter, Name of Party attending and making Return F. P. Graham
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