North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
Stamped: Jul. 6, 1962
| Registration District No: 7600 |
Registrar's Certificate No: |
18989 |
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Place of Death: County: Randolph; Length of Stay: 12 months; City/Town: High Point, NC.; Not Inside City Limits.; Hospital/Institute: Route 3.
Usual Residence: State: NC; County: Randolph; City/Town: High Point; On a farm; Street Address: Route 3
Name of Deceased: Garnet Laura Bost Shuler
Date of Death: 6-23-62
Sex: Female
Color/Race: White
Widowed
Date of Birth: 6-1-1903
Age: 59 YEARS
Usual Occupation: Retired; Kind of business: Textile
Birthplace: Gastonia, N.C.
Citizen of USA
Father's Name: James Walter Bost
Mother's Maiden Name: Pearl Howard Bost
Name of Husband/Wife: Charles Bost
Informant's Name/Address: Mrs. James Young, Route 3, High Point, N.C.
Cause of Death: Immediate cause: Coronary Thrombosis, Duration: 2 hours; due to Arterio Sclevotic Heart Disease, duration 2 years. Other significant Conditions: Diabetes Mellitis
Certification Physician: I attended the deceased from 6/29, 1962 to 6/23, 1962 and last saw her alive on 6/23, 1962. Death occurred at 10:00 PM on the date stated above; and to the best of my knowledge fromt he causes stated.
Signature: Karl Shepard, MD.; Address: 205 Westward, High Point, NC; Date signed: 6/24/62
BURIAL; Date: 6-25-1962; Cemetary: Spindale City Cemetery; Location: Spindale, NC
Date Rec'd by local Reg: Jun 26, 1962
Registrar Signature: H.C. Whimemon
Funeral Director: HOVIS-CROWE, INC., SPINDALE, N.C. |
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