Death Certificate - Gottfried, Mariloys_10/5/2007'�
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DECEDENTS NAIdE
' DECEDENTS ALIAS
DEATH CERTIFICATE
MARILOYS WOODS GOTTFRIED
, SEX, SOCIAL SECURITY I FEMALE WOODS
NUMBER, MAIDEN NAME
RESIDENCE (COUNTY AND RAMSEY
� CITY, STATE)
• DATE AND PLACE OF BIRTH I qpRIL 24, 1925
MARITAL STATUS . I WIDOWED
` SPOUS�SNAN�E� HERBERTALLENGOTTFRIED
PARENT(S) NAME(S)
DATE OF DEATH
PLACE OF DEATH
(COUNTY AND CITY)
FUNERAIHOME
CAUSE OF DEATH
IMMEDIATE
UNDERLYING
OTHER CONTRIBUTING
CONDITIONS
MANNER
CORONER, MEDICAL
EXAMINER OR PHYSICIAN
0
DARWIN WOODS
GRACEFERGUSON
MARCH 02, 2006
RAMSEY
ROSEVILLE MEMORIAL CHAPEL
RESPIRATORY FAILURE
ALZHEIMER'S DEMENTIA
ROSEVILLE, MINNESOTA
PRINCETON, INDIANA
ROSEVILLE
�
ATRIAL FIBRILLATION � � � � �
� YJ�J��'
OCT 0 5 2007
NATURAL `-y„ � � �
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RICHARD D GLASOW, M.D.
GIBSON COUNTY AUDITOR
4194 LEXINGTON AVE N, SHOREVIEW, MINNESOTA 55126-
I I I II� II II I IIII I�IIII�I Iililillll IIIII III
6 2 A-0 0 5 9 7 7 2 THIS IS A TRUE AND OFFICIAI RECORD OF THE DEATH REGISTERED IN THE '` 0 0 5 9 7 7 2�`
,n�wm�ntmu,,,. OFFICE OF THE STATE REGISTRAR. DATE FILED: MARCH 03, 2006 _„m�wmm�„,�
PLACEISSUED: RAMSEY
DATE ISSUED: 1v1ARCH 07, 2006
�`•c�w.Q. Co.,.�v.
STATE REGISTRAR