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 |