KS Death Certificate #61-4391
Location of Death: Osawatomie State Hospital, Miami Co., KS
Length of time at death location: unknown
Name: Mary Sieweke
Residence: Garnett, KS

DOD: 7-13-1926
Cause of Death: Pulmonary Tuberculosis
Duration: 2 mos.
Operation? No
Autopsy? No
What test confirmed diagnosis?: Laboratory
Death related to occupation? No
Signed: D.P. Stearns, M.D., MD, Osawatomie
Attendant dates: 1-21-1923 to 7-13-1926, 5 am
Sex: Female
Color: White
Marital Status: Widowed
spouse name: unknown
DOB: [blank]
Age at death: 74y ?m ?d
Occupation of Deceased: Houseworke
Date last worked: unascertained
Birthplace: not known
Father Name: not known
Father Birthplace: not known
Maiden Name of Mother: not known
Mother Birthplace: not known
Informant: Hospital Records, Osawatomie, KS
Burial: Garnett, KS 7-14-1926
Undertaker: W.C. Townsend, Osawatomie
Filed 7-14-1926
Registrar: J.W. Allard