Certificate of Death
Name: Grace Garn; Sex: F; Date of Death: March 13, 1984
Race: White; Age: 85; Date of Birth: 2-13-[18]99; County of Death: Wood
City: Bowling Green, Ohio; Institution: Bowling Green Manor N.H. / Inpatient
State of Birth: South Dakota; Citizenship: USA; Origin: English
Military: no; Condition: Widowed: Surviving Spouse: none
Occupation: Housework
Residence: Ohio; County: Wood: City: Bowling Green: Address 1021 Poe Rd.
Father-name: Walter Eidinger; Mother-maiden name: Sarah Unknown [note: Brown on marriage record]
Informant: Vona Williams; Address: 1144 Pinebrook Pkwy Apt. 104 Toledo, Ohio 43615
Cause: Cardiac arrest / Arteriosclerotic heart disease / Chronic brain syndrome
Burila; 3-16-84; Cemetery: Maplewood / Toledo, Ohio