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Jackson County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Jackson Twp. , Jackson, Ohio
File No.
65039
Full Name:
Nellie Austin
Registration Dist. No.:
4950
Residence:
So. Minnesota Ave.
Primary Reg.: Dist. No.:
Sex:
Female
Registered No.  
Color or Race:
African-American
Date of Death:
December 12, 1922
S/M/W/D: Divorced Time of Death: 2:00 pm
Spouse: Lon Kelley Served in Military:
No
Date of Birth: May 8, 1891 Institution:  
Age: 31y 7m 4d
Cause of death:
Pulmonary Tuberculosis
Trade/Profession: House Wife    
Industry:      
Date last worked:   Contributory Causes:  
Birthplace City:  
Birthplace Co./St: Ohio
Father: Elijah Austin Born: Ohio  
Mother: Amanda Bariski or Banister Born: Ohio  
Informant: Elijah Austin Address: Richmon??? R. D. #1
Burial, Cremation or Removal: Burial Date of Burial December 14, 1922
Burial Location Mount Siani
Undertaker: Charles Wood Address: Jackson, Ohio
Source: State of Ohio Department of Health, Division of Vital Statistics
NOTE:
Contributed by: