Certificate of Death |
|
Gallipolis, Gallia Co., Ohio |
|
56272 |
Full Name: |
Willard Little |
Registration Dist. No.: |
426 |
Residence: |
O. H. E. Gallipolis, Ohio |
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Male |
Registered No. |
217 |
|
Color or Race: |
White |
Date of Death: |
Oct 13, 1033 |
| S/M/W/D: |
Single |
Time of Death: |
1:50 pm |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
1895 |
Institution: |
Ohio Hospital for Epileptics |
| Age: |
38y m d |
Cause of death: |
Epilepsy of ??? |
| Trade/Profession: |
|
| Industry: |
|
|
| Date last worked: |
|
Contributory Causes: |
Coronary Occlusion due to Coronary Arteriosclerosis
|
| Birthplace City: |
|
| Birthplace Co./St: |
Ohio |
| Father: |
John Little |
Born: |
Unknown |
| Mother: |
Unknown |
Born: |
Unknown |
| Informant: |
Records of the O. H. E. |
Address: |
Gallipolis, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
Oct 16, 1933 |
| Cemetery Location: |
Mound Hill Cem. |
Cheshire, Ohio |
|
| Undertaker: |
|
Address: |
|
| NOTES: Cause of death is not clear to read. |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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