North Carolina State Board of Health
Office of Vital Statistics
Stnadard Certificate of Death
| Registration District No: 55-5723 |
Registrar's Certificate No: 43 |
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1. Place of Death: County: Lincoln; Township: Lincolnton
2. Full Name: Essie Myrtle Hoffman(No residence listed)
3. Sex: Female
4. Color or Race: White
5. Married
6. Date of Birth: Nov. 14, 1896
7. Age: 35 yr, 9 ms, 16 ds
8. Occupation: Domestic
12. Birthplace: Catawba County
13. Name of Father: R.L. Kale
14. Birthplace of father: Catawba County
15. Name of mother: Sarah Setzer
16. Birthplace of mother: Catawba County
17. Informant: B.J. Hoffman, Lincolntown, NC R6
18. Burial Place: Pisqah Cem. Date: Oct. 1, 1932
19. Undertaker: Warlick & Barkley, Lincolnton, NC
20. Filed: 10/6/1932; Registrar: D.A Yoder
21. Date of Death: Sept. 30, 1932
22. I hereby certify that I attended deceased from Sept. 20, 1932 to Sept. 30, 1932. I last saw her alive on Sept. 30, 1932, death is said to have occurred on the date stated above at 1 a.m.
The principle cause of death and related causes of importance in order of onset were as follows: Irysepilar on left leg with absces on leg.
24.Signed: C.H. Hoover, MD Crowe, NC.
(Source: Transcribed from copy of original document)
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