Date of Death 10-17-65
Place of Death County Ohio, City Wheeling
Length of Stay in City: Life
Name of Hospital: Ohio Valley Gen. Hosp., inside city limits
Usual Residence State W. Va., County Ohio, City Wheeling
Street Address 111 Washington Avenue, inside city limits, not on a farm
female, white, never married
Date of Birth May 17, 1886, Age last birthday 79
Usual Occupation: Self Employed - Dry Cleaning Service
Birthplace W. Va., Citizen of USA
Father's Name J.F. Horner
Mother's Maiden Name: Augusta B. Walther
Social Security No. 232-20-7568
Informant: Alma A. Horner
Cause of Death: Carcinomatosis due to Carcinoma Recto Sigmoid 2 years
no autopsy
I attended the deceased from 1963 to 10-17-65 and last saw the deceased alive on 10-17-65
Death occurred at 4:15 pm on the date stated above; and to the best of my knowledge, from the causes stated.
Signature Michael A. Gaydosh, MD, Wheeling, W. Va., 10-18-65
Burial 10-19-65, Greenwood Cemetery, Wheeling, W. Va.
Date Rec'd by Local Reg. 10-19-65
Registrar's Signature Carolyn Stoflinsky
Funeral Director McCoy, Wheeling, W. Va.
Source:
West Virginia State Department of Health - Division of Vital Statistics, Certificate of Death
Place of Death County Ohio, City Wheeling
Length of Stay in City: Life
Name of Hospital: Ohio Valley Gen. Hosp., inside city limits
Usual Residence State W. Va., County Ohio, City Wheeling
Street Address 111 Washington Avenue, inside city limits, not on a farm
female, white, never married
Date of Birth May 17, 1886, Age last birthday 79
Usual Occupation: Self Employed - Dry Cleaning Service
Birthplace W. Va., Citizen of USA
Father's Name J.F. Horner
Mother's Maiden Name: Augusta B. Walther
Social Security No. 232-20-7568
Informant: Alma A. Horner
Cause of Death: Carcinomatosis due to Carcinoma Recto Sigmoid 2 years
no autopsy
I attended the deceased from 1963 to 10-17-65 and last saw the deceased alive on 10-17-65
Death occurred at 4:15 pm on the date stated above; and to the best of my knowledge, from the causes stated.
Signature Michael A. Gaydosh, MD, Wheeling, W. Va., 10-18-65
Burial 10-19-65, Greenwood Cemetery, Wheeling, W. Va.
Date Rec'd by Local Reg. 10-19-65
Registrar's Signature Carolyn Stoflinsky
Funeral Director McCoy, Wheeling, W. Va.
Source:
West Virginia State Department of Health - Division of Vital Statistics, Certificate of Death
Date of Death 10-17-65
Place of Death County Ohio, City Wheeling
Length of Stay in City: Life
Name of Hospital: Ohio Valley Gen. Hosp., inside city limits
Usual Residence State W. Va., County Ohio, City Wheeling
Street Address 111 Washington Avenue, inside city limits, not on a farm
female, white, never married
Date of Birth May 17, 1886, Age last birthday 79
Usual Occupation: Self Employed - Dry Cleaning Service
Birthplace W. Va., Citizen of USA
Father's Name J.F. Horner
Mother's Maiden Name: Augusta B. Walther
Social Security No. 232-20-7568
Informant: Alma A. Horner
Cause of Death: Carcinomatosis due to Carcinoma Recto Sigmoid 2 years
no autopsy
I attended the deceased from 1963 to 10-17-65 and last saw the deceased alive on 10-17-65
Death occurred at 4:15 pm on the date stated above; and to the best of my knowledge, from the causes stated.
Signature Michael A. Gaydosh, MD, Wheeling, W. Va., 10-18-65
Burial 10-19-65, Greenwood Cemetery, Wheeling, W. Va.
Date Rec'd by Local Reg. 10-19-65
Registrar's Signature Carolyn Stoflinsky
Funeral Director McCoy, Wheeling, W. Va.
Source:
West Virginia State Department of Health - Division of Vital Statistics, Certificate of Death
Place of Death County Ohio, City Wheeling
Length of Stay in City: Life
Name of Hospital: Ohio Valley Gen. Hosp., inside city limits
Usual Residence State W. Va., County Ohio, City Wheeling
Street Address 111 Washington Avenue, inside city limits, not on a farm
female, white, never married
Date of Birth May 17, 1886, Age last birthday 79
Usual Occupation: Self Employed - Dry Cleaning Service
Birthplace W. Va., Citizen of USA
Father's Name J.F. Horner
Mother's Maiden Name: Augusta B. Walther
Social Security No. 232-20-7568
Informant: Alma A. Horner
Cause of Death: Carcinomatosis due to Carcinoma Recto Sigmoid 2 years
no autopsy
I attended the deceased from 1963 to 10-17-65 and last saw the deceased alive on 10-17-65
Death occurred at 4:15 pm on the date stated above; and to the best of my knowledge, from the causes stated.
Signature Michael A. Gaydosh, MD, Wheeling, W. Va., 10-18-65
Burial 10-19-65, Greenwood Cemetery, Wheeling, W. Va.
Date Rec'd by Local Reg. 10-19-65
Registrar's Signature Carolyn Stoflinsky
Funeral Director McCoy, Wheeling, W. Va.
Source:
West Virginia State Department of Health - Division of Vital Statistics, Certificate of Death
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