Manual transcription from IMG_0702.HEIC, an Ohio Department of Health certification of vital record photographed by the user.

Document type: Certificate of Death
State file number: 029102
Registrar number: 1731
Reg. Dist. No.: 48
Primary Reg. Dist. No.: 4862

Decedent name as recorded: Gorden F. Ponceby
Sex: Male
Race: White
Age at last birthday: 58
Date of birth: Jan. 1, 1926
Date of death: April 9, 1984
County of death: Lucas
City/village/location of death: Maumee
Hospital or institution: St. Lukes Hospital
Hospital status: Inpatient
State of birth: Canada
Citizen of what country: U.S.A.
Origin or descent: English
Was deceased ever in U.S. Armed Forces: Yes, 7/26/43 - 3/28/46
Marital status: Married
Surviving spouse: Shirley Armstrong
Usual occupation: Car Salesman
Kind of business or industry: Retail Car Sales

Residence:
State: Ohio
County: Lucas
City/village/location: Whitehouse
Street and number: 11050 West St.
Inside city limits: Yes

Parents:
Father name: Donald Ponceby
Mother maiden name: Catherine McKayhorne

Informant:
Name: Shirley Ponceby
Mailing address: 11050 West St., Whitehouse, OH 43571

Cause and disposition:
Immediate cause: Metastatic small cell lung carcinoma
Approximate interval between onset and death: 1 yr
Hour of death: 12:35 PM
Burial, cremation, or other: Retain
Date: 4/9/1984
Cemetery or crematory: Medical College of Ohio
Location: Toledo, OH
Funeral director: James K. Mansfield
Date received by registrar: Apr 30 1984
Date permit issued: Apr 27, 1984
Local registrar: Tina Stokes

Certification:
Issued: March 31, 2026
Certificate serial: D00415758

Notes:
- The decedent's given name is typed as "Gorden" on this certificate, matching the existing Ohio death index spelling and differing from the repo's canonical "Gordon Francis Ponceby."
- The mother's maiden name is typed as "Catherine McKayhorne"; this appears to combine the McKay and Horne surname evidence already present in the repo, but should be reviewed against additional records before any person record changes.
- A Social Security number is visible on the certificate but intentionally omitted from this transcription and normalized source record.