Death Cert: John Samuel Earl Clark
Death Certificate Extract

Your name: Wanda Yauch submitted 7/15/07
Relationship, if any to deceased: Daughter
Source: Ohio Dept of Health image
Name: John Samuel Earl Clark
Sex:  M
Race: W
Date of Death: 10/17/1983
Age: 73
County of Death: Hamilton
City, Village or Location of Death: Cincinnati
Hospital or Other Institution: Hospice
Date of Birth: 2/20/1910
Place of Birth: Ohio
Citizen of What Country: USA
Origin or Descent: American
Social Security Number: 301-07-5775
Was Deceased Ever In US Armed Forces: no
Marital Status: M
Name of spouse: Nettie Virginia Hearl
Usual Occupation: Machinist
Kind Of Business or Industry: General Electric
Residence - State: Kentucky
County: Campbell
City, Village or Location: Dayton
Street: 1212 4th Avenue
Father Name: Samuel Wilson Clark
Father Birthplace: Newport, Kentucky
Mother Maiden Name: Maria Louisa Robinson
Mother Birthplace: Kentucky
Informant - Name: Ginger Caudill
Mailing Address: 303 S B Street, Hamilton, Ohio 45013
Death was caused by: Cancer
Burial, Cremation, other: removal
Date: 11-1-1983
Name of Cemetery or Crematory: Dept of Anatomy, UC College of Medicine
Location: Cincinnati
Funeral Firm and Address: Dept of Anatomy, UC College of Medicine.
231 Bethesda Ave, Cincinnati, Oh
Other information from submitter: Body cremated 1 yr after death and ashes
buried at Spring Grove Cemetery

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