Event Type Death
Event Date 17 Oct 1975
Event Place Elyria, Lorain, Ohio, United States
Registration Place Elyria Memorial Hospital
Residence Place Elyria, Lorain, Ohio, United States
Gender Male
Age 60
Marital Status Married
Race White
Birth Date 1915
Autopsy Performed No Autopsy performed
Certificate Number 075639
Volume Number 22252
Certifier's Role Physician
Affiliate Line Number 75637
Affiliate File Name DEATHS75.DAT
Source Reference Ohio Department of Health
Event Type Death
Event Date 17 Oct 1975
Event Place Elyria, Lorain, Ohio, United States
Registration Place Elyria Memorial Hospital
Residence Place Elyria, Lorain, Ohio, United States
Gender Male
Age 60
Marital Status Married
Race White
Birth Date 1915
Autopsy Performed No Autopsy performed
Certificate Number 075639
Volume Number 22252
Certifier's Role Physician
Affiliate Line Number 75637
Affiliate File Name DEATHS75.DAT
Source Reference Ohio Department of Health
Inscription
May he rest in Peace
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