From the Death Certificate
for Barbara Ricer
#5430, Wayne Twp., Monroe
Co., Ohio
PERSONAL AND STATISTICAL
PARTICULARS
female, white, married
birth: Oct. 9, 1846, Pennsylvania
age: 72 yrs. 2 mos. 29 ds.
occupation: household duties
father: Michael Shafer, born "don't know"
mother: Mary Shafer, born Germany
informant: Jacob Reisser, Woodsfield
filed: Jan. 11, 1919: A. R. Smith, Registrar
MEDICAL CERTIFICATE OF DEATH
date of death: Jan. 8, 1919
statement: I hereby certify, That I attended deceased
from Dec. 10, 1918, to Jany 7, 1919, that I last saw her alive on Dec. 10,
1918, and that death occurred, on the date stated above, at 12 a.m. / p.m.*
cause of death: Nervous Prostration. Died without medical attendance. Duration, 2 mos.
contributory: cold
signed: A.R. Smith, Local
Reg.; Jan 8, 1919, Lewisville, O
burial: OakLawn Cemetery; Jan 11th, 1919
undertaker: L.J. Bauer, Woodsfield, Ohio
*Submitter s Note: I could
not read whether this was a.m. or p.m.
Submitter s Note: This writing was difficult to read and may be in error.
Provided by Betty Latta Kitchen
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