Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
30455 |
Full Name: |
Clarence M. Little |
Registration Dist. No.: |
426 |
Residence: |
|
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Male |
Registered No. |
139 |
|
Color or Race: |
White |
Date of Death: |
May 24, 1950 |
| S/M/W/D: |
Married |
Time of Death: |
10:35 pm |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
Sept. 26, 1890 |
Institution: |
Holzer Hospital |
| Age: |
58y 8m d |
Cause of death: |
Myocardial Infarction |
| Trade/Profession: |
Sexton Hand |
| Industry: |
N. Y. C. R. R. |
|
| Date last worked: |
|
Contributory Causes: |
Coronary Occlusion due to Coronary Arteriosclerosis
|
| Birthplace City: |
Cheshire |
| Birthplace Co./St: |
Gallia Co., Ohio |
| Father: |
Charles M. Little |
Born: |
|
| Mother: |
Mary George |
Born: |
|
| Informant: |
Mrs. Stanley Swisher |
Address: |
|
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
May 26, 1950 |
| Cemetery Location: |
Gravel Hill Cem. |
Cheshire, Ohio |
|
| Undertaker: |
|
Address: |
|
| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
|
|
