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Jackson County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Wellston, Jackson Co., Ohio
File No.
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: