(Death Certificate Transcription)
City and County of San Francisco Local Registered No: 3801 6931
Lynn Erwin SEELY, Male, Caucasian, Divorced
Father: Guy Seely, born Illinois
Mother: Adalaide Kettler, born Illinois
DOD: September 9, 1964
Age 71
DOB: August 25, 1893, born, Nebraska
Last Occupation: Dish Washer, Laguna Honda Home, City & County of SF, 20 years
SSN: 556-16-4335
Place of Death: Veterans Administration Hospital, 42nd Avenue & Clement St.
Length of Stay – in this City: – 3 months, in California 18 years
Residence: 257 North San Pedro Road, San Rafael, CA
Informant: Karl K. Seely (brother) – 6157 Columbia Avenue, St. Louis, Missouri
Cause of Death: Lobar Pneumonia, Cachexia and Chronic blood loss anemia
Burial: 09/17/1964 Olivet Memorial Park, Colma
Funeral Director: Godeau Funeral Home
