| SOUTH CAROLINA STATE BOARD OF HEALTH VITAL STATISTICS CERTIFICATE OF DEATH # 02-014824 | |
| NAME OF DECEASED: | Lucile Carter Reeves |
| PLACE OF DEATH: | 100 W. Carolina Ave. Summerville, Dorchester County South Carolina |
| USUAL RESIDENCE: | Charleston, South Carolina |
| SEX: | Female |
| COLOR OR RACE: | White |
| MARITAL STATUS: | Widow |
| USUAL OCCUPATION: | Domestic |
| DATE OF BIRTH: | October 20, 1898 |
| AGE: | 63 Years |
| PLACE OF BIRTH: | Philadelphia, Pennsylvania |
| FATHER'S NAME: | William T. Carter (sic) |
| MOTHER'S MAIDEN NAME: | Lucile Polk |
| HUSBAND'S NAME: | Samuel J. Reeves |
| INFORMANT: | Mrs. C. W. Trowbridge Summerville, South Carolina |
| DATE OF DEATH: | October 19, 1962 |
| CAUSE OF DEATH: | Coronary Occlusion |
| INTERVAL FROM ONSET: | Instantly |
| DUE TO: | Congestive Heart Failure |
| INTERVAL FROM ONSET: | Few weeks |
| DUE TO: | Fibrillation |
| INTERVAL FROM ONSET: | 2 days |
| CERTIFICATION: | I attended the deceased from 10/15/62 to 10/19/62 and last saw her alive on 10/19/62. Death occurred at 8 PM on the date stated above; and to the best of my knowledge from the causes stated. |
| PHYSICIAN: | F. M. Messumyn Summerville, South Carolina |
| PLACE OF BURIAL: | Philadelphia, Pennsylvania |
| DATE OF REMOVAL: | 10/20/1962 |
| FUNERAL DIRECTOR(S): | Parks Funeral Home Inc. Summerville, South Carolina and Bringhurst Funeral Home Philadelphia, Pennsylvania |
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