(Death Certificate Transcription)
Santa Clara County
Theodore Anderson SEELY, Male, White
Married Carla Eugenia Seely
Father: William Seely born Iowa
Mother: Ida Anderson born Indiana
DOD: 4 November 1982 1605
Age: 78 years
DOB: 25 June 1903 born California
Occupation: Colonel - 30 years, US Army
SSN: 567-50-8824
Residence: 125 Cambon Apt 4D, San Francisco, CA
Place of Death: VA Medical Center, 3801 Miranda Avenue, Palo Alto, Santa Clara County
Cause of Death: Pneumonia, Alzheimer's Disease
Informant: Eugenia Seely- wife, 125 Cambon Apt 4D, San Francisco CA
Cremation: 1/19/1982 Cedar Lawn Memorial Park, Fremont, CA
Funeral Director: California Cremation Society