Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
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: |
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Contributory Causes: |
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| 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: |
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