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Gallia County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Addison Twp., Gallia Co., Ohio
File No.
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
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