| Name of Deceased | Robert William Ingram |
|---|---|
| Date of Death | May 3, 1956 |
| Place of Death | |
| County | Berkeley |
| City or Town | Martinsburg |
| Length of Stay […] | 8 yrs |
| Name of Hospital or Institution | 511 Berry Street |
| Usual Residence | |
| State | West Va. |
| County | Berkeley |
| City or Town | Martinsburg |
| Street Address | 511 Berry Street |
| — | |
| Sex | Male |
| Color or Race | White |
| Married | Married |
| Date of Birth | May 8, 1892 |
| Age (in years last birthday) | 63 yrs. 11 m. 25 d. |
| Usual Occupation | Laborer |
| Kind of Business or Industry | Cement Plant |
| Birthplace | Jefferson County, W. Va. |
| Citizen of What Country? | USA |
| Father’s Name | Charles William Ingram |
| Mother’s Maiden Name | Annie Gertrude Welch |
| Was Deceased Ever in Armed Forces? | No |
| Social Security No. | 232-03-1524 |
| Informant | Mrs. Cora M. Ingram, 511 Berry St., Martinsburg, W.Va |
| Cause of Death | |
| Immediate Cause | Silicosis, interval between onset and death 7 years |
| Due to | 5230 |
| Other significant conditions contributing to death | |
| Major Findings of Operation | None |
| Autopsy | No |
| I hereby certify that I attended the deceased from 12-12, 1953, to May 3, 1956, that I last saw the deceased alive on Apr. 8, 1956, and that death occurred at 7:30 P.M., from the causes and on the date stated above. | |
| Signature | [?], M.D. Martinsburg, W.Va 5/5/56 |
| — | |
| Burial, Cremation, Removal | Burial |
| Date | 5/6/56 |
| Name of Cemetery or Crematory | Samples Manor Cemetery |
| Embalmer’s Signature | J. Donald Eackles |
| Date Rec’d By Local Reg. | 5/5/56 |
Death Certificate: Robert William Ingram
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