STATE FILE NUMBER CERTIFICATE OF DEATH STATE OF CALIFORNIA 8009 LOCAL REGISTRATION DISTRICT AND CERTIFICATE NUMBER 1A. NAME OF DECEDENT: Wallace 1B. MIDDLE: Conway 1C. LAST: Jenkins 2A. DATE OF DEATH: . . . March 4, 1984 2B. . . . 1020 3. SEX: Male 4. RACE/ETHNICITY: White 5. SPANISH/HISPANIC: [No] 6. DATE OF BIRTH: January 19, 1914 7. AGE 70 . . . 8. BIRTHPLACE OF DECEDENT: . . . S. Carolina 9. NAME AND BIRTHPLACE OF FATHER: B. F. Jenkins - SC 10. BIRTH NAME AND BIRTHPLACE OF MOTHER: Rosena Deanhart - SC 11. CITIZEN OF WHAT COUNTRY: U.S.A. 12. SOCIAL SECURITY NUMBER: 559-10-8414 13. MARITAL STATUS: Married 14. NAME OF SURVIVING SPOUSE: . . . Hazel Hughes 15. PRIMARY OCCUPATION: Iron Worker 16. NUMBER OF YEARS THIS OCCUPATION: 15 17. EMPLOYER: . . . American Steel 18. KIND OF INDUSTRY: . . . Iron & Steel [19. USUAL RESIDENCE:] 8662 Jamacha Road, San Diego, CA [21. PLACE OF DEATH:] Euclid Convalescent San Diego 1350 N. Euclid San Diego 20. NAME AND ADDRESS OF INFORMANT: . . . Hazel Jenkins (Wife) 8662 Jamacha Road Spring Valley, CA 92077 22. DEATH WAS CAUSED BY: . . . (A) CARDIO-RESPIRATORY ARREST < IMMED (B) PNEUMONIA < 2 DAYS (C) GENERALIZED ATHEROSCLEROSIS < YRS 24. . . . 25. . . . 26. . . . 23. OTHER CONDITIONS CONTRIBUTING. . . : CEREBRAL VASCULAR DISEASE 27. . . . . . . . .