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 |