Certificate of Death |
|
Addison Twp., Gallia Co., Ohio |
|
49340 |
Full Name: |
John F. Lane |
Registration Dist. No.: |
426 |
Residence: |
|
Primary Reg.: Dist. No.: |
4637 |
Sex: |
Male |
Registered No. |
262 |
|
Color or Race: |
White |
Date of Death: |
Aug. 30, 1949 |
| S/M/W/D: |
Widower |
Time of Death: |
11:00 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
June 22, 1861 |
Institution: |
|
| Age: |
88y 2m, 9d |
Cause of death: |
Cerebral Cueboles |
| Trade/Profession: |
House Wife |
|
| Industry: |
|
|
| Date last worked: |
|
Contributory Causes: |
Myocardial Insufficiency |
| Birthplace City: |
Wyoming Co |
| Birthplace Co./St: |
W. Va |
| Father: |
John A. Lane |
Born: |
Unknown |
| Mother: |
Stacy Green |
Born: |
Unknown |
| Informant: |
Anna Shire |
Address: |
|
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
Sept 2. 1949 |
| Cemetery Location: |
Mound Hill, Gallipolis, Ohio |
|
|
| Undertaker: |
J. L. Coleman |
Address: |
|
| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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