| Dist. No. | 1921 |
|---|---|
| Serial No. | 27 |
| Place of Death | |
| County | Jefferson |
| Magisterial District | Harpers Ferry |
| City or Town | Harpers Ferry |
| Length of stay in this community | 61 |
| Home (Usual Residence) of Deceased | |
| State | W. Va. |
| County | Jefferson |
| City or Town | Harpers Ferry |
| Street No. | |
| — | |
| Full Name | Eugene Bready |
| If veteran, name war | No |
| Social Security No. | No |
| Sex | M |
| Color or race | W |
| Single, married, widowed, or divorced. | Married |
| Name of husband or wife | Eva B. Bready |
| If alive, give age | 49 |
| Birth date of deceased | Aug. 28 – 1882 |
| Age | 61 yrs. 1 ms. |
| Birthplace | Harpers Ferry, W.Va. |
| Usual Occupation | Operator of Gas Service Station |
| [Father’s] Name | George R. Bready |
| [Father’s] Birthplace | Balto. Md. |
| [Mother’s] Name | Mary E. Turtney |
| [Mother’s] Birthplace | Harpers Ferry, W.Va. |
| Informant’s Signature | G. R. Bready |
| [Informant’s] Address | Harpers Ferry, W.Va. |
| Burial, Cremation, Removal | Burial |
| Date Thereof | Oct. 3, 1943 |
| Cemetery | Harpers |
| Location | Harpers Ferry, W.Va. |
| Funeral Director | Jesse S. Dailey |
| Address | Harpers Ferry, WVa |
| Medical Certification | |
| Date of Death | Oct. 1, 1943 at 1:00PM |
| I certify that death occurred on the date above stated; that I attended deceased from Sept. 26, 1943 to Oct. 1, 1943 and that I last saw him alive on Oct. 1, 1943. | |
| Immediate cause of death | Coronary Thrombosis |
| Due To | Diabetes Mellitus |
| Duration | 4 days |
| Signature | S. G. Moore, M.D. |
| Address | Harpers Ferry, W.Va 10/2/43 |