| Name of Deceased | Anna Rebecca Eichelberger |
|---|---|
| Date of Death | May 30, 1958 |
| Place of Death | |
| County | Jefferson |
| City or Town | Bakerton |
| Length of Stay in City/Town | 30 years |
| Full Name of Hospital or Institution | Duke Farm |
| Inside City Limits? | No |
| Usual Residence | |
| State | West Va. |
| County | Jefferson |
| City or Town | Bakerton |
| Street Address | Duke Farm |
| Inside City Limits? | No |
| Residence on a farm? | Yes |
| Sex | Female |
| Color or Race | White |
| Single, Married […] | Married |
| Date of Birth | June 30, 1893 |
| Age | 64 |
| Usual Occupation | Housewife |
| Kind of Business or Industry | Own Home |
| Birthplace | Antietam, Maryland |
| Citizen of What Country? | USA |
| Father’s Name | Thomas Hamilton Crampton |
| Mother’s Maiden Name | Mary Ellen Young |
| Was Deceased ever in U.S. Armed Forces? | No, None. |
| Social Security No. | Unknown |
| Informant | Harvey L. Eichelberger, Bakerton, West Va. |
| Medical Certification | |
| Immediate Cause | Carcinoma of uterus |
| Interval Between Onset and Death | 3 yrs. |
| Was Autopsy Performed? | No |
| I attended the deceased from August 6, 1957 to May 30, 1958, and last saw the deceased alive on May 15, 1958. Death occurred at 5:45 P.M. on the date stated above; and to the best of my knowledge, from the causes stated. | |
| Signature | Halward Wanger, MD. |
| Address | Shepherdstown |
| Date Signed | June 2, ’58 |
| Burial, Cremation, Removal | Burial |
| Date | 6/2/58 |
| Name of Cemetery | Samples Manor Cemetery, Samples Manor, Md. |
| Date Recieved by Local Reg. | June 3, 1958 |
| Registrar’s Signature | Nettie Bell |
| Funeral Directors (Signature) | J. Donald Eackles, Harpers Ferry, West Va. |
Death Certificate: Anna Rebecca Eichelberger
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