North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
Stamped: Aug. 6, 1948
| Registration District No: 55-60 |
Registrar's Certificate No: 46 |
15636 |
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Place of Death: County: Lincoln; State: NC; Township: Lincolnton,
Residence: State: NC; County: Lincoln; City: Lincolnton, NC, Street: S. Flint St..
Full Name: Clarence Edgar Bost
Sex: M
Color or Race: W
Married
Name of Spouse: Beulah Cardwell, Age 47 years
Date of Birth: 7/31/01
Age: 46 yr, 11 ms, 20 ds
Occupation: Taxie Driver
Birthplace: Lincoln County, NC
Name of Father: Alonzo Bost
Birthplace of father: NC
Name of mother: Fannie McCoy
Birthplace of mother: NC
Informant: Beulah Bost, S. Flint ST.
Filed: 7/28/1948; Registrar: E.H. Ellingwood
Date of death: 7/22/48; 1:45 a.m.
I hereby certify that I attended deceased from March 194_ to July 22, 1948 and I last saw him alive on Jul 18, 1948.
The Cause of Death Coronary Occlusia Duration: 30 min.
Signed: S.A. Neilson, MD. Lincolnton, NC July 26, 1948
Place of Burial: Hollybrook Cem, Lincolnton; Date of Burial: 7/23/1948
Undertaker: Drums Funeral Home, Lincolnton, NC.
(Source: Transcribed from copy of original document)
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