Vital Documents

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Death certificate of Grace Jelks Wilkie, 1998 (Maryland)

Reg. No. 98 15805
1. Name: Grace Jelks Wilkie
2. Date of death: May 5, 1998
3. Time of death: 4:05 PM
4. Facility name: Shady Grove Adventist Nursing Center, Rockville, Montgomery Co.
5. SSN: 487-03-3851
6. Sex: F
7. Age: 92 yrs
8. Date of birth: June 20, 1905
9. Birthplace: Oklahoma Territory
10. Usual residence: Maryland, Montgomery Co., Rockville (inside city limits), 118 Monroe Street, #610, 20850, USA
11. Marital status: Widowed
12. Not ever in US Armed Forces
13. Not of Hispanic origin
14. Race: White
15. Education: 8th grade
16. Usual occupation: Statistician / kind of industry: Manufacturing
17. Father's name: James R. Jelks
18. Mother's maiden name: Martha McGee
19. Informant: Elwood A. McKee / Son
20. Disposition: Cremation, May 7, 1998
(signature and details of funeral licensee)
23. Cause of death: Myocardial Infarction, acute
other significant conditions contributing to death: Fractured Hip
(signature and attestations of attending physician)

Filed May 8, 1998

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