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Jackson County, Ohio
Certificate of Death


 

Certificate of Death
Place of Death:
Jackson, Jackson Co., Ohio
File No.
38449
Full Name:
Willard Wilson
Registration Dist. No.:
302
Residence:
RR. 2 Wellston, Jackson Co., Ohio
Primary Reg.: Dist. No.:
2314
Sex:
Male
Registered No.  
Color or Race:
White
Date of Death:
July 21, 1910
S/M/W/D:   Time of Death: 2 am
Spouse:   Served in Military:
Date of Birth: Mar 2, 1910 Institution:  
Age: 0y 4m 18d
Cause of death:
Dysentery
Trade/Profession:      
Industry:      
Date last worked:   Contributory Causes: Catarrhal Dysentery
Birthplace City: Jackson  
Birthplace Co./St: Ohio  
Father: William Wilson Born: Jackson Co  
Mother: Ada Nawley Born: Lawrence Co  
Informant: William Wilson Address: Wellston, O. Route 2
Burial, Cremation or Removal: Burial Date of Burial July 21, 1910
Burial Location Fairmount
Undertaker: C. A. Wood Address: Jackson, O
Source: State of Ohio Department of Health, Division of Vital Statistics
NOTE:
Contributed by: