Mary Eloise Smith (Death Certificate)

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

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20957, published 28 August 2003, generated 15th May 2019 02:29:23 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20957-119.html