Elmer Leverett Stocking – Death Certificate Transcription

State of Kansas
State Board of Health – Division of Vital Statistics
Standard Certificate of Death – No. 96  5415

1.  Place of Death:  Sumner   –   city
   Township                                                            Registered No.  10
   or City   Mayfield
2. Full Name:    Elmer L. Stocking
   (a) Residence. No.  Mayfield, KS
   Length of residence in city or town where death occurred   58  yrs

PERSONAL AND STATISTICAL PARTICULARS

1. Sex:   Male
2. Color or Race:  White
3. Single, Married, Widowed or Divorced:   Married

5a. Spouse:  Maud Stocking

1.  Date of Birth: Nov. 29, 1879
2. Age:  58 years  1 month  24 Days
3. Trade, Profession or particular kind of work done:  Farmer
4. Industry or business in which work was done:  And Stockman
5. Date deceased last worked at this occupation:  Not filled in
6. Total time (years) spent   inn this occupation:  Not filled in
7. Birthplace:  Mayfield, KS
8. Father’s Name:   Roderick R. Stocking
9. Father’s Birthplace:  Michigan
10. Mother’s Maiden Name: Francis Hitchcock
11. Mother’s Birthplace:  Crescent City, Illinois
12. Informant:   Maud Stocking     Address:   Mayfield, KS
13. Burial:    Mayfield, KS         Burial Date:  January 25, 1938
14. Undertaker:  A. J. Frank, Wellington, KS
15. Filed:    January 24, 1938      Registrar: Bernice S. Lindberg

MEDICAL CERTIFICATE OF DEATH

1. Date of Death:   January 22, 1938
2. I attended deceased from April 21, 1937 to January 22, 1938. I last saw him alive on January 15^th, 1938.  Death is said to have occurred on the date stated above at 11:30 a.m.

The principal cause of death and related causes of importance in order of onset were as follows:

Cancer of Rt Adrenal gland    Date of onset:    1935

Artherosclerosis

1. No Accident or injury
2. Was disease or injury in any way related to occupation of the deceased:    No

Signed:  A. L. Ashmore  M. D.     Address:  601 Orpheum (?)