(Death Certificate Transcription)
Riverside County Filed: 3 Mar 1981
Book # 1981 Page #1458 Record #1447
Fern Adelaide SEELY, Caucasian Female, Divorced
Father: Edwin Stoner, Birthplace: Kansas
Mother: Lillian Damuron, Birthplace: Kansas
DOD: Found 28 February 1981 @ 3:15 pm
Deathplace: Residence
Residence: 8084 Magnolia, Riverside,CA
DOB: 31 Oct 1920, Birthplace: Kansas
Age: 60 y/o
Occupation/Yrs: Waitress
Employer: Sir George's, Industry: Restaurant
Citizen: USA
Soc. Sec.#: 547-22-5089
Informant: Gary Seely, Son, Address: 4723 Windsor Rd, Riverside, CA 92507
Cause of Death: Suspect Respiratory Failure
D/T: Acute Bronchitis
D/T: Suspect Bronchial Asthma
D/T: Lung Cancer
Burial, 4 March 1981, Evergreen Memorial Park
Address: Riverside, CA
Funeral Director: Acheson & Graham