Name: Mae Irene Clark Titles and Terms:  Event Type: Birth Event Date: 14 Dec 1923 Event Place: Dover, Fulton, Ohio, United States Registration Date:  Registration Place:  Gender: Female Age:  Race:  Birth Year (Estimated):  Birthplace:  Christening Date:  Christening Place:  Christening Age:  Father's Name: William E Clark Father's Titles and Terms:  Father's Birthplace:  Father's Age:  Mother's Name: Mina B Shadle Mother's Titles and Terms:  Mother's Birthplace:  Mother's Age:  Paternal Grandfather's Name:  Paternal Grandmother's Name:  Maternal Grandfather's Name:  Maternal Grandmother's Name:  Note:  Certificate Number: 36 Reference ID:  GS Film Number: 000423610 Frame Number:  Digital Folder Number: 005328849 Image Number: 00039 "Ohio, County Births, 1841-2003," database with images, <i>FamilySearch</i> (https://familysearch.org/ark:/61903/1:1:Q236-79BQ : 23 December 2016), Mina B Shadle in entry for Mae Irene Clark, 14 Dec 1923; citing Birth, Dover, Fulton, Ohio, United States, county courthouses, Ohio; FHL microfilm 423,610.

Name: Mae I Forrest Name Prefix:  Name Suffix:  Event Type: Death Event Date: 22 Jan 1999 Time: 03:27 PM Event Place: Wauseon, Fulton, Ohio, United States Registration Place: Fulton County Health Center Registration State:  Registration Date: 29 Jan 1999 Residence Place: Wauseon, Fulton, Ohio, United States Address: 1295 S Cornell Residence Postal Code: 43567 Within City Limits:  Gender: Female Age: 75 Marital Status: Widowed Race: White Hispanic Origin: Not Hispanic Ethnicity:  Industry: Own Home/At Home Education Level: 11 Occupation: Housewife/Homemaker Military Service: No Military Service Branch:  Social Security Number: 300-20-4028 Birth Date: 14 Dec 1923 Birthplace: Fulton, Ohio, United States Father's Surname: Clark Mother's Surname: Shadle Injury in Ohio: Yes Injury at Work:  Type or Place of Injury: Unspecified Place Hospital Status: Hospital/ER-Outpatient Referred to Coroner: Not Referred to Coroner Autopsy Performed: No Autopsy performed Method of Disposition: Burial Infant Certificate Number:  Certificate Number: 003054 Volume Number: 31821 Registrar Certificate Number: 00031 Page:  Certifier's Role: Physician Census Tract:  Registration District: 2601 Affiliate Line Number: 5546 Affiliate File Name: deaths99.dat Source Reference: Ohio Department of Health "Ohio Death Index, 1908-1932, 1938-1944, and 1958-2007," database, <i>FamilySearch</i> (https://familysearch.org/ark:/61903/1:1:VKJB-PVV : 8 December 2014), Shadle in entry for Mae I Forrest, 22 Jan 1999; from "Ohio, Deaths, 1908-1932, 1938-2007," database and images, <i>Ancestry</i> (http://www.ancestry.com : 2010); citing vol. 31821, certificate number 003054, Ohio Historical Society, Columbus; Ohio Department of Health, State Vital Statistics Unit, Columbus.