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Gallia County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Gallipolis, Gallia Co., Ohio
File No.
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:   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:    
Date last worked:   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    
Undertaker:   Address:  
NOTES: .
Source: State of Ohio Department of Health, Division of Vital Statistics
Contributed by: