Certificate of Death |
|
Holzer Hospital, Gallipolis, Gallia, Ohio |
|
43122 |
Full Name: |
Sameul Bryant |
Registration Dist. No.: |
426 |
Residence: |
804 26th St. Point Pleasant, Mason, West Virginia (40 yrs) |
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Male |
Registered No. |
172 |
|
Color or Race: |
White |
Date of Death: |
June 30, 1948 |
| S/M/W/D: |
Married |
Time of Death: |
7:30 pm |
| Spouse: |
Violet Bryant (90 yrs) |
Served in Military: |
|
| Date of Birth: |
March 25, 1856 |
Institution: |
|
| Age: |
92y 3 m, 5 d |
Cause of death: |
Cerebral Thrombosis; generalized Vascular Sclerari |
| Trade/Profession: |
Actor on Stage and show boat |
|
| Industry: |
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
Ware |
|
| Birthplace Co./St: |
England |
|
| Father: |
Not known |
Born: |
|
| Mother: |
Not known |
Born: |
|
| Informant: |
Billy Bryant |
Address: |
804 26th St., Pt. Pleasant |
| Burial, Cremation or Removal: |
|
|
Date of Burial: |
July 2, 1948 |
| Cemetery Location: |
Prob. in Spencer, W. Va |
|
|
| Undertaker: |
W. H. Foglisony |
Address: |
Mason City, W. Va. |
| NOTES: Death certificate states was in the USA for 64 years. |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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