SOCAL-L Archives

From:
Subject: Mary G. HERNANDEZ -Indio DC transcription
Date: Mon, 12 Jun 2000 03:31:48 EDT

Hi All -
I don't remember who sent this request for an obit lookup and dc
transcription and I can't locate my printout at this time but I did a search
for the obit at the Riverside Central Library on May 11, 2000 in the
Riverside Genealogical Society's Obituary Index file and found 3 possibles.
If the original requester will contact me at , I'll be
happy to copy any they think it might be. Meanwhile, I did get the death
certificate and the transcription follows below.

Sincerely,
Stella

IBSSG & RootsWeb Donor+
Riverside Co CA Vital Records & Obit lookup volunteer
mailing list administrator
POOLE surname GenConnect Board administrator
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DEATH CERTIFICATE TRANSCRIPTION

CERTIFICATE +/OR MICROFILM ROLL#__3199633009690__RIV F1996-9690__

PERSONAL INFORMATION SECTION

NAME: Mary G. Hernandez
DATE & TIME OF DEATH: 12-9-96 @0730
AGE: 80 years
SEX & RACE: Female Caucausion HISPANIC? Yes, Mex-Amer
DATE & PLACE OF BIRTH: 1-9-1916 - CA = California
FATHER FULL NAME & PLACE OF BIRTH: Carmil -NMI- Rameriz - MX = Mexico
MOTHER MAIDEN NAME & PLACE OF BIRTH: Margarita -NMI- Guzman - CA = California
SOCIAL SECURITY #: 548-58-6577
MARITAL STATUS: Married
YRS. OF EDUCATION: 3 years
MILITARY SERVICE: No
OCCUPATION: Homemaker
USUAL EMPLOYER: Self
TYPE OF INDUSTRY & HOW LONG: Domestic X 60 years
USUAL RESIDENCE ADDRESS & HOW LONG IN COUNTY: 83-191 Emerald St. Indio, CA
92201 X 38 yrs in Co.
NAME OF SURVIVING SPOUSE: Florencio M. Hernandez
INFORMANT NAME /RELATIONSHIP & ADDRESS: Cecelia Prise -daughter- 83-135 Date
Ave. Indio, CA 92201

DETAILS OF DEATH SECTION

PLACE OF DEATH: Residence - listed above
IMMEDIATE CAUSE OF DEATH & FOR HOW LONG: Respiratory Arrest X immed.
DUE TO & FOR HOW LONG: Acute Pulmonaary Embolus X 1 hr.
DUE TO & FOR HOW LONG: Suspect Pneumonia X 1 week
OTHER SIGNIFICANT CONDITIONS NOT RELATED TO DEATH: None
WAS DEATH REPORTED TO CORONER?: Yes
IF YES - REFERRAL #: 96I6215
NAME OF CORONER & DATE SIGNED: 12-10-1996
WAS BIOPSY PERFORMED: No
WAS AUTOPSY PERFORMED: No
IF YES WAS IT USED TO DETERMINE CAUSE?: N/A
ANY OPERATIONS PERFORMED?: No

AFTER DEATH ARRANGEMENTS SECTION

DISPOSITION OF BODY:Coachella Valley Cemetery 82-925 Ave. 52 Coachella, CA
92236
DATE: 12-13-1996
TYPE: CR/BU = Cremation/Burial
NAME OF EMBALMER & LIC#: Not Embalmed
FUNERAL DIRECTOR & LIC#: Fitzhenry Funeral Home Desert Chapel Lic# FD-640

ATTENDING PHYSICIANS STATEMENT SECTION

NAME OF ATTENDING PHYSICIAN & ADDRESS: Andrew J. Silver, MD 39000 Bob Hope
Dr. #W-208 Rancho Mirage, CA 92270
LICENSE #: G55448
DATES DECEDANT ATTENDED & LAST SEEN ALIVE: 3-4-1993 thru 11-5-1996
DATE CERTIFICATE ACCEPTED FOR REGISTRATION: 12-9-1996

MISCELLANEOUS DETAILS & INFORMATION SECTION

ANY AMENDMENTS TO CERTIFICATE?: No
DETAILS OF AMENDMENT AND DATE ACCEPTED: N/A
OTHER INFORMATION INCLUDED IN CERTIFICATE: None
Transcribers Note: -NMI- = No Middle Initial when appears between given and
surnames.

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