Ross-Hamilton County OhArchives Deaths.....Clark, Mary A. October 10, 1948
************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/oh/ohfiles.htm
************************************************

File contributed for use in USGenWeb Archives by:
Ralph Cokonougher rcokon@hotmail.com May 14, 2006, 9:06 pm


Name:                Clark, Mary A.
Date Of Death:       October 10, 1948 Time: 
Place Of Death:      Sycamore Twp.; Hamilton County, Ohio
Residence:           R.R. 15, Montgomery, Hamilton County, Ohio
Gender:              Female
Race:                W
Age:                 96Y 8M 7D
Marital Status:      Widowed
Spouse:              Clark, Wm. W.
Date Of Birth:       February 5, 1869
Place Of Birth:      Ohio.
Mother's Name:       Eidenoure., Unavailable
Mother's Birthplace: Ohio.
Father's Name:       Sinclaire., Erin
Father's Birthplace: Ohio.
Cause Of Death:      Malnutrition and general disability due to senility.
Hospital:            Unavailable
SS Number:           Unavailable
Occupation:          Home.
Funeral Home:        C. Ray Galliniar
Doctor:              Ruth C. Ferris, M.D.
Coroner:             Unavailable
Informant:           Earl Clark
Date Of Burial:      October 14, 1948
Place Of Burial:     Mason, Ohio.
Date Recorded:       October 21, 1948
Source Of Record:    Ohio Department of Health; Columbus, Ohio.
Certificate No.:     State File No. 62358.

Mary is buried in Lot 128 in Rose Hill Cemetery in Mason, Ohio.

Additional Comments:
The transcript of the death certificate is as follows:

OHIO DEPARTMENT OF HEALTH.
COLUMBUS.
CERTIFICATE OF DEATH.
Reg. Dist. No.  493.  Primary Reg. Dist. No.  4746. 
State File No.  62358.  Registrar's No.  48-51.

1.    Place of Death:  (a.)  County - Hamilton,  (b.)  City, Village, or  
      Township - Sycamore twp.
2.    Usual Residence of Deceased:  (a.)  State - Ohio,  (b.)  County -     
      Hamilton, (c.)  City or Village - Montgomery R.R. 15,  
      (d.)  Street No. - R.R.
3.    Full Name:  Mary A. Clark.
4.    Sex:  F.
5.    Color or race:  W.
6a.   Single, widowed, married, divorced:  widow.
6b.   Name of husband or wife:  Wm. W. Clark.
7.    Birth date of deceased:  Feb. 5, 1869.
8.    Age:  96 years, 8 months, 7 days.
9.    Birthplace:  Ohio.
10.   Usual occupation:  home.
12.   Father's name:  Erin Sinclaire.
13.   Father's birthplace:  Ohio.
14.   Mother's maiden name:  Eidenoure.
15.   Mother's birthplace:  Ohio.
16a.  Informant's signature:  Earl Clark.
16b.  Address:  Montgomery, Ohio,  R.R. 15.
17b.  Burial, cremation, or other, date:  10-14-48.
17c.  Place:  Mason, Ohio.
17d.  Name of Embalmer:  C. Ray Gillmore,  Lic. No.:  38054.
18a.  Signature of Funeral Director:  Ray Galliniar, Lic. No.:  1948.
18b.  Address:  Mason, Ohio.
19a.  Date received local registrar:  Oct. 21, '48.
19b.  Registrar's signature:  Wm. S. Sharpe.  
20.   Date of Death:  Oct. 10, 48.
21.   I hereby certify that I attended the deceased from June 15, 1946, 
      to Oct. 10, 1948; that I last saw her alive on Oct. 10, 1948; and 
      that death occurred on the date and hour stated above.  Immediate cause 
      of death - malnutrition & general disability due to senility.
23.   Signature:  Ruth C. Ferris, M.D.  Address:  Montgomery, Ohio.  Date  
      signed:  Oct. 15, 48."

File at: http://files.usgwarchives.net/oh/ross/vitals/deaths/clark55ndt.txt

This file has been created by a form at http://www.genrecords.net/ohfiles/

File size: 3.5 Kb