DEATH: Pennsylvania, Death Certificates, 1906-1924
Ancestry.com Image 4301 of 5157
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Registered District No.:
Primary Registered District No.:
Registered No.:
Name: Charles Fourspring
Gender: Male
Race: White
Age at Death: 3 Days
Birth Date: 2 April 1910
Birth Place: Erie, Pennsylvania
Occupation: None
Single, Widowed, Married: Single
Death Date: 5 April 1910 at 10:00 p.m.
Death Place: 1711 Peach Street, Erie, Ward 3, Erie County, Pennsylvania, USA
Cause of Death: Congenital Heart Malformity
Death Informant: Chas Fourspring, 1711 Peach Street
Burial Place: Erie Cemetery
Burial Date: 6 April 1910
Undertaker: Liebel & Appelman, 2502 Sassafras
Signed: 6 April 1910,
Father Name: Charles H. Fourspring
Father Birth Place: Lowell, Massachusetts
Mother Name: Thora B. Gingrich
Mother Birth Place: Erie, Pennsylvania
Death Certificate Number: 36582
Filed: 6 April 1910, J. W. Wright, Local Registrar
Ancestry.com Image 4301 of 5157
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Registered District No.:
Primary Registered District No.:
Registered No.:
Name: Charles Fourspring
Gender: Male
Race: White
Age at Death: 3 Days
Birth Date: 2 April 1910
Birth Place: Erie, Pennsylvania
Occupation: None
Single, Widowed, Married: Single
Death Date: 5 April 1910 at 10:00 p.m.
Death Place: 1711 Peach Street, Erie, Ward 3, Erie County, Pennsylvania, USA
Cause of Death: Congenital Heart Malformity
Death Informant: Chas Fourspring, 1711 Peach Street
Burial Place: Erie Cemetery
Burial Date: 6 April 1910
Undertaker: Liebel & Appelman, 2502 Sassafras
Signed: 6 April 1910,
Father Name: Charles H. Fourspring
Father Birth Place: Lowell, Massachusetts
Mother Name: Thora B. Gingrich
Mother Birth Place: Erie, Pennsylvania
Death Certificate Number: 36582
Filed: 6 April 1910, J. W. Wright, Local Registrar
DEATH: Pennsylvania, Death Certificates, 1906-1924
Ancestry.com Image 4301 of 5157
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Registered District No.:
Primary Registered District No.:
Registered No.:
Name: Charles Fourspring
Gender: Male
Race: White
Age at Death: 3 Days
Birth Date: 2 April 1910
Birth Place: Erie, Pennsylvania
Occupation: None
Single, Widowed, Married: Single
Death Date: 5 April 1910 at 10:00 p.m.
Death Place: 1711 Peach Street, Erie, Ward 3, Erie County, Pennsylvania, USA
Cause of Death: Congenital Heart Malformity
Death Informant: Chas Fourspring, 1711 Peach Street
Burial Place: Erie Cemetery
Burial Date: 6 April 1910
Undertaker: Liebel & Appelman, 2502 Sassafras
Signed: 6 April 1910,
Father Name: Charles H. Fourspring
Father Birth Place: Lowell, Massachusetts
Mother Name: Thora B. Gingrich
Mother Birth Place: Erie, Pennsylvania
Death Certificate Number: 36582
Filed: 6 April 1910, J. W. Wright, Local Registrar
Ancestry.com Image 4301 of 5157
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Registered District No.:
Primary Registered District No.:
Registered No.:
Name: Charles Fourspring
Gender: Male
Race: White
Age at Death: 3 Days
Birth Date: 2 April 1910
Birth Place: Erie, Pennsylvania
Occupation: None
Single, Widowed, Married: Single
Death Date: 5 April 1910 at 10:00 p.m.
Death Place: 1711 Peach Street, Erie, Ward 3, Erie County, Pennsylvania, USA
Cause of Death: Congenital Heart Malformity
Death Informant: Chas Fourspring, 1711 Peach Street
Burial Place: Erie Cemetery
Burial Date: 6 April 1910
Undertaker: Liebel & Appelman, 2502 Sassafras
Signed: 6 April 1910,
Father Name: Charles H. Fourspring
Father Birth Place: Lowell, Massachusetts
Mother Name: Thora B. Gingrich
Mother Birth Place: Erie, Pennsylvania
Death Certificate Number: 36582
Filed: 6 April 1910, J. W. Wright, Local Registrar
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