| Registered No. | 10608 |
|---|---|
| Place of Death | |
| Place of Death | Bakerton |
| County | Jefferson |
| Town or City | |
| District | H. Ferry |
| Length of residence where death occurred | |
| Place of Residence | |
| State | W. Va. |
| County | Jefferson |
| City or Town | |
| District | |
| Personal and Statistical Particulars | |
| Full Name | Rankin Wm. Geary |
| Sex | M |
| Color or Race | W |
| Single, married, widowed, or divorced. | Married |
| Husband or Wife of | Augusta Welsh Geary |
| Date of Birth | Oct. 15th — 1863 |
| Age | 74 yrs. 10 mos. 3 ds. |
| Trade Profession | |
| Industry or Business | |
| Date Deceased Last Worked | |
| Total Time (Years) Spent In This Occupation | |
| Birthplace | Nebraska City |
| Father’s Name | — |
| Father’s Birthplace | — |
| Mother’s Maiden Name | — |
| Mother’s Birthplace | — |
| Informant | W.S. Geary |
| Informant’s Address | M[?] |
| Burial, Cremation, or Removal (Place) | Charles Town |
| Date | Aug. 7, 1938 |
| Funeral Director | Melvin T. Strider |
| Filed | Aug. 9, 1938 |
| Medical Certification | |
| Date of Death | Aug. 4th, 1938 |
| I HEREBY CERTIFY, That I attended deceased from [?] 29, 1937 to Aug. 4, 1938, death is said to have occurred on the date stated above at 8:30P.M. | |
| Principal and Related Cause of Death | Chronic Myocarditis |
| Other Contributory Causes of Importance | |
| Name of Operation | |
| Signature | Nathaniel Burwell, M.D. |
| Address | [?] W. Va. |