Certificate of Death |
|
Jackson Co., Ohio |
|
55687 |
Full Name: |
Gertrude Bayes |
Registration Dist. No.: |
644 |
Residence: |
|
Primary Reg.: Dist. No.: |
8268 |
Sex: |
F |
Registered No. |
62 |
|
Color or Race: |
W |
Date of Death: |
Oct. 24, 1915 |
| S/M/W/D: |
S |
Time of Death: |
12_m |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
May 19,1915 |
Institution: |
|
| Age: |
5m 6d |
Cause of death: |
lleo-colitis |
| Trade/Profession: |
|
|
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| Industry: |
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|
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| Date last worked: |
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Contributory Causes: |
|
| Birthplace City: |
Wellston |
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Warren Bayes |
Born: |
Ohio |
|
| Mother: |
Maude Starkey |
Born: |
Ohio |
|
| Informant: |
Warren Bayes |
Address: |
Wellston, Ohio |
| Burial, Cremation or Removal: |
|
Date of Burial |
Oct. 26, 1915 |
| Burial Location |
Ridgewood Cem. |
|
|
| Undertaker: |
ABC Leach |
Address: |
Wellston, O |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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