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Jackson County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Jackson Co., Ohio
File No.
23069
Full Name:
Wm Worran Bayes
Registration Dist. No.:
644
Residence:
Primary Reg.: Dist. No.:
8268
Sex:
Male
Registered No. 27
Color or Race:
White
Date of Death:
Mar. 1, 1920
S/M/W/D: Single Time of Death: 8:00 pm
Spouse:   Served in Military:
Date of Birth: Feb 10 1920 Institution:  
Age: 20d
Cause of death:
Premature birth
Trade/Profession:      
Industry:      
Date last worked:   Contributory Causes:  
Birthplace City:    
Birthplace Co./St: Ohio  
Father: Wm W. Bayes Born: Ohio  
Mother: Maud Starkey Born: Ohio  
Informant: Wm Bayes Address: Wellston, Ohio
Burial, Cremation or Removal:   Date of Burial Mar. 3, 1920
Burial Location Ridgewood Cem.    
Undertaker: A.D. Goddard Address: Wellston
Source: State of Ohio Department of Health, Division of Vital Statistics
NOTE:
Contributed by: