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1 .Decedent's Legal Name(Include AKA's if any)(First Middle, LAST, suffix)
GEORGIA GLASS 2. Sex Female 3. Date of Death (Mo/Day/Year) May 10, 2007 5a. Age (Years) 82 5b. Under 1 Year Months / Days 5c. Under 1 day Hours I Minutes 6. Date of Birth(Mo/Day/Year) July 17, 1924 7. Birthplace(City and State or Foreign Country) LAFAYETTE, OHIO I 8a. Residence State OHIO 8b. County UNION 8c. City or Town MARYSVILLE I 8d. Street and Number 390 Gables Dr. 8e. Apt. No. 8f. Zipcode 43040 8g. Inside City Limits? Yes 9. Ever in US Armed Forces? No 10. Marital Status at Time of Death Widowed (and not remarried) 11. Surviving Spouse's Name (If wife, give name prior to first marriage) 12. Decedent's Education 8TH GRADE OR LESS 13. Decedent of Hispanic Origin No 14. Decedent's Race White 15. Father's Name GEORGE DEYO 16. Mother's Name (prior to first marriage) DORA BUSSARD 17a. Informant's Name LINDA FIELDS 17b. Relationship to Decedent Daughter 17c. Mailing Address (Street and Number, City, Stale, Zip Code) 24205 St. Rt. 47 WEST MANSFIELD, OHIO 43358 18a. Place of Death Nursing Home/Long Term Care Facility 18b. Facility Name (If not Institution, give street & number) The Gables at Green Pastures 18c. City or Town, State and Zip Code MARYSVILLE, OH 43040 18d. County of Death UNION 19. Signature of Funeral Service Licensee or Other Agent 22a. Method of Disposition Burial 22c. Place of Disposition (Name of Cemetery, Crematory, or other place) Fairview Memorial Park 20. License Number (of licensee) 007596 22b. Date of Disposition May 14, 2007 22d. Location (City/Town or State) DELAWARE, OH 21. Name and Complete Address of Funeral Facility STOFCHECK FUNERAL HOMES INC 201 S FRANKLIN RICHWOOD, OH 43344 23. Registrar's Signature 24. Date Filed This is archival information that was taken from (perhaps old) paper documents. There may be mistakes/omissions that we have missed. If you would like to help us maintain accurate information, please email corrections/additions for this obituary to info@stofcheck-ballinger.com. Florist Login
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