(Death Certificate Transcription)
City and County of San Francisco Local Registered No: 2047
Dumont Clinton SEELY, Male, White, Married
Father: Orrin F. Seely born Nebraska
Mother: Effie P. Brown born Nebraska
DOD: April 16, 1911
Residence: 1642 Lyon St – 1 day
Place of Death: Hanemann Hospital
Occupation: Operator, Wireless Telegraph
DOB: 9 November 1884
Birthplace: Los Angeles, California
Age: 26 years, 4 months, 6 days
Length of Residence: At place of death, 1 day; California 26 years
Informant: Zella Seely, 1642 Lyon St.
Cause of Death: Peritonitis
Contributory: Appendicitis Gangrene
Odd Fellow’s Cremation, April 19, 1911
Undertaker: S.A. White, 1214 Eddy St.
Countersigned by Coroner WM. J. Welsh

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