Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
62510 |
Full Name: |
Alton Simmons |
Registration Dist. No.: |
426 |
Residence: |
O. H. E. Gallipolis, Ohio |
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Male |
Registered No. |
342 |
|
Color or Race: |
White |
Date of Death: |
Oct. 28, 1937 |
| S/M/W/D: |
Single |
Time of Death: |
3:25 pm |
| Spouse: |
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Served in Military: |
|
| Date of Birth: |
June 11, 1921 |
Institution: |
Ohio Hospital for Epileptics |
| Age: |
16y 4m 17d |
Cause of death: |
Epilepsy and Bronchio pneumonia |
| Trade/Profession: |
None Patient O.H.E. |
| Industry: |
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|
| Date last worked: |
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Contributory Causes: |
Coronary Occlusion due to Coronary Arteriosclerosis
|
| Birthplace City: |
Akron |
| Birthplace Co./St: |
Ohio |
| Father: |
Smith H. Simmons |
Born: |
Mississippi |
| Mother: |
Maude Stout |
Born: |
Kentucky |
| Informant: |
Records of the O. H. E. |
Address: |
Gallipolis, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
Oct. 30, 1937 |
| Cemetery Location: |
Akron, Ohio |
|
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| Undertaker: |
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Address: |
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| NOTES: . |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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