Certificate of Death
Place of Death: County: Seneca; City: Fostoria
Full Name: Hazel May Overmire
Residence: 225 East South St.
Sex: Female; Color: White; Condition: Married
Husband: Will H. Overmire
Date of Birth: Sept. 18, 1892
Age: 47 y. 3 m. 24 d.
Occupation: House wife
Birthplace: Fostoria, Ohio
Father: Ulysses G. Moore
Birthplace: Near Zanesville Ohio
Miaden Name: Helen Smith
Birthplace: Adrian Mich.
Informant: Will H. Overmire / 225 E. South St. Fostoria
Burial Place: Fountain Cem; Date: Jan 15 40
Date of Death: Jan. 12, 1940
Cause: Mitral Insufficiation / Broken Compensation of heart / General OEdema