Standard Certificate of Death

State of Oregon

  1. Name of deceased: Leila Loretta Sturges
  2. Place of death:
    1. County: Multnomah
    2. City or town: Portland
    3. Length of stay in this town: 11 yrs
    4. Hospital or institution: Portland General
  3. Usual residence:
    1. State: Oregon
    2. County: Multnomah
    3. City or town: Portland
    4. Street address: 5525 SE Ogden St.
  4. Date of death: 15 December 1954
  5. Sex: F
  6. Color or race: wh
  7. Marital Status:
    1. Married, never married, widowed, or divorced: widowed
    2. Name of husband: Miles Sturges
  8. Date of birth: 25 October 1885
  9. Age: 69
  10. Birthplace: Aurelia, Iowa
  11. Citizenship: US
  12. Father's name: William Minor
  13. Mother's maiden name: unknown
  14. Occupation, trade, or profession
    1. Occupation: Housewife
    2. Kind of business or industry: own home
  15. If veteran, name war:
  16. Informant's own signature: Mrs. Dorothy Kirsch
  17. Social Security Number:
  18. Cause of death:
    1. Disease or condition directly leading to death:
        Carcinoma of the ascending colon
        Interval between onset and death:
          1 year
    2. Other significant conditions:
  19. Operation:
    1. Date of operation
    2. Major findings of operation
  20. Autopsy: no
  21. Death by injury?
    1. Accident, suicide, or homicide?
    2. Place of injury:
    3. City, county, state:
    4. Time of injury:
    5. At work?
    6. How did injury occur?
  22. Death occurred at 4:05 AM, 15 December 1954, signed by Floyd South, M.D., Coroner
  23. Date signed: 17 December 1954
  24. Disposition of body:
    1. Burial, cremation, removal: burial
    2. Date: 16 December 1954
    3. Name of cemetery: Lincoln Memorial Park
    4. Location: Portland, Multnomah, Oregon

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