Name: Gayle Alberta Chapin Event Type: Death Event Date: 16 Sep 2004 Time: 03:55 AM Event Place: , , , United States Registration Place: Private Residence Registration State: OH Registration Date: 23 Sep 2004 Residence Place: Painesville, Lake, Ohio, United States Address: 283 E Walnut St Residence Postal Code: 44077 Within City Limits: Yes Gender: Female Age: 70 Marital Status: Widowed Race: White Hispanic Origin: Not Hispanic Industry: Occupation Not Classifiable Education Level: 5+ years college Occupation: Occupation Not Classifiable Military Service: Yes Military Service Branch: Marines Social Security Number: 294-28-6885 Birth Date: 02 Jun 1934 Birthplace: Ohio Father's Surname: Roemisch Mother's Surname: Rodgers Injury at Work: Unclassifiable Hospital Status: Other/Nursing home Referred to Coroner: Not Referred to Coroner Autopsy Performed: No Autopsy performed Method of Disposition: Cremation Certificate Number: 74841 Volume Number: 34456 Registrar Certificate Number: 004857 Certifier's Role: Physician Census Tract: 9999 Registration District: 1801 Source Reference: Ohio Department of Health
Name: Gayle Alberta Chapin Event Type: Death Event Date: 16 Sep 2004 Time: 03:55 AM Event Place: , , , United States Registration Place: Private Residence Registration State: OH Registration Date: 23 Sep 2004 Residence Place: Painesville, Lake, Ohio, United States Address: 283 E Walnut St Residence Postal Code: 44077 Within City Limits: Yes Gender: Female Age: 70 Marital Status: Widowed Race: White Hispanic Origin: Not Hispanic Industry: Occupation Not Classifiable Education Level: 5+ years college Occupation: Occupation Not Classifiable Military Service: Yes Military Service Branch: Marines Social Security Number: 294-28-6885 Birth Date: 02 Jun 1934 Birthplace: Ohio Father's Surname: Roemisch Mother's Surname: Rodgers Injury at Work: Unclassifiable Hospital Status: Other/Nursing home Referred to Coroner: Not Referred to Coroner Autopsy Performed: No Autopsy performed Method of Disposition: Cremation Certificate Number: 74841 Volume Number: 34456 Registrar Certificate Number: 004857 Certifier's Role: Physician Census Tract: 9999 Registration District: 1801 Source Reference: Ohio Department of Health
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