1. Place of death:
County: Hennepin
City: Minneapolis No: 600 West 32nd McMurray Rest. Home there 9yrs.
2. Usual Residence: Minnesota, Hennepin, Minneaplis, 600 West 32nd St.
3. Full Name: Charles G. Peterson
4. Social Security No.: no
5. Sex: Male
6. Race: White
7. Widowed
8. Name of Husband or Wife: Alma
9. Date of Birth: Aug. 25, 1873
10. Age: 70 yrs. 3 mos. 4 days
11. Usual Occupation: Retired Hotel Prop.
12. Industry or business: Hotel Prop.
13. Birthplace: Sweden
14. Father's name: Peter Olson
15. Birthplace: Sweden
16. Mother's maiden name: unknown
17. Birthplace: unknown
18. Informant: Chester Peterson 1523 Arona Avenue, St. Paul, Minn.
19. Buried at Lewis, Wisc. Dec. 3 1943
20. Listoe - Wold St. Paul, Minn.
21. Date received: 12-1-1943
22. Date of death: Nov 29 1943
23. Cause of death: Cerebral hemorrhage for 72 hrs.
due to arterioclerosis