Her death certificate records Effie Downs, age 36 years 1 month 14 days, born 22 May 1898 in Salt Lick, Ky, died 6 July 1934 at City Hospital in Middletown, Butler Co., Ohio, residence 1510 Philadelphia, occupation cook at boarding house, widowed, father John Perry, born in Alexville, Ky, mother’s maiden name Missouri Thompson, born in Va, cause of death tubo-ovarian abscess shock surgical, informant Clara Milton, 216 Wade St., Cincy O, burial in Woodside Cemetery.