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Jackson County, Ohio
Certificate of Death


Certificate of Death
Place of Death:
Scioto Twp ., Jackson, Ohio
File No.
Full Name:
Dova Beatrice Fout
Registration Dist. No.:
Primary Reg.: Dist. No.:
Registered No. 7
Color or Race:
Date of Death:
Sep. 24, 1914
S/M/W/D: single Time of Death: 10:00 am
Spouse:   Served in Military:
Date of Birth: Aug. 21, 1892 Institution:  
Age: 22y 1m 3d
Cause of death:
Typhoid Fever
Date last worked:   Contributory Causes:  
Birthplace City:    
Birthplace Co./St: Ohio  
Father: Ezra Fout Born: Ohio  
Mother: Margaret Keller Born: Ohio  
Informant: Ezra Fout Address: Beaver, O
Burial, Cremation or Removal:   Date of Burial Set. 26, 1914
Burial Location Mountain Ridge Address: Beaver, Ohio
Undertaker: Gosiavis Address: Beaver, Ohio
Source: State of Ohio Department of Health, Division of Vital Statistics
NOTE: Returned cert. says: The injury was sustained in a slate fall when employed in a coal mine.
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