PA Death Certificate
Name: Mr. Samuel M. Benner Sr.
Gender: Male
Race: White
Marital Status: Widowed
Occupation: Farmer
Residence: Mifflintown RD #2, Fermanagh Twp., Juniata Co., PA
Social Security Number: 209-05-5603
Age: 76
Birth Date: 26 Sep 1890
Birth Place: Juniata Co., PA
Death Date: 21 Jun 1967 at 11:10 am
Death Place: Lewistown Hospital, Derry Twp., Mifflin Co., PA
Cause of Death: Cerebral Vascular Accident, Generalized Arteriosclerosis
Father: Henry Benner
Mother: Ella Benner
Spouse: Mary M. Benner
Informant: S. M. Benner, Jr., Mifflintown RD#2, PA
Burial: 25 June 1967, Goodwill Cemetery, Fayette Twp., Juniata Co., PA
Certificate Number: 059539-67
Name: Mr. Samuel M. Benner Sr.
Gender: Male
Race: White
Marital Status: Widowed
Occupation: Farmer
Residence: Mifflintown RD #2, Fermanagh Twp., Juniata Co., PA
Social Security Number: 209-05-5603
Age: 76
Birth Date: 26 Sep 1890
Birth Place: Juniata Co., PA
Death Date: 21 Jun 1967 at 11:10 am
Death Place: Lewistown Hospital, Derry Twp., Mifflin Co., PA
Cause of Death: Cerebral Vascular Accident, Generalized Arteriosclerosis
Father: Henry Benner
Mother: Ella Benner
Spouse: Mary M. Benner
Informant: S. M. Benner, Jr., Mifflintown RD#2, PA
Burial: 25 June 1967, Goodwill Cemetery, Fayette Twp., Juniata Co., PA
Certificate Number: 059539-67
PA Death Certificate
Name: Mr. Samuel M. Benner Sr.
Gender: Male
Race: White
Marital Status: Widowed
Occupation: Farmer
Residence: Mifflintown RD #2, Fermanagh Twp., Juniata Co., PA
Social Security Number: 209-05-5603
Age: 76
Birth Date: 26 Sep 1890
Birth Place: Juniata Co., PA
Death Date: 21 Jun 1967 at 11:10 am
Death Place: Lewistown Hospital, Derry Twp., Mifflin Co., PA
Cause of Death: Cerebral Vascular Accident, Generalized Arteriosclerosis
Father: Henry Benner
Mother: Ella Benner
Spouse: Mary M. Benner
Informant: S. M. Benner, Jr., Mifflintown RD#2, PA
Burial: 25 June 1967, Goodwill Cemetery, Fayette Twp., Juniata Co., PA
Certificate Number: 059539-67
Name: Mr. Samuel M. Benner Sr.
Gender: Male
Race: White
Marital Status: Widowed
Occupation: Farmer
Residence: Mifflintown RD #2, Fermanagh Twp., Juniata Co., PA
Social Security Number: 209-05-5603
Age: 76
Birth Date: 26 Sep 1890
Birth Place: Juniata Co., PA
Death Date: 21 Jun 1967 at 11:10 am
Death Place: Lewistown Hospital, Derry Twp., Mifflin Co., PA
Cause of Death: Cerebral Vascular Accident, Generalized Arteriosclerosis
Father: Henry Benner
Mother: Ella Benner
Spouse: Mary M. Benner
Informant: S. M. Benner, Jr., Mifflintown RD#2, PA
Burial: 25 June 1967, Goodwill Cemetery, Fayette Twp., Juniata Co., PA
Certificate Number: 059539-67
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