Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
62317 |
Full Name: |
Maggie May Shalo |
Registration Dist. No.: |
426 |
Residence: |
|
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Female |
Registered No. |
240 |
|
Color or Race: |
White |
Date of Death: |
November 5, 1933 |
| S/M/W/D: |
Married |
Time of Death: |
5:30 am |
| Spouse: |
J. H. Shalo |
Served in Military: |
|
| Date of Birth: |
March 6, 1876 |
Institution: |
|
| Age: |
57y 7m 29d |
Cause of death: |
Coronary Thrombosis |
| Trade/Profession: |
?oock of the home |
| Industry: |
|
| Date last worked: |
|
Contributory Causes: |
Fractured left ankle (10/21/33) |
| Birthplace City: |
|
| Birthplace Co./St: |
Ohio |
| Father: |
Neal Berridge |
Born: |
Ohio |
| Mother: |
Jane Roe |
Born: |
Ohio |
| Informant: |
Neal Willey |
Address: |
Gallipolis, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
November 8, 1933 |
| Cemetery Location: |
Pine Street Cemetery |
|
|
| Undertaker: |
Albert E. Tope |
Address: |
Gallipolis, Ohio |
| NOTES: Difficult to read |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
|
|
