Lucas County OhArchives Obituaries.....James J. Brim  December 29 1914

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File contributed for use in USGenWeb Archives by:
Patrick McVicker Pat.McVicker@ProMedica.org May 22, 2003, 6:32 am

City of Toledo, Record of Deaths

The following record is transcribed from City of Toledo, Ohio - Transcript

from Record of Deaths, on file at the Department of Health:

 

County of: LUCAS

File No. ____________

Township of: WASHINGTON

Registration District No.  769

Registered No. 3153

Village of. ___________________

Primary Registration District No.  5168

City of. _____________________

St. 901 PHILLIPS AVE.

Ward.______________________

Full Name  JAMES J. BRIM

 

PERSONAL AND STATISTICAL PARTICULARS:

Sex.  MALE

Color or Race.  WHITE

Date of Birth. JULY 25, 1841

Age.  73 Years   5 Months   4 Days

Single, Married, Widowed, or Divorced. MARRIED

Birthplace.  WOOD CO. OHIO

Occupation.  RETIRED FARMER

Name of Father.  GEORGE BRIM

Birthplace of Father.  ENGLAND

Maiden Name of Mother.  BETSY M. LOOP

Birthplace of Mother.  NEW YORK

The above stated personal particulars are true to the best

of my knowledge and belief.

Informant.  B.B.BRIM  M.D.

Address. 901 PHILLIPS AVE.

MEDICAL CERTIFICATE OF DEATH

Date of death. 12 (Month)  29 (Day)  1914 (Year)

I hereby certify, that I attended deceased from.

Date of Death. 9-1-1914 to 12-29-1914

That I last saw HIM alive on 12-29-1914 

and that death occurred on the date stated above at 6 AM

The cause of death was as follows: CHRONIC EXUDATIVE PLEURISY

4 MONTHS duration.

Contributory. PULMONARY GANG GREEN  10 DAYS duration

(signed) B.B. BRIM  M.D.

Date 12-29-1914  Address. 901 PHILLIPS AVE.

Place of Burial or Removal. WOODVILLE, OHIO

Date of Burial. 12-31-1914

Undertaker. B.L. BOYER, TOLEDO, OHIO

Filed. 12-29-1914  SAM F. SMITH  Registrar

 

Additional Comments:
Transcribed by:  Patrick McVicker  17 April 2003


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