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Gallia County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Gallipolis, Gallia Co., Ohio
File No.
47966 (?)
Full Name:
Emma Bane
Registration Dist. No.:
426
Residence:
Primary Reg.: Dist. No.:
8197
Sex:
Female
Registered No.  
Color or Race:
White
Date of Death:
July 17, 1920
S/M/W/D: Married Time of Death: 2:15 pm
Spouse: H. H. Bane Served in Military:
Date of Birth: May 29, 1880 Institution:  
Age: 40y 1m 12d
Cause of death:
Paralytic Ileus following operation for Viritril Hernia
Trade/Profession:  
Industry:  
Date last worked:   Contributory Causes:  
Birthplace City:  
Birthplace Co./St: Gallia Co., Ohio
Father: Cornelius Berridge Born: Clay Twp., Gallia Co., Ohio
Mother: Jane Roe Born: Clay Twp., Gallia Co., Ohio
Informant: H. H. Bane Address: Gallipolis, Ohio
Burial, Cremation or Removal: Burial Date of Burial: July 20, 1920
Cemetery Location: St. Nick Cemetery    
Undertaker: G. J. Wetherholt Address: Gallipolis, Ohio
NOTES:
Source: State of Ohio Department of Health, Division of Vital Statistics
Contributed by: