WEST VIRGINIA STE DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH 1000 Dist. No. 510 Serial No. 2
1. Place of Death
(a) County Webster
(b) Magisterial Distrist Glade
(c) City or town Wainville
2. Home of Deceased
(a) State W. Va. (b) County Webster
(c) City or town Wainville
3 (a) Full Name NAOMI CATHERINE SIMS
4. Sex Female 5. Color or Race White 6. (a) Widowed
6. (b) Name of husband Thomas Sims
7. Birth date of deceased October 11, 1875
8. Age 71 years 3 months 23 days
9. Birthplace Webster Co., W. Va.
10. Usual occupation Housewife
Father
12. Name Wesley Weese
13. Birthplace Webster Co., W. Va.
Mother
14. Maiden name Florinda Dobbins
15. Birthplace Webster Co., W. Va.
16. (a) Informant's signature William Sims
(b) Address Jerryville, W.Va.
17 (a) Burial (b) Date thereof Jan. 6, 1947
(c) Cemetery Lost Run Cemetery Location Wainville
MEDICAL CERTIFICATION
20. Date of death Jan. 4, 1947, at 8:45 A.M.
http://www.wvculture.org/vrr/va_view.aspx?Id=1003973&Type=Death
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH 1000 Dist. No. 510 Serial No. 2
1. Place of Death
(a) County Webster
(b) Magisterial Distrist Glade
(c) City or town Wainville
2. Home of Deceased
(a) State W. Va. (b) County Webster
(c) City or town Wainville
3 (a) Full Name NAOMI CATHERINE SIMS
4. Sex Female 5. Color or Race White 6. (a) Widowed
6. (b) Name of husband Thomas Sims
7. Birth date of deceased October 11, 1875
8. Age 71 years 3 months 23 days
9. Birthplace Webster Co., W. Va.
10. Usual occupation Housewife
Father
12. Name Wesley Weese
13. Birthplace Webster Co., W. Va.
Mother
14. Maiden name Florinda Dobbins
15. Birthplace Webster Co., W. Va.
16. (a) Informant's signature William Sims
(b) Address Jerryville, W.Va.
17 (a) Burial (b) Date thereof Jan. 6, 1947
(c) Cemetery Lost Run Cemetery Location Wainville
MEDICAL CERTIFICATION
20. Date of death Jan. 4, 1947, at 8:45 A.M.
http://www.wvculture.org/vrr/va_view.aspx?Id=1003973&Type=Death
WEST VIRGINIA STE DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH 1000 Dist. No. 510 Serial No. 2
1. Place of Death
(a) County Webster
(b) Magisterial Distrist Glade
(c) City or town Wainville
2. Home of Deceased
(a) State W. Va. (b) County Webster
(c) City or town Wainville
3 (a) Full Name NAOMI CATHERINE SIMS
4. Sex Female 5. Color or Race White 6. (a) Widowed
6. (b) Name of husband Thomas Sims
7. Birth date of deceased October 11, 1875
8. Age 71 years 3 months 23 days
9. Birthplace Webster Co., W. Va.
10. Usual occupation Housewife
Father
12. Name Wesley Weese
13. Birthplace Webster Co., W. Va.
Mother
14. Maiden name Florinda Dobbins
15. Birthplace Webster Co., W. Va.
16. (a) Informant's signature William Sims
(b) Address Jerryville, W.Va.
17 (a) Burial (b) Date thereof Jan. 6, 1947
(c) Cemetery Lost Run Cemetery Location Wainville
MEDICAL CERTIFICATION
20. Date of death Jan. 4, 1947, at 8:45 A.M.
http://www.wvculture.org/vrr/va_view.aspx?Id=1003973&Type=Death
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH 1000 Dist. No. 510 Serial No. 2
1. Place of Death
(a) County Webster
(b) Magisterial Distrist Glade
(c) City or town Wainville
2. Home of Deceased
(a) State W. Va. (b) County Webster
(c) City or town Wainville
3 (a) Full Name NAOMI CATHERINE SIMS
4. Sex Female 5. Color or Race White 6. (a) Widowed
6. (b) Name of husband Thomas Sims
7. Birth date of deceased October 11, 1875
8. Age 71 years 3 months 23 days
9. Birthplace Webster Co., W. Va.
10. Usual occupation Housewife
Father
12. Name Wesley Weese
13. Birthplace Webster Co., W. Va.
Mother
14. Maiden name Florinda Dobbins
15. Birthplace Webster Co., W. Va.
16. (a) Informant's signature William Sims
(b) Address Jerryville, W.Va.
17 (a) Burial (b) Date thereof Jan. 6, 1947
(c) Cemetery Lost Run Cemetery Location Wainville
MEDICAL CERTIFICATION
20. Date of death Jan. 4, 1947, at 8:45 A.M.
http://www.wvculture.org/vrr/va_view.aspx?Id=1003973&Type=Death
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