STATE FILE NO.:  75-072920
 1.  DECEASED-NAME:  MARGARET PANCAKE HALL
 2.  SEX:  Female
 3.  DATE OF DEATH:  Oct. 13, 1975
 4.  RACE:  White
 5.  AGE:  87
 6.  DATE OF BIRTH:  July 18, 1888
 7a. COUNTY OF DEATH:  Sarasota
 7b. CITY, TOWN, OR LOCATION OF DEATH:  Sarasota
 7c. INSIDE CITY LIMITS?  No
 7d. HOSPITAL OR OTHER INSTITUTION:  Coast Medical Nursing Home
 8.  STATE OF BIRTH:  W.Va.
 9.  CITIZEN OF WHAT COUNTRY:  U.S.A.
10.  MARRIED, NEVER MARRIED, WIDOWED, DIVORCED:  Widowed
11.  SURVIVING SPOUSE:  -----
12.  SOCIAL SECURITY NUMBER:  236-44-0303-A
13a. USUAL OCCUPATION:  Ret. Rental Agent
13b. KIND OF BUSINESS OR INDUSTRY:  Real Estate
14a. RESIDENCE-STATE:  Fla.
14b. COUNTY:  Manatee
14c. CITY, TOWN, OR LOCATION:  Longboat Key
14d. INSIDE CITY LIMITS:  Yes
14e. STREET AND NUMBER:  668 Lyons Lane
15.  FATHER-NAME:  Daniel J. Pancake
16.  MOTHER-MAIDEN NAME:  Unknown
17a. INFORMANT-NAME:  Paul C. Pancake, Sr.
17b. MAILING ADDRESS:  P.O. Box 1079, Longboat Key, Fla.--33548
[Cause of death is omitted.]
24a. BURIAL, CREMATION, REMOVAL:  Removal
24b. CEMETERY OR CREMATORY:  Woodmere Memorial Park
24c. LOCATION:  Huntington  W.Va.
24d. DATE:  10-14-75
25a. FUNERAL HOME-NAME AND ADDRESS:
     Toale Bros., 40 N. Orange Ave., Sarasota, Fla.-33577
25b. FUNERAL DIRECTOR-SIGNATURE:  [illegible]
26a. REGISTRAR-SISNATURE:  Kathleen A. Chamberlain - Deputy
26b. DATE RECEIVED BY LOCAL REGISTRAR:  10-14-75