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Gallia County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Gallipolis, Gallia Co., Ohio
File No.
9001
Full Name:
Anna Thievener
Registration Dist. No.:
426
Residence:
Primary Reg.: Dist. No.:
8197
Sex:
Female
Registered No. 38
Color or Race:
White
Date of Death:
February 4, 1928
S/M/W/D: Married Time of Death: 7:00 am
Spouse: Taylor Thievener Served in Military:
Date of Birth: Oct 13, 1841 Institution:  
Age: 86y 3m 23d
Cause of death:
Cerebral Hemorrahage
Trade/Profession: Housewife
Industry:  
Date last worked:   Contributory Causes:  
Birthplace City:  
Birthplace Co./St: Ohio
Father: George Berridge Born: Ohio
Mother: Jane Harrison Born: Ohio
Informant: Minnie Blazer Address: Columbus, Ohio
Burial, Cremation or Removal: Burial Date of Burial: February 7, 1928
Cemetery Location: Mina Chapel Cemetery    
Undertaker: Albert E. Tope Address: Gallipolis, Ohio
NOTES: Difficult to read
Source: State of Ohio Department of Health, Division of Vital Statistics
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