Date of Entry Year 1949
Name of Deceased Anna Martin
Marital Status
Residence Cleveland, O.
Husband/Wife/Widow Henry Martin
Charge To Fred, Cleveland; Mrs. Gras. Mumma, Cleveland; Marjorie Miranda,
Address Springfield;
Order Given By
How Secured G. F. Martin, 31612 Orchard Rd., Willoughby, Ohio
If Veteran, State War
Occupation
Employer & Address
Date of Death November 25, 1949; a.m.
Date of Birth
Age 76 years
Date of Funeral November 27, 1949; 1:30 p.m.
Services At Chapel
Clergyman
Religion of Deceased
Birthplace Mercer County
Resided in State
Place of Death Cleveland
Cause of Death
Contributory Causes
Certifying Physician
His Address
Name of Father Fred Koch
His Birthplace
Maiden Name of Mother Wilhelmina Koch
Her Birthplace
(Motor/Ship) Remains To
Size of Casket
Manufactured By
Cemetery/Crematory Cut off; (KK note: buried Mt. Zion Cem., Portland, Indiana)
Lot No.
Grave No.
Section No.
Block No.
Owner
Date of Entry Year 1949
Name of Deceased Anna Martin
Marital Status
Residence Cleveland, O.
Husband/Wife/Widow Henry Martin
Charge To Fred, Cleveland; Mrs. Gras. Mumma, Cleveland; Marjorie Miranda,
Address Springfield;
Order Given By
How Secured G. F. Martin, 31612 Orchard Rd., Willoughby, Ohio
If Veteran, State War
Occupation
Employer & Address
Date of Death November 25, 1949; a.m.
Date of Birth
Age 76 years
Date of Funeral November 27, 1949; 1:30 p.m.
Services At Chapel
Clergyman
Religion of Deceased
Birthplace Mercer County
Resided in State
Place of Death Cleveland
Cause of Death
Contributory Causes
Certifying Physician
His Address
Name of Father Fred Koch
His Birthplace
Maiden Name of Mother Wilhelmina Koch
Her Birthplace
(Motor/Ship) Remains To
Size of Casket
Manufactured By
Cemetery/Crematory Cut off; (KK note: buried Mt. Zion Cem., Portland, Indiana)
Lot No.
Grave No.
Section No.
Block No.
Owner
Family Members
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