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Mary Eloise Smith (Death Certificate)

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STATE OF OHIO 
DEPARTMENT OF HEALTH 
DIVISION OF VITAL STATISTICS 
CERTIFICATE OF DEATH # 31137 
FULL NAME OF DECEASED: Eloise Hughes Smith
PLACE OF DEATH:   Cincinnati Sanitarium
642 Hamilton Ave.
Cincinnati, Ohio
USUAL RESIDENCE:  1140 5th Ave.
Huntington, W. VA.
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Widowed
HUSBAND'S NAME: Lucian
DATE OF BIRTH:   August 5th, 1893
[Note: Her obituary states that
she was born August 7, 1893]
TRADE OR PROFESSION: At home
BIRTHPLACE: Huntington, W. VA.
FATHER'S NAME: James A. Hughes
FATHER'S BIRTHPLACE: Toronto, Ontario, Canada
MOTHER'S MAIDEN NAME: Belle Vinson
MOTHER'S BIRTHPLACE: Louisa, Kentucky
INFORMANT:   James E. Hawthorne
7830 Hamilton Ave.
(Sanitarium Records)
DATE OF DEATH: May 3, 1940
CAUSE OF DEATH: Acute Dilitation of Heart
CONTRIBUTORY CAUSES:   Acute toxic state with
persistent vomiting.
Chronic nephritis.
CERTIFICATION:       I hereby certify that I attended
deceased from May 2, 1940 to May
3, 1940. I last saw her alive on
May 3, 1940, death is said to
have occurred on the date stated
above at 4:45 AM.
PHYSICIAN: D. A. Johnston, MD
PLACE OF BURIAL: Huntington, W. VA.
DATE OF BURIAL: May 6, 1940
FUNERAL FIRM:   Hawthorne Funeral Home
7830 Hamilton Ave.
Mt. Healthy, Ohio
 
STATE OF OHIO 
DEPARTMENT OF HEALTH DEPARTMENT OF COMMERCE-BUREAU OF CENSUS DEATH-
ADDITIONAL INFORMATION 
PLACE OF DEATH:  
County: Hamilton
Registration District #: 494
File #: 31137
Town: Cincinnati
Date of Death: May 3, 1940
Registration #: 2704
Death Certificate for Eloise Hughes Smith
who died on the above date is incomplete.
The following information is necessary:
Kindly state cause of the acute toxic
condition. 
Undetermined
Signature: Joseph Back
THE INFORMATION REQUESTED ABOVE MUST BE SUPPLIED ON THIS BLANK. RETURN IMMEDIATELY 

Related Biographies

Mary Eloise Smith

Contributors

Phillip Gowan, USA

Citation

Encyclopedia Titanica (2003) Mary Eloise Smith (Death Certificate) ( ref: #20957, published 28 August 2003, generated 16th October 2021 02:19:42 AM); URL : https://www.encyclopedia-titanica.org/death-certificate-20957-119.html