(Death Certificate Transcription)
San Bernardino County Date Filed: 5/30/2000 Book: 2000 Page: 4821
Name: Charles Richard SEELY, Male, White
Father: O F Seely born MO
Mother: Wilma E Newson born MO
Married: Spouse's Name: Anna Elizabeth Herpel
DOD: 24 May 2000 @ 0220
Place of Death: Loma Linda Univ Medical Center, 11234 Anderson St, Loma Linda
Residence: 6870 Dorinda Dr, Riverside 92503 [Riverside County]
Occupation: printer Yrs: 55 Education: 12
Employer: A to Z Printing Industry: printing
Age: 71
Yrs in Riverside county: 28
DOB: 18 June 1928 born MO
SSN: 499-24-1269
Informant: spouse
Cause of Death: cardiac arrest – mins; cardiac tamponade – hrs; acute aortic dissection - hrs
Contributory Cause: hypoxic - Ischemic brain injury
Treated from 5/24/00 Last seen alive: 5/24/00
Physician: Leonard Bailey MD, Loma Linda Univ Medical Center
Cremation/Burial Date: 5/30/2000 Riverside National Cemetery, 22495 Van Buren Bl, Riverside
Funeral Director: Akes Family Funeral Home