(Death Certificate Transcription)
Riverside County, Book 1942, Page 11, Record # 71
Name: Herman Clayton SEELEY, White, Male
Married - Spouse: Lela Mae Seeley (17 years old)
Father: Tony Seeley, born: Ventura, California
Mother: Frieda Gocksch, born: Germany
DOD: 22 November 1942 @ 7:05 pm
Place of Death: Blythe Hospital, Blythe, CA
DOB: 2 September 1925, born: Los Angeles, California
Age: 17 years
Residence: Rural (4 miles S.W. of Blythe, CA
Yrs/Mo in County/State: 17 yr's
Occupation/Yrs: Student
Citizen: USA
Soc. Sec.#: 572-26-5144
Informant: Raymond Seeley, Address: Blythe, CA
Cause of Death: Hemorrhage
Due to: Gun shot wound of upper chest
Accident: 22 November 1942
How: Shot gun wound in public place
Where: Palo Verde, Imperial County, CA
Date Filed: 24 Nov 1942
Burial: 24 Nov 1942, Cemetery: Blythe Cemetery
Funeral Director: Larsen Mortuary, Address: Blythe, CA