Certificate of Death |
|
Jefferson Twp., Jackson Co., Ohio |
|
38236 |
Full Name: |
John Wallace Howard |
Registration Dist. No.: |
642 |
Residence: |
|
Primary Reg.: Dist. No.: |
4957 |
Sex: |
Male |
Registered No. |
|
|
Color or Race: |
White |
Date of Death: |
June 9, 1918 |
| S/M/W/D: |
Single |
Time of Death: |
7:20 pm |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
May 9, 1918 |
Institution: |
|
| Age: |
1m 0d |
Cause of death: |
Broncho-Pneumonia |
| Trade/Profession: |
|
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
|
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Walter Howard |
Born: |
Ohio |
|
| Mother: |
Bessie Oliver |
Born: |
Ohio |
|
| Informant: |
Walter Howard |
Address: |
Oak Hill, O |
| Burial, Cremation or Removal: |
|
Date of Burial |
June 11, 1918 |
| Burial Location |
Wallace Cem. |
|
|
| Undertaker: |
Hughes&Jones |
Address: |
Oak Hill, O |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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