Certificate of Death

Marvin Eugene Baker Sr.

Registration Dist, No 37-00
Certificate Number 236
Home (usual residence) of Deceased  
State NC
County Gates
City or Town Gates
Street or RFD Rt 1
Is place of residence in corporate limits? No
If foreign born, how long in USA? (years)  
Place of death  
County Gates
Township  
City or town Gates
Street, Hospital or Institution  
Length of stay in hosptial or Institution  
In this community (yrs. mos, or days)  
Full Name Marvin Eugene Baker Sr.
If Veteran, Name War  
Social Security Number  
Sex Male
Color or race White
Single, Married, Widowed or Divorced Married
Name of husband or wife Della Mary Blanchard
Age of husband or wife if alive (years)  
Birth date of deceased 10-5-1905
Age (Years-Months-Days) 78
If less than one day (hrs. mins)  
Birthplace Gates Co. NC
Usual Occupation Carpenter
Industry or Business Home building
Father's name Arthur Baker
Birthplace of father  
Mother's maiden name Bertha Speight
Birthplace of mother  
Date of death (Mon-day-year-time) 9-10-1984 4:30pm
Physician attended to and from dates Nov 1979-Sept 1984
Last Seen April 21, 1984
Immediate cause of death Cardio respiratory arrest
Duration 10 yrs
Due to arteriosclerotic cardiovascular disease
Due to  
Other conditions High blood pressure
Major findings of operations  
Of Autopsy  
Accident, suicide, or homicide Natural
Date of occurance  
Where did this injury occur?  
Place of injury  
At work?  
Means of injury  
Doctors signature Doctor J. Jenkins
Address  
Date signed  
Informants signature Mrs. Della B. Baker (wife)
Address Gates, NC
Burial, cremation or removal Burial
Date 9-12-1984
cemetery Savage Church Cemetery Gates, NC
location  
Funeral director Harrell Funeral Home
address Gatesville, NC
Filed 9-13-1984
Registrar James B (?)
Comments

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