| Name of Deceased | Howard Garland Smallwood |
|---|---|
| Date of Death | Jan. 25, 1957 |
| Place of Death | |
| County | Jefferson |
| City or Town | Charles Town |
| Length of Stay […] | 5 Weeks |
| Name of Hospital or Institution | Moore Rest Home |
| Is Place of Death Inside City Limits? | Yes |
| Usual Residence | |
| State | West Va. |
| County | Jefferson |
| City or Town | Ranson |
| Street Address | Fifth Avenue |
| Is Residence Inside City Limits? | Yes |
| Is Residence on a Farm? | No |
| — | |
| Sex | Male |
| Color or Race | White |
| Married | Widowed |
| Date of Birth | Aug. 2, 1875 |
| Age (in years last birthday) | 81 |
| Usual Occupation | Carpenter (Ret.) |
| Kind of Business or Industry | Construction |
| Birthplace | Bolivar, West Va. |
| Citizen of What Country? | USA |
| Father’s Name | Howard Franklin Smallwood |
| Mother’s Maiden Name | Elizabeth Etta Conard |
| Was Deceased Ever in Armed Forces? | No |
| Informant | Willard C. Smallwood. Millville, West Va. |
| Cause of Death | |
| Immediate Cause | Atherosclerotic Cardiovascular Disease with Senile Psychosis interval between onset and death 10 yrs. |
| Due to | |
| Due to | |
| I attended the deceased from 6-5-56, to 1-25-57 and last saw the deceased alive on 1-20-57. Death occurred at 5:30 AM on the date stated above; and to the best of my knowledge, from the causes stated. | |
| Signature | W. P. Nai[?] M.D. Charles Town, W.Va 1/27/57 |
| — | |
| Burial, Cremation, Removal | Burial |
| Date | 1/27/57 |
| Name of Cemetery or Crematory | Fairview Cemetery |
| Location (City, town or county) (State) | Bolivar, West Va. |
| Funeral Director | J. Donald Eackles Harpers Ferry W.Va. |
Death Certificate: Howard Garland Smallwood
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