His death certificate records Alva Varvel, age 12, birthdate not known, born in Adams Co., Ohio, died 16 Dec 1909 at Christ Hospital, Cincinnati, Hamilton Co., Ohio, father Oud (or Ovd) Varvel, born in Ohio, mother’s maiden name not known, cause of death acute general peritonitis due to appendicitis, informant John R. Thomas, Peebles, Ohio.