Certificate of Death |
|
Wellston, Jackson Co., Ohio |
|
72635 |
Full Name: |
Susie Young |
Registration Dist. No.: |
644 |
Residence: |
1210 So. NY Ave, Ward 3 |
Primary Reg.: Dist. No.: |
8268 |
Sex: |
Female |
Registered No. |
85 |
|
Color or Race: |
White |
Date of Death: |
Dec 3, 1931 |
| S/M/W/D: |
Widowed |
Time of Death: |
6:30 pm |
| Spouse: |
Leander Young |
Served in Military: |
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| Date of Birth: |
Oct. 30, 1860 |
Institution: |
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| Age: |
71y 1m 3d |
Cause of death: |
<unreadable> Chronic Mitral insufficiency |
| Trade/Profession: |
Housewife |
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| Industry: |
Homework |
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| Date last worked: |
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Contributory Causes: |
<unreadable> |
| Birthplace City: |
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| Birthplace Co./St: |
Indiana |
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| Father: |
Philip Smith |
Born: |
Germany |
|
| Mother: |
Elizabeth Hennaman |
Born: |
Germany |
|
| Informant: |
Leander Young, Jr. |
1210 So. NY Ave |
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| Burial, Cremation or Removal: |
Ridgewood Cemetery |
Dec 7, 1931 |
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| Undertaker: |
Carl L. Leach |
Wellston, O. |
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| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: Kenda L. Wyckoff |
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