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Jackson County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Jackson Co., Jackson , Ohio
File No.
23065
Full Name:
Agnes Vaughn
Registration Dist. No.:
643
Residence:
Primary Reg.: Dist. No.:
8269
Sex:
Female
Registered No.  
Color or Race:
white
Date of Death:
Mar 27, 1920
S/M/W/D: widow Time of Death: 12:30 pm
Spouse: not given Served in Military:
Date of Birth: not given Institution:  
Age: 81y 0m 9d
Cause of death:
Apoplexy
Trade/Profession: housekeeper    
Industry:      
Date last worked:   Contributory Causes: Old Age
Birthplace City: unknown  
Birthplace Co./St: Ohio  
Father: Aaron Walterhouse Born: Pennsylvania  
Mother: Emily Voorhees Born: Penn.  
Informant: E. M. Vaughn Address: Jackson, Ohio
Burial, Cremation or Removal:   Date of Burial Mar. 31, 1920
Burial Location Madison, Ind Address:  
Undertaker: L. H. Powell Address: Jackson, Ohio
Source: State of Ohio Department of Health, Division of Vital Statistics
NOTE: Burial date could say 8/31/1920
Contributed by: