Certificate of Death |
|
Jackson Co., Wellston, Ohio |
|
36785 |
Full Name: |
Daisy Ellen Young |
Registration Dist. No.: |
644 |
Residence: |
1012 So. N. Y. Ave. |
Primary Reg.: Dist. No.: |
8268 |
Sex: |
Female |
Registered No. |
40 |
|
Color or Race: |
White |
Date of Death: |
June 22, 1942 |
| S/M/W/D: |
Single |
Time of Death: |
6:10 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
Sept. 13, 1882 |
Institution: |
|
| Age: |
59yr 9m 8d |
Cause of death: |
Carcinoma of Uterus |
| Trade/Profession: |
Housework |
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
Ironton |
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Leander Young |
Born: |
Green Co., Ky |
|
| Mother: |
Susan Smith |
Born: |
Indiana |
|
| Informant: |
Leander Young Jr. |
Address: |
Wellston, O |
| Burial, Cremation or Removal: |
|
Date of Burial |
June 23, 1942 |
| Burial Location |
Ridgewood |
|
|
| Undertaker: |
Carl L. Leach |
Address: |
Wellston, O |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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