Certificate of Death |
|
Wellston, Jackson Co., Ohio |
|
9604 |
Full Name: |
John Bayes |
Registration Dist. No.: |
644 |
Residence: |
|
Primary Reg.: Dist. No.: |
8268 |
Sex: |
Male |
Registered No. |
14 |
|
Color or Race: |
White |
Date of Death: |
Feb 26, 1914 |
| S/M/W/D: |
|
Time of Death: |
2:00 pm |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
Aug 17, 1912 |
Institution: |
|
| Age: |
1y 6m 9d |
Cause of death: |
Broncho pneumonia |
| Trade/Profession: |
|
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
|
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
W. B. Bayes |
Born: |
Ohio |
|
| Mother: |
Maude Flowers |
Born: |
Ohio |
|
| Informant: |
Mrs. Warren B. Bayes |
Address: |
Wellston, Ohio |
| Burial, Cremation or Removal: |
|
Date of Burial |
Feb. 28, 1914 |
| Burial Location |
Ridgewood Cem. |
|
|
| Undertaker: |
ABC Leach |
Address: |
Wellston, Ohio |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
|
|
