Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
37109 |
Full Name: |
John F. Schreiner |
Registration Dist. No.: |
426 |
Residence: |
|
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Male |
Registered No. |
182 |
|
Color or Race: |
White |
Date of Death: |
June 5, 1940 |
| S/M/W/D: |
Married |
Time of Death: |
|
| Spouse: |
Pearl Blake |
Served in Military: |
|
| Date of Birth: |
July 4 , 1867 |
Institution: |
|
| Age: |
72y 11m, 1d |
Cause of death: |
Coronary thrombosis
Chronic Myocarditits |
| Trade/Profession: |
Retired Grocer |
| Industry: |
|
|
| Date last worked: |
|
Contributory Causes: |
Carcinoma of the tongue Metastatic growth of the submaxillary glands. Excision fo the gland bearing fascia of both subdeltoid regions |
| Birthplace City: |
Wyoming Co |
| Birthplace Co./St: |
W. Va |
| Father: |
Ludwig Schreiner |
Born: |
Ohio |
| Mother: |
Mary Lute |
Born: |
Ohio |
| Informant: |
Mrs. Pearl Schreiner |
Address: |
Gallipolis, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
June 7, 1940 |
| Cemetery Location: |
Mound Hill, Gallipolis, Ohio |
|
|
| Undertaker: |
|
Address: |
|
| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
|
|
