Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Roaring Spring, Blair County
Full Name: JOHN BLAIR RAY
Residence: 810 Bloomfield St.
Personal and Statistical Particulars:
Sex: Male
Color: White
Marital Status: Widowed
Spouse of: Ellen Pearl Ray
Deceased's Date of Birth: Feb. 18, 1861
Age: 76y 0m 29d
Occupation: Farmer & Laborer in D.M. Bare Paper Mill Co.
Birthplace: Duncansville, Pa.
Name of Father: David Ray
Birthplace of Father: Blair Co.
Maiden Name of Mother: Sara Ann Wilt
Birthplace of Mother: Blair Co.
Informant: Mrs. J.M. Yingling, Roaring Spring, Pa.
Burial: Green Lawn, Blair Co. Pa., Mar. 20, 1937
Undertaker: K.R. Miller, Martinsburg, Pa.
Medical Certificate of Death:
Date of Death: Mar. 17, 1937, 5:20 p.m.
Cause of Death: Chronic valvular heart disease
Signature: W.L. Grounds, M.D., Roaring Spring
______________________________
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Roaring Spring, Blair County
Full Name: JOHN BLAIR RAY
Residence: 810 Bloomfield St.
Personal and Statistical Particulars:
Sex: Male
Color: White
Marital Status: Widowed
Spouse of: Ellen Pearl Ray
Deceased's Date of Birth: Feb. 18, 1861
Age: 76y 0m 29d
Occupation: Farmer & Laborer in D.M. Bare Paper Mill Co.
Birthplace: Duncansville, Pa.
Name of Father: David Ray
Birthplace of Father: Blair Co.
Maiden Name of Mother: Sara Ann Wilt
Birthplace of Mother: Blair Co.
Informant: Mrs. J.M. Yingling, Roaring Spring, Pa.
Burial: Green Lawn, Blair Co. Pa., Mar. 20, 1937
Undertaker: K.R. Miller, Martinsburg, Pa.
Medical Certificate of Death:
Date of Death: Mar. 17, 1937, 5:20 p.m.
Cause of Death: Chronic valvular heart disease
Signature: W.L. Grounds, M.D., Roaring Spring
______________________________
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Roaring Spring, Blair County
Full Name: JOHN BLAIR RAY
Residence: 810 Bloomfield St.
Personal and Statistical Particulars:
Sex: Male
Color: White
Marital Status: Widowed
Spouse of: Ellen Pearl Ray
Deceased's Date of Birth: Feb. 18, 1861
Age: 76y 0m 29d
Occupation: Farmer & Laborer in D.M. Bare Paper Mill Co.
Birthplace: Duncansville, Pa.
Name of Father: David Ray
Birthplace of Father: Blair Co.
Maiden Name of Mother: Sara Ann Wilt
Birthplace of Mother: Blair Co.
Informant: Mrs. J.M. Yingling, Roaring Spring, Pa.
Burial: Green Lawn, Blair Co. Pa., Mar. 20, 1937
Undertaker: K.R. Miller, Martinsburg, Pa.
Medical Certificate of Death:
Date of Death: Mar. 17, 1937, 5:20 p.m.
Cause of Death: Chronic valvular heart disease
Signature: W.L. Grounds, M.D., Roaring Spring
______________________________
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Roaring Spring, Blair County
Full Name: JOHN BLAIR RAY
Residence: 810 Bloomfield St.
Personal and Statistical Particulars:
Sex: Male
Color: White
Marital Status: Widowed
Spouse of: Ellen Pearl Ray
Deceased's Date of Birth: Feb. 18, 1861
Age: 76y 0m 29d
Occupation: Farmer & Laborer in D.M. Bare Paper Mill Co.
Birthplace: Duncansville, Pa.
Name of Father: David Ray
Birthplace of Father: Blair Co.
Maiden Name of Mother: Sara Ann Wilt
Birthplace of Mother: Blair Co.
Informant: Mrs. J.M. Yingling, Roaring Spring, Pa.
Burial: Green Lawn, Blair Co. Pa., Mar. 20, 1937
Undertaker: K.R. Miller, Martinsburg, Pa.
Medical Certificate of Death:
Date of Death: Mar. 17, 1937, 5:20 p.m.
Cause of Death: Chronic valvular heart disease
Signature: W.L. Grounds, M.D., Roaring Spring
______________________________
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