South Carolina Genealogy Trails - Finding Ancestors Wherever Their Trails Led

Death Certificate for Mary Katherine DeHardt - contributed by Madena Thomason-Whitesell
 

Registration Dist. No:
38-a
Registrar's No:
Birth No.:

Standard Certificate of Death

Division of Vital Statistics - State Board of Health State of South Carolina

State File No.:  50-005125
1. PLACE OF DEATH:
(a) County:  Richland
2. USUAL RESIDENCE: (where deceased lived. If institution; residence before admission)

(a) State:   SC       (b) County:  Richland

(b) City or town (if outside corporate limits, write Rural and give township): Columbia 
(c) Full name of hospital or institution (if not in hospital or institution, give street address or location):: S.C. Baptist Hospital
(c) City or town (if outside corporate limits, write Rural and give township): Columbia
(d) Length of stay: In hospital or institution: (d) Street Address (if rural, give location): 1613 Sumter St.

(e) If foreign born, how long in U.S.A.?

3(a) NAME OF DECEASED:  Mrs. Mary Katherine DeHart (DeHardt)

3(b) If veteran, name war         3 (c) Social Security No.

4. Sex:  F

5. Color or race:  W

 

 

 

6(a). Married, never married, widowed, divorced: W

6(b) Name of husband or wife

6(c) Age of husband or wife if alive -- years

7. Birth date of deceased:

Dec. 6, 1854

 

 

8. Age (in years last birthday):

96 years 3 months 19 days

9. Birthplace: Newberry Co., SC

 

 

10. Usual occupation: at home 11. Industry or business:
12. Father's name:  Mr. Thomason

13. Birthplace:

14. Mother's maiden name:  Mrs. Harriet Thomason

15. Newberry Co., SC

16(a). Informant:  W. D. Shealy

16(b) Address:

 
17(a) Burial, cremation, or removal Burial (b) Date therof  3-20-50  (c) Place; burial or cremation Newberry 18 (a) Signature of funeral director M E. Elgin (?) (b) Address Newberry 19(a) 5-19-50  (b) Chas. R. Sloan, M.D.
 

Medical Certification

 
20. Date of death: Month  March day 19 year 1950 hour 5:00 minute 20

21.  I herby certify that I attended the deceased from Sept 17, 1949 to March 19, 1950, that I last saw her alive on March 18, 1950, and that death occurred on the date and hour stated above.

Immediate cause of death:  Broncho Pneumonia

due to Fracture of Femur Rt.

due to 

Other significant conditions (include pregnancy within three months of death)

Major findings:

Of operations

Of autopsy:  NO

22. If death was due to external causes, fill in the following:
(a) Accident, Suicide, Homicide (specify): Accident
(b) Date of occurrence: Sept 19, 1949 (c) Where did injury occur? Columbia, SC
(d) did injury occur in or abut home, on farm, in industricl place, in public place:  Home While at work? (e) Means of injury:  Fall
23. Signature:  L. J. Braunson (M.D. or other) Address: 1726 Hampston St. Date signed: 4-1-50

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