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Michael Shiner's Death Certificate Furnished by : John G. Sharp
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{Form No.3} No 22895
CERTIFICATE OF DEATH
TO THE HEALTH OFFICER, DISTRICT OF COLUMBIA
Permit No 22919
Date of Death, Jan 17 1880
Full Name of Deceased, Michael Shiner
Sex, Male
Age, 75 Years - Months [blank] Days [bank]
Color, C
Married,
Occupation, Watchman
Birthplace, MD
Duration of Residence in the District of Columbia, Nearly all life
Place of Death [Give Street and number] 338- 9th Street S.E.
First (Primary)
Causes of Death Duration, Small Pox ( Confluent)
Second (Immediate)
Duration of Last Sickness [blank]
Place of Burial Beckelts
Date of Burial, Jan 17, 1880 A.A. Maistelln , M.D.
Address, 218 3 St NW
Undertaker Geo. C.H. Bates
Place of Business [blank]
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End Notes :
Michael Shiner
Jane Jackson Shiner circa February 1834 - April 21, 1884 was the 2nd wife of Michael Shiner.
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