Chronic Uremia – interval between onset and death unknown
arteriosclerosis – generalized – interval between onset and death unknown
Other significant conditions contributing to death
I hereby certify that I attended the deceased from Feb, 1953 to 22 Jan., 1954, that I last saw the deceased alive on 19 Jan., 1954, and that death occurred at 1:30 PM, from the causes and on the date stated above.
Th. Hammond, Shepherdstown WVa
Burial, Cremation, Removal
Name of Cemetery or Crematory
Samples Manor Cemetery
J. Donald Eackles
Date Rec’d By Local Reg.
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