| Registered No. | 1963 |
|---|---|
| Place of Death | |
| Place of Death | Bakerton |
| County | Jefferson |
| Town or City | |
| District | Harpers Ferry (dist. no. 1921) |
| Length of residence where death occurred | |
| Place of Residence | |
| State | W. Va. |
| County | Jefferson |
| City or Town | |
| District | (Dist. No. 1921) |
| Personal and Statistical Particulars | |
| Full Name | Robert Dudley Moler |
| Sex | M |
| Color or Race | W |
| Single, married, widowed, or divorced. | Married |
| Husband or Wife of | Ada Link Moler |
| Date of Birth | Feb. 4 — 1880 |
| Age | 57 yrs. mos. 20 ds. |
| Trade Profession | Farmer |
| Industry or Business | |
| Date Deceased Last Worked | |
| Total Time (Years) Spent In This Occupation | |
| Birthplace | Molers Cross Roads, Jeff. Co. W.Va |
| Father’s Name | Geo. W. Moler |
| Father’s Birthplace | Jefferson Co. |
| Mother’s Maiden Name | Laura Flanagan |
| Mother’s Birthplace | Jeff. Co |
| Informant | Guy Moler |
| Informant’s Address | Bakerton |
| Burial, Cremation, or Removal (Place) | Shepherdstown |
| Date | Feb. 26, 1937 |
| Funeral Director | Melvin T. Strider |
| Filed | Feb. 6, 1937 |
| Medical Certification | |
| Date of Death | Feb. 24, 1937 |
| I HEREBY CERTIFY, That I attended deceased from Had Not Been attended by any physician prior to his death, death is said to have occurred on the date stated above at 8:30A.M. | |
| Principal and Related Cause of Death | Died suddenly while at work pruning trees in orchard. Probably heart attack. |
| Other Contributory Causes of Importance | |
| Name of Operation | |
| Signature | C. C. Johnson, M.D. |
| Address | Harpers Ferry, W. Va. |