Mecklenburg County, North Carolina Genealogy Trails

Death Certificate of

Mary Evelyn Moore

North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
Stamped: May 15, 1972

Registration District No: 60-00

Registrar's Certificate No: 1063

14896

Name of Deceased: Mary Evelyn Moore
Date of Death: April 25, 1972
Sex: Female
Color or Race: White
State of Birth: N.C.
Date of Birth: March 9, 1886
Age: 86 years
Place of Death: County: Mecklenburg, City: Charlotte; Name of Hospital/Institution: Green Acres Rest Home; Not inside city Limits
Usual Residence: State: N.C., County; Mecklenburg; City: Charlotte; Street: 7004 Tuckaseegee Road; Not inside city limits
Married
Surviving Spouse: James N. Moore
Citizen of what Country: U.S.A.
Social Security Number: 244-34-0540-A
Usual Occupation: Homemaker
Kind of Business: Own Home
Father's Name: William Perry Bost
Mother's Maiden Name: Candace Adelia Smyre
Informant's Name and Address: Mrs. James Prophet, 3213 Wesley Avenue, Charlotte, N.C.
Cause of Death: Cerebral ______ ______ , duration: 2 weeks, due to Ascu??, duration years
Physician certification: I attended the deceased from 1970 to 4/25/1972 and last saw her alive on 4/25/1972. Death occurred at 1:45pm on the date stated above and in my opinion from the causes stated. (signature: L.E. S___, M.D; 5/2/1972; Charlotte, N.C.)
Burial: 4-26-72; Mulberry Pres. Church; Meclenburg Co., N.C.
Funeral Home: McEwen, Charlotte N.C.; Signature of Funeral Director: Paul L. Helton, License No. 1557.
Date Rec'd by Local Reg: May 8, 1972
Signature of Registrar: Maurice E. Kamp, __
Signature of Embalmer: Thomas D. Griffin, License No. 1070
(Source: Transcribed from copy of original document)

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