Certificate of Death |
|
Cheshire, Gallia Co., Ohio |
|
36882 - 10 |
Full Name: |
Dexter Vinton Willis |
Registration Dist. No.: |
4638 |
Residence: |
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Primary Reg.: Dist. No.: |
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Sex: |
Male |
Registered No. |
10 |
|
Color or Race: |
White |
Date of Death: |
June 4, 1931 |
| S/M/W/D: |
Widowed |
Time of Death: |
4:36 am |
| Spouse: |
Bessie Willis |
Served in Military: |
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| Date of Birth: |
January 15, 1881 |
Institution: |
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| Age: |
50y 3 m, 19 d |
Cause of death: |
Acute Myocartitis |
| Trade/Profession: |
Farmer |
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| Industry: |
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| Date last worked: |
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Contributory Causes: |
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| Birthplace City: |
Raceene |
|
| Birthplace Co./St: |
Meggs Co., Ohio |
|
| Father: |
James Willis |
Born: |
Raceene, Meggs Co., Ohio |
| Mother: |
Liza Ann Circle |
Born: |
Raceene, Ohio |
| Informant: |
S. J. Willis |
Address: |
Gallipolis |
| Burial, Cremation or Removal: |
|
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Date of Burial: |
June 6, 1931 |
| Cemetery Location: |
Plands, Raceene |
|
|
| Undertaker: |
J. L. Coleman |
Address: |
Bidwell |
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| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
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