Commonwealth of Pennsylvania | |
Medical Examiner's Certificate of Death | |
Apparent Place of Death | Hospital |
Physician Pronouncing Death | Dr Bannett |
Place of Pronouncement | AEMC (N) Philadelphia |
Date and Time of Pronouncement | 2/6/164 5:60A M.E.S.T. |
Usual Residence | 3909 E Albanus St, Phila, PA |
Name of Deceased | John Harold Farnish |
Apparent Date and Time of Death | 2/6/164 5:60A M.E.S.T. |
Race | White |
Date of Birth | 3/17/12 |
Age | 51 |
Marital Status | M |
Citizenship | USA |
Usual Occupation | Pin Setter |
Social Security Number | 181 09 5643 |
Birthplace | Phila PA |
If Veteran | No |
Full Name of Spouse | Lillian B Farnish Quinn |
Mother's Maiden Name | Maude Zimmerman |
Father's Name | John Farnish |
Informant's Name and Relationship | John L Farnish Son 5001 Rosehill St |
Cause of Death | Ruptured Atherosclerotic Aneurysm, Abdominal Aorta |
Manner of Death | Natural |
Burial | 2-10-64 Holy Sepulchre Cem, Cheltenham & Coston Rd Phila Pa |
Source: Pennsylvania Historic and Museum Commission; Pennsylvania
(State). Death Certificates, 1906-1968; Box Number: 2378;
Certificate Number Range: 016951-019650
Source: Ancestry - Pennsylvania, U.S., Death Certificates, 1906-1969