Death Certificate: Charles H. HENDRIXSON, 1922: Kalama, Cowlitz County, Washington Surnames: HENDRIXSON, HENDRIXON, WARD, WORD, POTTER, ROACH, JOHNSON ************************************************************************* Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm ************************************************************************* Contributor: DAS, Volunteer 0001015 Contribution date: October 29, 2003 ************************************************************************* Washington State Board of Health, Bureau of Vital Statistics Certificate of Death Record No. 56 Registered No. 142 Place of death: County of: Cowlitz City or Town of: Kalama Registration Dist. No.: 5 Full Name: Charles H. HENDRIXSON Sex: Male Color or race: White Married Husband of Susan HENDRIXON [no 's', as written] Date of Birth: May 15 1836 Age: 86 yrs, 1 mo, 29 days Kind of work: Laborer Industry: Mill Name of employer: Col River Lbr Co Birthplace: Finland Name of Father: John Birthplace of Father: Finland Maiden name of Mother: Not Known Birthplace of Mother: Not Known Informant: Mrs. E.M. WARD [or WORD?] Address: 8815-71 Ave Se Portland Filed July 16, 1922, Elsie POTTER, Registrar Date of Death: July 14, 1922 I HEREBY CERTIFY, That I attended deceased from Aug. 1919 to July 1922, that I last saw him alive on 7/14, 1922, and that death occurred on the date stated above, at 4.30 p.m. The cause of death was as follows: accidental death -- caught in belt, skull fractured & left leg fractured Signed, L.S. ROACH M.D. July 16, 1922 Address: Kalama, Wn Place of Burial, Cremation or Removal: Kalama Date of Burial: July 17, 1922 Undertaker: W.G. JOHNSON Submit: Submit