Certificate of Death |
|
Jackson , Jackson, Ohio |
|
39882 |
Full Name: |
Amos Finley Woltz |
Registration Dist. No.: |
40 |
Residence: |
303 N. Mich. Ave, Wellston, Jackson Co., Ohio |
Primary Reg.: Dist. No.: |
4001 |
Sex: |
Male |
Registered No. |
|
|
Color or Race: |
White |
Date of Death: |
May 24, 1953 |
| S/M/W/D: |
Married |
Time of Death: |
7:00 pm |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
Jan 3, 1868 |
Institution: |
|
| Age: |
85y m d |
Cause of death: |
Cerebral vascular Thrombosis |
| Trade/Profession: |
Brick Mason |
|
|
| Industry: |
Building |
|
|
| Date last worked: |
|
Contributory Causes: |
Generalized Arteriosclerosis |
| Birthplace City: |
|
| Birthplace Co./St: |
Vinton Co., Ohio |
| Father: |
Socrates Woltz |
Born: |
|
|
| Mother: |
Malinda Slain |
Born: |
|
|
| Informant: |
Ann Pope |
Address: |
|
| Burial, Cremation or Removal: |
Burial |
Date of Burial |
May 27, 1953 |
| Burial Location |
Hamden Cemetery |
| Undertaker: |
E. R. Plummer |
Address: |
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| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by:
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