Name:	Julia Ann Scurlock
Death date:	14 Sep. 1934
Death place:	Cleveland, Cuyahoga Co., OH
Birth date:	7 Nov. 1866
Birth place:	Marion Co., Illinois
Age at death:	68 yrs. 10 mos.
Gender:	Female
Marital Status:	Widowed
Race or color:	Caucasian
Street address:	1710 Denison Ave.
Occupation:	Retired
Residence:	Cleveland, Cuyahoga Co., OH
Burial date:	15 Sep. 1934
Burial place:	West Park
Spouse name:	Francis Scurlock
Father's name:	John Simpson
Father's birth place:	USA
Mother's birth place:	Unknown
GSU film number:	1993042
Digital GS number:	4001909
Image number:	256
Reference number:	fn 53529
Collection:	Ohio Deaths 1908 - 1953
	(Information Contributed by our host, Michelle Spalding, for use on Ohio Genealogy Trails Only)

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DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH

1)PLACE OF DEATH
County CUYAHOGA
Registration District No. 8116
File No. 62417
St. Johns Hos. St., 7 Ward
City of CLEVELAND

2) FULL NAME Erdmuth Fretter
(a) Residence No. 3878 W 162 St., Ward 7

PERSONAL AND STATISTICAL PARTICULARS

3) SEX Female

4) COLOR OR RACE White

5) SINGLE, MARRIED, WIDOWED, OR DIVORCED Widowed

5a) WIFE of Franz Fretter

6) DATE OF BIRTH April 12, 1855

7) AGE 70 years 7 Months 10 Days

8) OCCUPATION OF DECEASED Retired

9) BIRTHPLACE Germany

10) NAME OF FATHER John Dermonska

11) BIRTH PLACE OF FATHER Germany

12) MAIDEN NAME OF MOTHER Unknown

13) BIRTHPLACE OF MOTHER Unknown

14) INFORMANT Frank Fretter (Address) 3878 W 162
15) FILED Nov 25, 1925


MEDICAL CERTIFICATE OF DEATH

16) DATE OF DEATH Nov 23, 1925

17) I HERE BY CERTIFY, THAT I ATTENDED DECEASED FROM
11-18, 1925 TO 11-23, 1925 THAT I SAW HER ALIVE ON 11-23, 1925
AND THAT DEATH OCCURED, ON THE DATE STATED ABOVE, AT 7:00a.m.
THE CAUSE OF DEATH WAS AS FOLLOWS
Chs. Myocarditis DURATION 10yrs
CONTRIBUTORY (SECONDARY) Ca g Rectum DURATION 6mos.

18) DID AN OPERATION PRECEDE DEATH? yes DATE OF 11-20-25
WAS THERE AN AUTOPSY? no
WHAT TEST CONFIRMED DIAGNOSIS? operation
(Signed) CH. Hody Xeuion, M.D.
1-25-, 1925 (Address) St. Johns Hospital

19) PLACE OF BURIAL, CREMATION, OR REMOVAL West Park Cemetery
DATE OF BURIAL Nov. 27, 1925

20) UNDERTAKER Stephen D Miller
License No. 2422
ADDRESS 15008 Lorain

(Submitted by Derrell)