Certificate of Death |
|
Jackson, Jackson Co., Ohio |
|
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: |
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| Date of Birth: |
Mar 2, 1910 |
Institution: |
|
| Age: |
0y 4m 18d |
Cause of death: |
Dysentery |
| Trade/Profession: |
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| Industry: |
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| Date last worked: |
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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:
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