Certificate of Death |
|
Washington Twp., Jackson Co., Ohio |
|
62526 |
Full Name: |
Carl Young |
Registration Dist. No.: |
644 |
Residence: |
|
Primary Reg.: Dist. No.: |
4963 |
Sex: |
Male |
Registered No. |
75 |
|
Color or Race: |
White |
Date of Death: |
Oct. 2, 1926 |
| S/M/W/D: |
Single |
Time of Death: |
1-5 pm |
| Spouse: |
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Served in Military: |
|
| Date of Birth: |
Oct. 8, 1923 |
Institution: |
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| Age: |
2yrs, 11m, 24d |
Cause of death: |
Accidental Drowning |
| Trade/Profession: |
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| Industry: |
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| Date last worked: |
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Contributory Causes: |
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| Birthplace City: |
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| Birthplace Co./St: |
Jackson Co., Ohio |
|
| Father: |
Marion Young |
Born: |
Ohio |
|
| Mother: |
Cory Doles |
Born: |
Ohio |
|
| Informant: |
Elmer J. Doles |
Address: |
Ray, Ohio |
| Burial, Cremation or Removal: |
|
Date of Burial |
October 4, 1926 |
| Burial Location |
Byers Cemetery |
|
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| Undertaker: |
F. Anderson |
Address: |
Ray, Ohio |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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