STATE OF GEORGIA
                     DEPARTMENT OF PUBUC HEALTH
 
                 T. F. ABERCROMBIE, M.D., DIRECTOR
                               ATLANTA
 
                            CERTIFIED COPY
 
                          CERTIFICATE OF DEATH
                   GEORGIA DEPARTMENT OF PUBLIC HEALTH
 
1. Place of Death
(a) County   Meriwether
(b) City or Town   Warm Springs
 
2. Usual Residence of Deceased
(c) City or Town   Washington D.C.
 
3. Full Name   Franklin Delano Roosevelt
 
4. Sex   Male
 
5. Race   White
 
6. Marital status   M
 
7. If Married or Widowed Give Name of Spouse   Eleanor
Roosevelt
 
8. Age  Years  63
 
9. Date of Birth   1-30-82
 
10. Usual Occupation   President of United States of America
 
Father
12. Name   James Roosevelt
13. Birthplace   Hyde Park, NY.
 
Mother
14. Maiden Name   Sarah Delano
15. Birth Place   Newburgh, NY.
 
16. Informants Own Signature   F W Palterson
17. Informants P.O. Address   1020 Spring St. N.W.
 
18. Burial, Cremation or Removal    Burial
(a) Date April 15, 1945
 
19. P.O. Address of Place of Burial   Hyde Park, N.Y.
 
20. Signature of Person Burying Body   H.M. Patterson & Son
[text illegible] Bowen
21. P.O. Address of Undertaker   Atlanta, Ga.
Date Filed with L. R.   April 17, 1945
 
22. Registrar's Own Signature   Richard Brewer
 
23. Date of Death   April 12 1945 Time 3 35 PM
 
24. I hereby certify that I attended the deceased who died
on the above date.  I last saw Him Alive on April 12 1945
Primary Cause of Death   Cerebral Hemorrhage
Duration 2 1/2 hrs.
Contributory Causes   Arteriosclerosis
Operation   none
Diagnosis:  Clinical
Was Autopsy Performed:  no
 
26. Physician's Own Signature   Howard G. Bruenn
Physician's P.O. Address   U.S.N.H. Bethesda, Md.
Date Signed 4/13/45
 
THIS IS TO CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT COPY
OF THE ORIGINAL CERTIFICATE, WHICH HAS BECOME A PERPETUAL
RECORD IN THE ARCHIVES OF THE GEORGIA STATE DEPARTMENT OF
PUBLIC HEALTH. (NOT VALID UNLESS COUNTERSIGNED IN THE
DIVISION OF INFORMATION AND STATISTICS.)
 
DATE   4-18-1945
 
T. F. Abercrombie
DIRECTOR, GEORGIA DEPARTMENT OF PUBLIC HEALTH
 
Richard Brewer
DIVISION OF INFORMATION AND STATISTICS