Certificate of Death |
|
Cheshire Twp. , Gallia Co., Ohio |
|
??383 |
Full Name: |
Robert B. Little |
Registration Dist. No.: |
4638 |
Residence: |
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Primary Reg.: Dist. No.: |
|
Sex: |
Male |
Registered No. |
13 |
|
Color or Race: |
White |
Date of Death: |
May 10, 1912 |
| S/M/W/D: |
Single |
Time of Death: |
5:30 pm |
| Spouse: |
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Served in Military: |
|
| Date of Birth: |
Oct. 1, 1911 |
Institution: |
|
| Age: |
y 7m, 9d |
Cause of death: |
Pneumonia |
| Trade/Profession: |
Infant |
| Industry: |
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|
| Date last worked: |
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Contributory Causes: |
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| Birthplace City: |
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| Birthplace Co./St: |
Ohio |
| Father: |
C. M. Little |
Born: |
West Virginia |
| Mother: |
Mary George |
Born: |
West Virginia |
| Informant: |
C. M. Little |
Address: |
Cheshire, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
May 12, 1912 |
| Cemetery Location: |
Gravel Hill |
|
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| Undertaker: |
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Address: |
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| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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