VITALS: DEATH CERTIFICATE: SARAH VANDERHOOF, 1933: CLACKAMAS COUNTY, OREGON ********************************************************************************* USGENWEB ARCHIVES(tm) NOTICE: ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/or/orfiles.htm ********************************************************************************* Transcribed and formatted for use in USGenWeb Archives by:Contributor: DAS, Volunteer 0001015 May 9, 2003 ********************************************************************************* Death Certificate: Sarah Vanderhoof, 1933: Clackamas County, Oregon Surnames: Vanderhoof, Converse, Carroll, Williams Department of Commerce, Bureau of the Census [Oregon] STANDARD CERTIFICATE OF DEATH Registered No. 6 (Stamped No. 126) 1 PLACE OF DEATH: County: Clackimas * State: OREGON City: Boring Length of residence in city or town where death occurred: 44 yrs. 2 FULL NAME: Sarah VANDERHOOF (a) Residence (Usual place of abode): Boring, Ore PERSONAL AND STATISTICAL PARTICULARS: 3 Sex: Female 4 Color or Race: White 5 Single, Married, Widowed, or Divorced: Widow 5a Husband: John VANDERHOOF 6 Date of Birth: Mar 17 1841 7 Age: 92 years, 0 months, 18 days 8 Trade: Retired 9 Industry: -- 10 Date deceased last worked: 1914 11 Total time in occupation: -- 12 Birthplace: Strewben Co Mich * 13 Father Name: Henry CONVERSE 14 Father Birthplace: Germany * 15 Mother Name: Unknown 16 Mother Birthplace: Unknown 17 Informant: Henry VANDERHOOF (Address) Boring, Ore 18 Burial, Cremation, or Removal: Place: Douglas Cem (illegible) Date: 5-7-1933 19 Undertaker: Carroll Funeral House (Address) Gresham Ore (Jacob ???) 20 Filed 4-7-1933 Alfred Williams, Registrar MEDICAL CERTIFICATE OF DEATH: 21 Date of Death: April 5, 1933 22 I HEREBY CERTIFY, That I attended deceased from 3-10-1933, to 3-10, 1933 I last saw her alive on 3-10, 1933, death is said to have occurred on the date stated above, at 9:50 pm. The principal cause of death and related causes of importance were as follows: Old age ?neumonia (illegible) H???stasis Name of operation: none What test confirmed diagnosis? -- Was there an autopsy? -- (sections for external causes of death left blank) (Signed) Alfred Williams M.D. (Address) Sandy Ore ------------------------- * Contributor note: The document is known to contain errors but they have been posted here as given on the original.