| COMMONWEALTH OF PENNSYLVANIA CERTIFICATE OF DEATH # 075622-62 |
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| NAME OF DECEASED: | Victorine C. Perkins |
| PLACE OF DEATH: | St. Francis Country Home Darby, Delaware County, PA. |
| USUAL PLACE OF RESIDENCE: | 319 Russell Street Ridley Park, Pennsylvania |
| SEX: | Female |
| COLOR OR RACE: | White |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | September 28, 1875 |
| AGE: | 86 Years |
| USUAL OCCUPATION: | Housewife-at home |
| BIRTHPLACE: | Melas LeTeil, Ardeche, France |
| NAME OF SPOUSE: | Henry Perkins |
| FATHER'S NAME: | Andre Chaudanson |
| MOTHER'S MAIDEN NAME: | Rose Ciellier |
| INFORMANT: | George F. Perkins 319 Russell St. Ridley Park, PA |
| CAUSE OF DEATH: | Coronary Thrombosis |
| INTERVAL FROM ONSET: | 48 Hours |
| DUE TO: | ASCVD |
| INTERVAL FROM ONSET: | unknown |
| SIGNIFICANT CONDITIONS: | Diabetes Mellitus Cerebral Arteriosclerosis Essential Hypertension |
| CERTIFICATION: | I hereby certify that I attended the above named deceased and that death occurred from the causes and on the date stated above at 8:05 P.M. |
| PHYSICIAN: | Norman P. Ousley, MD |
| PLACE OF BURIAL: | SS. Peter & Paul Cemetery Marple Twsp., Delaware Co. PA |
| DATE OF BURIAL: | August 20, 1962 |
| FUNERAL DIRECTOR: | George C. Toppiter Drexel Hill |
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