| Name of Deceased | Ethel Virginia Lloyd |
|---|---|
| Date of Death | Sept. 6th ’56. |
| Place of Death | |
| County | Jefferson |
| City or Town | Charles Town |
| Length of Stay […] | |
| Name of Hospital or Institution | North Mildred St. |
| Usual Residence | |
| State | W. Va. |
| County | Jefferson |
| City or Town | Charles Town |
| Street Address | North Mildred Street |
| — | |
| Sex | Female |
| Color or Race | White |
| Married | Married |
| Date of Birth | July 22nd 1923. |
| Age (in years last birthday) | 32 yrs. 10 m. 14 d. |
| Usual Occupation | Housewife |
| Kind of Business or Industry | |
| Birthplace | Washington County, Md. |
| Citizen of What Country? | USA |
| Father’s Name | Harvey Lee Eichelberger |
| Mother’s Maiden Name | Ann Rebecca Crampton |
| Was Deceased Ever in Armed Forces? | No |
| Informant | Connie L. Lloyd (Husband) |
| Cause of Death | |
| Immediate Cause | Gunshot wound in left chest |
| Due to | |
| Other significant conditions contributing to death | |
| Accident Suicide Homicide | Suicide |
| Place of Injury | Home |
| City, Town, or Township | Charles Town Jefferson W.Va. |
| Time of Injury | 9-6-1956 |
| Injury Occurred | Not while at work |
| Inquest | No |
| I hereby certify that I attended the deceased from ——, that I last saw the deceased alive on ——, and that death occurred at —–, from the causes and on the date stated above. | |
| Signature | Me[?] E. Alger [?] Charles Town, W.Va 9/7/56 |
| — | |
| Burial, Cremation, Removal | Burial |
| Date | Sept. 9th ’56 |
| Name of Cemetery or Crematory | Green Hill (Berryville) |
| Embalmer’s Signature | J. Donald Eackles |
| Date Rec’d By Local Reg. | Sept. 8, 1956 |
Death Certificate: Ethel Virginia Lloyd
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