|Name of Deceased
|Martin Dineen Welsh, Sr.
|Date of Death
|March 31, 1964
|Place of Death
|City or Town
|Length of Stay […]
|Name of Hospital or Institution
|Charles Town Gen. Hospital
|Is Place of Death Inside City Limits?
|City or Town
|Is Residence Inside City Limits?
|Is Residence on a Farm?
|Color or Race
|Date of Birth
|Apr. 22, 1892
|Age (in years last birthday)
|Kind of Business or Industry
|Bakerton, West Va.
|Citizen of What Country?
|Thomas Buchanan Welsh
|Mother’s Maiden Name
|Maggie V. Flanagan
|Was Deceased Ever in Armed Forces?
|M. D. Welsh, Jr. Bakerton, West Va.
|Cause of Death
|Pulmonary Embolism – interval between onset and death 10 minutes
|Muscealeid[unsure] arteriosclerosis – interval between onset and death 10 years
|Other significant conditions contributing to death
|Belated Bronchial Pneumonia
|I attended the deceased from 2/25, to 3/31 and last saw the deceased alive on _______. Death occured at 12:20 PM on the date stated above; and to the best of my knowledge, from the causes stated.
|John L[?] VanMetre M.D. Charles Town, W.Va 4/3/64
|Burial, Cremation, Removal
|Name of Cemetery or Crematory
|Mt. View Cemetery
|Location (City, town or county) (State)
|Donald Eackles Harpers Ferry W.Va.
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