Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
71643 |
Full Name: |
Mayme Price |
Registration Dist. No.: |
426 |
Residence: |
Ohio Hospital for Epileptics Gallipolis, Ohio |
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Female |
Registered No. |
301 |
|
Color or Race: |
Black |
Date of Death: |
December 9, 1931 |
| S/M/W/D: |
Single |
Time of Death: |
10:00 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
1889 |
Institution: |
|
| Age: |
42y 0m, 0d |
Cause of death: |
Epilepsy - Acute Epileptic Mania |
| Trade/Profession: |
House Wife |
|
| Industry: |
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
|
| Birthplace Co./St: |
Virginia |
| Father: |
Unknown |
Born: |
Unknown |
| Mother: |
Unknown |
Born: |
Unknown |
| Informant: |
Records of O. H. E. Gallipolis, Ohio |
Address: |
|
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
December 10, 1931 |
| Cemetery Location: |
Rutland, Ohio |
|
|
| Undertaker: |
Marvin Maine (?) |
Address: |
Middleport, O |
| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
|
|
