Certificate of Death |
|
Wellston, Jackson Co., Ohio |
|
10748 |
Full Name: |
Horace Bernard Bayes |
Registration Dist. No.: |
644 |
Residence: |
|
Primary Reg.: Dist. No.: |
8268 |
Sex: |
M |
Registered No. |
19 |
|
Color or Race: |
W |
Date of Death: |
Feb 13, 1918 |
| S/M/W/D: |
S |
Time of Death: |
|
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
August 5, 1917 |
Institution: |
|
| Age: |
6m 8d |
Cause of death: |
Broncho-pneumonia |
| Trade/Profession: |
|
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
Wellston |
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Horace Bayes |
Born: |
Lawrence Co., Ohio |
|
| Mother: |
Loretta Whitlatch |
Born: |
Jackson Co., Ohio |
|
| Informant: |
Horace Bayes Sr. |
Address: |
Wellston, Ohio |
| Burial, Cremation or Removal: |
|
Date of Burial |
Feb. 15, 1918 |
| Burial Location |
Ridgewood Cem. |
|
|
| Undertaker: |
ABC Leach |
Address: |
Wellston, O |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
|
|
