(Death Certificate Transcription)
Santa Clara County
This certificate was difficult to read. This is what I think I saw.
Johanna SEELY, Female, White, Widow
Father: Unknown
Mother: Unknown
DOD: 25 June 1914
Age: ?9
DOB: Unknown
Residence: Agnew State Hospital, Santa Clara County
Informant: C.W. Muller, Agnew, CA
Burial: unknown
Funeral Director: Palo Alto Undertaking Co.
Former Residence: Redwood City, San Mateo County