Certificate of Death |
|
Coal Twp., Jackson Co., Ohio |
|
71653 |
Full Name: |
George W. Young |
Registration Dist. No.: |
641 |
Residence: |
|
Primary Reg.: Dist. No.: |
4953 |
Sex: |
Male |
Registered No. |
38 |
|
Color or Race: |
White |
Date of Death: |
Nov. 13, 1917 |
| S/M/W/D: |
Widowed |
Time of Death: |
2:45 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
Dec. 24, 1838 |
Institution: |
|
| Age: |
78yrs 10m 19d |
Cause of death: |
Perhaps Carcinoma of intestines |
| Trade/Profession: |
Carpenter |
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
Intermittent fever |
| Birthplace City: |
|
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Alfred Young |
Born: |
Don't know |
|
| Mother: |
Mary Bierley |
Born: |
Don't know |
|
| Informant: |
John W. Ball |
Address: |
Jackson R 4 |
| Burial, Cremation or Removal: |
|
Date of Burial |
Nov. 15, 1917 |
| Burial Location |
Mathers Cemetery |
|
|
| Undertaker: |
T.P. Vorhis |
Address: |
Jackson, Ohio |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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