NAME OF DECEASED Percy |
MIDDLE NAME William |
LAST NAME Kilbride |
DATE OF DEATH December 11,1964 |
Hour 12:05 AM |
SEX Male |
COLOR OF RACE Cauc. |
BIRTHPLACE California |
DATE OF BIRTH July 16,1888 |
AGE 76 |
NAME AND BIRTHPLACE OF FATHER Owen Kilbride, Canada |
MAIDEN NAME AND BIRTHPLACE OF MOTHER Elizabeth Kelly, Maryland |
CITIZEN OF WHAT COUNTRY U.S.A. |
SOCIAL SECURITY NUMBER 340-01-7082 |
|
LAST OCCUPATION Actor |
NUMBER OF YEARS IN THIS OCCUPATION 50 |
NAME OF LAST EMPLOYING COMPANY OR FIRM Universal Studio |
KIND OF INDUSTRY OR BUSINESS Movie |
|
IF DECEASED WAS EVER IN U.S. ARMED FORCES GIVE WAR OR DATES OF SERVICE WW I |
SPECIFY MARRIED NEVER MARRIED WIDOWED DIVORCID Never Married |
NAME OF PRESENT SPOUSE None |
PRESENT OR LAST OCCUPATION OF SPOUSE None |
|
PLACE OF DEATH-NAME OF HOSPITAL Chase Rest Home |
STREET ADDRESS-PLACE OF DEATH 1032 W. 18th Street |
CITY OR TOWN-PLACE OF DEATH Los Angeles |
COUNTY Los Angeles |
|
LENGTH OF STAY IN COUNTY OF DEATH 76 Years |
LENGTH OF STAY IN CALIFORNIA 76 Years |
LAST USUAL RESIDENCE 6650 Franklin Avenue |
NAME OF INFORMANT OF OTHER THAN SPOUSE Maude Crawley |
|
CITY OR TOWN (Hollywood) Los Angeles |
COUNTY Los Angeles |
STATE California |
ADDRESS OF INFORMANT 838 S. Grapd Ave., L.A. |
|
SPECIFY BURIAL INFORMATION OR CREMATION Cremation |
DATE 12-14-64 |
NAME OF CEMETERY OR CREMATORY Chapel of the Pines |
NAME OF FUNERAL DIRECTOR Armstrong Family |
|
CAUSE OF DEATH-PART I Hypostatic pneumonia |
PART II OTHER SIGNIFICANT CONDITION CONTRIBUTING TO DEATH BUT NOT RELATED TO THE TERMINAL DISESE CONTION GIVEN IN PART I Alzheimer's Disease |
OPERATION Operation Performed- Findings used in determining above stated causes of death |
DATE OF OPERATION 11/11/64 |
|
AUTOPSY Autopsy Performed- Gross findings used in of termining above stated causes of death |
SPECIFY ACCIDENT,SUICIDE OR HOMICIDE Accident |
DESCRIBE HOW INJURY OCCURRED Auto vs ped |
TIME OF INJURY 9:10 P.M. 9/21/64 |
|
INJURY OCCURRED Not while at work |
PLACE OF INJURY Street |
PLACE OF INJURY-CITY,COUNTRY,STATE Los Angeles Los Angeles Calif. |
PHYSICIAN J.S. Woodard M.D. |
|
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