Certificate of Death |
|
Coalton, Jackson Co. |
|
26764 |
Full Name: |
Naoma Eva Brady |
Registration Dist. No.: |
641 |
Residence: |
|
Primary Reg.: Dist. No.: |
2677 |
Sex: |
Female |
Registered No. |
17 |
|
Color or Race: |
white |
Date of Death: |
Apr. 4, 1917 |
| S/M/W/D: |
Single |
Time of Death: |
3:00 am |
| Spouse: |
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Served in Military: |
|
| Date of Birth: |
February 21, 1915 |
Institution: |
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| Age: |
2y 1m 14d |
Cause of death: |
Meales, Tuberculosis, broncho pneumonia |
| Trade/Profession: |
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| Industry: |
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| Date last worked: |
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Contributory Causes: |
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| Birthplace City: |
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| Birthplace Co./St: |
Ohio |
|
| Father: |
Wm Brady |
Born: |
Ohio |
|
| Mother: |
Allie Booth |
Born: |
Ohio |
|
| Informant: |
Wm Brady |
Address: |
Coalton, Ohio |
| Burial, Cremation or Removal: |
|
Date of Burial |
April 6/1917 |
| Burial Location |
Coalton Cemetery |
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| Undertaker: |
Charles L. Wood |
Address: |
Jackson, Ohio |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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