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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