Certificate of Death |
|
Washington Twp., Jackson Co., Ohio |
|
60601 |
Full Name: |
Jerry W. Young |
Registration Dist. No.: |
644 |
Residence: |
|
Primary Reg.: Dist. No.: |
4963 |
Sex: |
Male |
Registered No. |
67 |
|
Color or Race: |
White |
Date of Death: |
Oct. 25, 1930 |
| S/M/W/D: |
Single |
Time of Death: |
1:00 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
July 5, 1914 |
Institution: |
|
| Age: |
16yrs 2m 20d |
Cause of death: |
Typhoid Fever |
| Trade/Profession: |
Labor |
|
|
| Industry: |
|
|
|
| Date last worked: |
|
Contributory Causes: |
|
| Birthplace City: |
|
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Marion Young |
Born: |
Ohio |
|
| Mother: |
Doles |
Born: |
Ohio |
|
| Informant: |
Marion Young |
Address: |
Byers |
| Burial, Cremation or Removal: |
|
Date of Burial |
Oct. 27, 1930 |
| Burial Location |
Byer Cemetery |
|
|
| Undertaker: |
F. Anderson |
Address: |
Coalton, Ohio |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| NOTE: |
| Contributed by: |
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