OHIO DEPARTMENT OF HEALTH

DIVISION OF VITAL STATISTICS

CERTIFICATE OF DEATH

State File No:  37084

 

PLACE OF DEATH

Franklin County

CITY OR VILLAGE

Columbus

LENGTH OF STAY

2 Days

HOSPITAL OR INSTITUTION

University Hospital

 

USUAL RESIDENCE

Franklin County

CITY OR VILLAGE

Columbus

STREET ADDRESS

323 Thurman Ave (Rear)

 

DECEASED

Maynard Sanford FULLEN

DATE OF DEATH

June 26, 1954

SEX

Male

COLOR OR RACE

White

MARRIED, WIDOWED, DIVORCED

Married

DATE OF BIRTH

Nov 23, 1898

AGE

55

OCCUPATION

Inspector

BUSINESS OR INDUSTRY

Casting

BIRTHPLACE

OH, Pickaway County

CITIZEN OF WHAT COUNTRY

USA

FATHER'S NAME

Alex FULLEN

MOTHER'S MAIDEN NAME

Ida RYERSON

EVER IN U.S. ARMED FORCES

No

INFORMANT

Ethel FULLEN

 

 

CONDITION LEADING TO DEATH

Cerebral Hemorrhage

ANTECEDENT CAUSES

Hypertension   Pneumonia

ATTENDED DECEASED

     June 24, 1954 to June 26, 1954

TIME OF DEATH

8:20 a.m.

BURIAL

6/29/1954

CEMETERY

Mullenburg

LOCATION

Pickaway County

EMBALMER

Joseph Colburn

FUNERAL DIRECTOR

O R Woodyard