Death Register: Raleigh Moore
April 4, 2019Death Register: Daniel Lee Moler
April 4, 2019Dist. No. | 1911 |
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Serial No. | 44 |
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Place of Death |
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County | Jefferson |
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Magisterial District | Charles Town |
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City or Town | Charles Town |
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Length of stay in hospital or inst. | |
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Home (Usual Residence) of Deceased |
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State | |
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County | |
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City or Town | |
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Street No. | |
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— |
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Full Name | Daniel Lee Moler |
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If veteran, name war | Spanish Americ. |
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Social Security No. | — |
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Sex | Male |
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Color or race | White |
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Single, married, widowed, or divorced. | Married |
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Name of husband or wife | Florence E. Moler |
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If alive, give age | 56 years |
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Birth date of deceased | Mar 11- 1869 |
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Age | 75 yrs. 3 ms. 17 ds. |
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Birthplace | Molers Cross Roads |
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Usual Occupation | Gov’t Employee |
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[Father’s] Name | Geo Wm Moler |
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[Father’s] Birthplace | Jeff. Co |
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[Mother’s] Name | Laura F. Flanagan |
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[Mother’s] Birthplace | Jeff. Co |
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Informant’s Signature | Mrs. Florence E. Moler |
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[Informant’s] Address | Charles Town |
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Burial, Cremation, Removal | Burial |
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Date Thereof | July 1, 1944 |
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Cemetery | Edge Hill |
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Location | Charles Town |
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Funeral Director | Melvin T. Strider |
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Address | |
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Medical Certification |
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Date of Death | June 28, 1944 at 6:15PM |
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I certify that death occurred on the date above stated; that I attended deceased from 6/2, 1944 to 6/28, 1944 and that I last saw him alive on 6/28, 1944. |
Immediate cause of death | Cerebral Hemorrhage, Paralysis duration |
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Due To | Arterial Hypertension |
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Duration | 2 wks. |
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Signature | G. P. Morrison |
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Address | Charles Town, W.Va 6/29/44 |
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