Transcription:
Ohio Department of Health Division of Vital Statistics Certificate of Death
Reg. Dist. No. 78 Primary Reg. Dist. No. 7801
File No. 03937 Registrar's No. 706
1. Decedent-Name Lee Doyle
2. Sex Male
3. Date of Death (Mo., Day, Year) May 19, 1987
4. Race white
5a. Age - Last Birthday 74
6. Date of Birth Feb 27, 1913
7a. County of Death Trumbull
7b. City, Village... Warren
7c. Hospital... Trumbull Memorial Hosp.
7d. If Hosp... Indicate DOA (etc.) Inpatient
8a. State of Birth Pennsylvania
8b. Citizen of What Country U S A
9. Origin or Descent American
10. Social Security Number XXX-XX-XXXX
11. Was Deceased Ever in U.S. Armed Forces? No
12a. Married.... Married
12b. Surviving Spouse Audrey Meinzen
13a. Normal Occupation foreman - ret.
13b. Kind of Busines s or Industry Copperweld Steel
14a. Residence-State OH
14b. County Trumbull
14c. City, Village... Mineral Ridge
14d. Street and Number 1431 Furnace St.
14e. Inside City Limits No
15. Father-Name Gust Doyle
16. Mother-Maiden Name Beulah Gerner
17a. Informant Audrey Doyle
17b. Mailing Address 1431 Furnace St. Mineral Ridge Oh 44440
DEATH WAS CAUSED BY:
Immediate Cause / Approximate Interval Between Onset and Death
18a. Cardiac Arrest / Sudden
18b. Malignant Ventricular Tachyarrhythmia / 4 days
18c. Acute Myocardial Infarction / 5 days
19a. Other Significant Conditions Ventricular Aneurysm
19b. Autopsy No
19c. Was Case Referred to Coroner No
20. [blank]
To Be Completed by Attending Physician
21a. Nazir Ahmed, MD [signature]
21b. Date Signed May 20, 87
21c. Hour of Death 8:26 AM
21d. [Physician] Dr. Nazir Ahmed
22. [blank]
23. Name and Address of Certifier 307 Homewood Ave., SE Warren OH 44483
24a. Burial, Cremation... Burial
24b. Date May 22, 87
24c. Name of Cemetery... Kerr Cem.
24d. Location Mineral Ridge Oh
25. Name of Emblamer / ILIC No. Robert L. Burkhart / 6782-A
26. Funeral Director's Signature Joseph O. Lane [signature]
27. Funeral Firm and Address Lane Funeral Home 1350 Canfield-Niles Rd. Mineral Ridge Oh 44440
28. Date Rec'd 5/26/87
29. Registrar's Signature R V Gracille M D [signature)
30. Date Permit Issued [blank]
31. Signature of Person Issuing Permit [blank]
Information of Genealogical Interest
> Name
> Date and Place of Birth
> Date and Place of Death
> Name of Spouse
> Parents' Names
> Name and Location of Cemetery
> Burial Date
Of Interest for Social History
> Where employed and kind of business
> Last address
Of Interest For Medical Purposes
> Cause of death
> Contributing Conditions
Would use more information than I've suggested for genealogical purposes? Have you ever used a blog post as a source on FamilySearch? Have you ever seen one used?
-–Nancy.
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