Death Certificate Extract

Submitted by: Karen A. Trzcinski April 28, 2001
Relationship, if any to deceased:

Source: ? Department of Health, Certificate of Death # ?

Name: H.M. Booth
Place of Death: Glendale, Hamilton county, Ohio
Residence: Washington & Jefferson  Aves, Glendale, Ohio
Sex: Male
Race: White
Marital Status: Married
Wife: Bessie M. Gilliard Booth
Date of Birth: (blank)
Age: 66 yrs
Occupation: Retired
Birthplace: Marietta, Ohio
Father: Horatis Booth
Birthplace: Marietta, Ohio
Mother: Harriet Soyes
Birthplace: Marietta, Ohio
Informant: Bessie Booth, Washington & Jefferson Aves
Burial: Sp. Grove  April 15, 1919
Date of Death: Apr. 12, 1919
Cause of Death: Coroner viewed remains; no inquest necessary. Probably Chronic Myocarditis
Contrubutory: Arterio-sclerosis
Death-Additional Information (correction of death certificate): Full name of deceased, initials not sufficient.  Harry Mathis Booth.

Other information from submitter:


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