Death Certificate for Alma (Klingberg) Busacker

Transcription

Issuing Body: Minnesota Department of Health, Division of Vital Statistics

Certificate no. 15811

Registered no. 35

Place of Death: New Prague, Scott County, Minnesota

Length of stay in this district: 5 days

Name of Hospital: Community Hospital

Usual Residence: Cedar Lake, Scott County, Minnesota

P.O. Address: Jordan, Minn

Name: Alma busacker

Date of Death: June 26, 1956 (3:30 am)

Sex: Female

Color or Race: White

Marital Status: Married

Date of Birth: Oct 28, 1890

Age: 65

Occupation: Housewife - Florist

Kind of Business or Industry: Own Home

Birthplace: Minnesota

Citizen of: U.S.

Father's Name: John Klingberg

Mother's Maiden Name: Sophia Jastram

Spouse's Name: William Busacker

Cause of Death: Myocardial Failure due to chronic myocardial insufficiency [of] 2 mo [duration], Pulmonary Congestion [of] 2 weeks [duration]

Autopsy?: No
M.D. E.E. Novak? [of] New Prague
Burial or Cremation: Burial
Date [of burial]: June 28, 1956
Name of Cemetery: Fish Lake Cemetery
Location of Cemetery: Prior Lake, Minn
Date Filed: June 30, 1956
Registrar's Signature: [illegible]
Funeral Director: [illegible] Strait [of] Jordan