Jack R. Seeley
Personal
Gender: Male
Date of Birth: March 18, 1930
Date of Death: November 23, 1991
Birth Place: CA
Death Place: Corona, CA
Jack R. Seeley
(Death Certificate Transcription)
Riverside County, Book 1991-2, Record # 8069
Jack R. SEELEY, White, Male
Married, Spouse: Dorothy Perry
Father: Jack H. Seeley, born: Texas
Mother: Margaret Aust, born: Illinois
DOD: 23 Nov 1991 @ 11:03 pm
Place of Death: Corona Community Hospital,
Address: 800 S. Main St., Corona, CA
DOB: 18 Mar 1930, born: California
Age: 61 y/o
Residence: 3800 Pedley Ave., Norco, CA
Yrs in Riverside County: 22 yrs
Occupation: Roofer, Employer: Local #2361, Industry: Roofing
Education: 11 yrs
Military: None
Citizen: USA
Soc. Sec.#: 551-32-0048
Informant: Dorothy Seeley, Wife, Address: same as decedent
Cause of Death: Ventricular Fibrillation
Due to: Congestive Cardiomyopathy
Due to: Viral Myocarditis
Treated- to/from: Aug 16, 1982- Nov 23, 1991
Last seen alive: Nov 19, 1991
Physician: P. Arun, MD, Address: 277 Pacific Ave., Long Beach, CA
Date Filed: 27 Nov 1991
Burial: 29 Nov 1991, Crestlawn Memorial Park,
Address: 11500 Arlington, Riverside, CA
Funeral Director: Pierce Bros. Crestlawn Mortuary
