Newberry County, South Carolina Genealogy Trails - Finding Ancestors Wherever Their Trails Led
Death Certificate of Daniel Jacob DeHardt- contributed by Madena Thomason-Whitesell


1.  PLACE of DEATH

County of:  Newberry

Township of (or) city of: Newberry

Home address: Wright St.

 

Standard Certificate of Death

State of South Carolina

Bureau of Vital Statistics

State Board of Health

Registration District No.  34-A

(No Wright St.; 5th Ward) If death occurred in a Hospital or institution give its NAME instead of street and number                     

 

File No.- For State Registrar Only
5911


 

Registered No.(for use of Local Registrar)
-40-

2. FULL NAME:  Daniel Jacob DeHardt                           Residence: In City---Yrs.---Mth---Days---

Personal and Statistical Particulars

Medical Certificate of Death

3. Sex: Male     4. Color or Race: White

5. Single/Married/Widowed/Divorced: Married 5a. If married, widowed, or divored Husband or Wife of: Non Stated

21. DATE OF DEATH (Mth/Day/Yr):  Apr. 15, 1938

 

6. Date of Birth (Mth/Day/Yr)Jan. 2, 1856

22. I Hereby Certify, That I attended deceased from April 15, 1938 to April 15, 1938; last saw him alive on April 14, 1938, death is said to have occurred on the date stated above, at  2 am/pm.
7. Age: 82 Years,  3 Months,  13 Days  (If less than 1 day, ---hrs. or ----min.) The principal cause of death and related causes of importance in order of onset were as follows:  Angina Pectors
Date of onset: 90, 94a

OCCUPATION

8. Trade, profession or particular kind of work done, as spinner, sawyer, bookeeper, etc:  Textile Worker
9. Industry or business in which work was done, as silk, mill, saw mill, bank, etc:  Retired

10. Date deceased last worked at this occupation (Mth & Yr):  -

11. Total time (years) spent in this occupation:  -

Was this death due to pregnancy or to childbirth?  If so, sate which ----.

Contributory causes of importance not related to principal cause: ----.

Name of operation ----.  Date of ---.

What test confirmed diagnosis? ---.  Was there an autopsy?--

12. BIRTHPLACE (city or town):                        State or Country: Lexington County, South Carolina

FATHER

13. NAME: Allen DeHardt

14. BIRTHPLACE (city or town): --- State or Country:  Lexington Co., SC




23. If death was due to external causes (violence) fill in also the following:  Accident, suicide, or homicide: ---. Date of injury --, 19--.
Where did injury occur (city/town/state; industry, home, public place)? ---
Manner of injury:---
Nature of injury:---

MOTHER

15. MAIDEN NAME:  Catherine Sease

16. BIRTHPLACE (city or town): --   State or Country:  Lexington , SC

24. Was disease or injury in any way related to occupation of deceased: No.  If so, specify--.

Signed:  J. H. McCullough

Address:  Newberry, SC

17. Informant/Address Mrs. D. J. DeHardt, Newberry, SC
18. BURIAL CREMATION OR REMOVAL: Place:  Newberry      Date:  June 16, 1938 
19. UNDERTAKER/ADDRESS:  Leavell Funeral Home, Newberry, SC
20. FILED:  April 4th, 1938, Jno. H. Baxter

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