I attended the deceased from June 11, 1970 to June 2, 1973 and last saw the deceased alive on May 23, 1973. Death occurred at 4:30 a.m. on the date stated above, and to the best of my knowledge, from the causes stated.
Samuel J. Bucher M.D., Mountain Clinic Harman, W.Va. June 9, 1973
Burial, Cremation, Removal
Oct. 11, ’48
Name of Cemetery or Crematory
Location (City, town or county) (State)
Shepherdstown, Jefferson Co., W.Va.
June 5, 1973
Brown Funeral Home, Inc., P.O. Box 821, Martinsburg, W.Va. 25401
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