(Death Certificate Transcription)
San Joaquin County, City Ripon, 3950-71 Filed 1/29/1940
Martin V SEELY, Male, White
Widowed: Wife – Fannie SEELY
Father: Charles R Seely Born: – NY
Mothers: Salina Southern Born – Virginia
DOD: – 26 January 1940
DOB: 27 September 1851, born Olin, Iowa
Age 88 years 3 mos. 29 days
Residence: – Rt 1 Box 346, Ripon
Trade – Farmer Total of years in Occupation – 71
Length in City – 18 years Calif – 83 years
Informant – George SEELY, San Jose, CA
Physicians Certification – Seen from 6/29/1939 to 1/23/1940
Last seen alive -1/23/1940 7:00 AM
Immediate Cause of Death – Hypostatic Pneumonia Jan 20 1940
Arteriosclerosis
Due to Myocardial Failure Jan 1940
Other condition – None 93 is circled
Autopsy – No; Related to Occupation – No
Signature – Gilbert den Dulk, Ripon, CA
Removal – San Jose, CA 1/26/1940
Embalmer – # 2342; John E Dowdle
John E Dowdle Mortuary, San Jose, CA
Note: See Fannie Emma Seely – wife, Charles R. & Salena Seely – parents
