I HEREBY CERTIFY, That I attended deceased from July 16, 1938, to July 16, 1938. I last saw him alive on July 16, 1938, death is said to have occurred on the date stated above at 5:30 a.m. The principal cause of death and related causes of importance were as follows: Heart failure (died suddenly) chronic heart disease ([onset] about 1 yr ago)
C. C. Johnson, M.D. Harpers Ferry, W.Va
Place of Burial or Removal
Date of Burial
August 17, 1938
J. L. Eackles, Bolivar W.Va
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