Washington District of Columbia

Jane J. Shiner's Death Certificate
Furnished by : John G. Sharp

 


				{Form No.3}					No. 41771
		       CERTIFICATE OF DEATH

	   TO THE HEALTH OFFICER,     DISTRICT OF COLUMBIA
Permit No 41797
Date of Death,  April 21st   1884         
Full Name of Deceased, Jane J. Shiner
Sex,  Female
Age, 50 Years - Months 10  Days [blank] 
Color,       C
Married,   Single,   Widow,   or   Widower
Occupation,  [blank]
Birthplace,           Md
Nativity of Father    "      Nativity of Mother       "    
Duration of Residence in the District of Columbia, 35 years
Place of Death [Give Street and number]    N. W. Cor. of 10th & D Str   
		   First (Primary)    Apoplexy
Causes of Death Duration,	
		   Second (Immediate)

Duration of Last Sickness     one day

Place of Burial Graceland Cemetery
Date of Burial, Apr. 24th 1884			Louis K. Beatty, M.D.
							Address, 128, -11- St. 

Undertaker E. M. Boteler 
Place of Business    737 8th St.   S. E.


 

End Note :

Jane Jackson Shiner circa February 1834 - April 21, 1884 was the 2nd wife of Michael Shiner.
The couple married September 8, 1849,
for further biographical information see:    Biography of Michael Shiner

Also : Death Certificate for Michael Shiner

 

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