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DEATH
CERTIFICATES
| (Contributed by Lori Chaffin)
BUREAU OF VITAL STATISTIS CERTIFICATE OF DEATH #852
PLACE OF DEATH: RETURNED
County of Clinton
Township of Marion, Registration Dist. #211
Village of Blauchester, Primary Registration Dist. #2207
City of (blank)
FULL NAME: Mary Elizabeth
Deible
| PERSONAL AND STATISTICAL
PARTICULARS |
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MEDICAL CERTIFICATE OF DEATH |
Sex: Female - Race: White -
Widowed
Date of Birth: Nov. 14, 1833
Age: 85 yrs. 2 mos. 7 ds.
Occupation: Housewife
Birthplace: Cincinnati, Ohio
Name of Father: Lewis Baldwin
Birthplace of Father: Ohio
Maiden name of Mother: Mercy Gunn
Birthplace of Mother: New York
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The ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Informant: Neal Allee
Address: Chillocothe, Ohio
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Filed Jan. 21, 1919 W. L. Hixson, Registrar |
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I HEREBY CERTIFY,
That I attended deceased from Jan. 18, 1919 to Jan. 19,
1919, that I last saw her alive on Jan. 19, 1919, and that
death occurred, on the date stated above, at 4:30 a.m.
The CAUSE OF DEATH was as follows:
Pneumonia, one month
Contributory: Senility
Signed: A. B. Martin, MD
Bauchester, O
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PLACE OF BURIAL OR REMOVAL:
Blauchester, Ohio
Date of Burial: Jan, 21, 1919
Undertaker: Laymon Echelberger
Address: Blauchester, Ohio |
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| (Contributed by Lori Chaffin)
BUREAU OF VITAL STATISTIS CERTIFICATE OF DEATH #852
PLACE OF DEATH: RETURNED
County of Clinton
Township of Marion, Registration Dist. #211 File # 741
Village of Blauchester, Primary Registration Dist. #2207
City of (blank)
FULL NAME: George W. Hudson, Sr.
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| PERSONAL AND STATISTICAL
PARTICULARS |
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MEDICAL CERTIFICATE OF DEATH |
Sex: Male - Race: White - Widow
DATE OF BIRTH: aUG. 26, 1829
AGE: 88 yrs. 4 mos. 11 ds.
OCCUPATION: Carpenter
BIRTHPLACE: Clermont Co., OH
NAME OF FATHER: Selby Hudson
BIRTHPLACE OF FATHER: Maryland
MAIDEN NAME OF MOTHER: Elizabeth RIchardson
BIRTHPLACE OF MOTHER: Maryland
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THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Informant: G. W. Card?
Address: Blauchester, Ohio
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Filed Jan. 9, 1918 by W. S. Hixson, Registrar |
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I HEREBY CERTIFY,
That I attended deceased from Jan. 16, 1917 to Jan. 7, 1918
that I last saw him alive on Jan 7, 1918 and that death
occurred on the date stated above, at 4:45 _m
THE CAUSE OF DEAHT was as follows:
General ________________________
duration 2 yrs.
Signed: F. McAdams?
Jan 8, 1918
Address: Blauchester, O
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PLACE OF BURIAL OR REMOVAL:
Blauchester, Ohio
DATE OF BURIAL: Jan. 10, 1918
Undertaker: Burk & Eichelberger
Address: Blauchester, O |
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| (Contributed by Lori Chaffin)
DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTCS
CERTIFICATE OF DEATH
1. PLACE OF DEATH
County: Clinton
Registration District No. 206
File No. 682
Township (blank)
Primary Registration District No. 8075 Registered No. 11?
City of Wilmington
2. FULL NAME: Nellie M.
Smith
| PERSONAL AND STATISTICAL
PARTICULARS |
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MEDICAL CERTIFICATE OF DEATH |
3. Sex: Female 4.
Race: White 5. Married
Wife of Chas. W. Smith
6. DATE OF BIRTH: April 1st 1887
7. AGE: 38 yrs. 9 mos. 26 ds.
8. OCCUPATION: Housewife.
9. BIRTHPLACE: Hartford City, Indiana
10. NAME OF FATHER: George W. Certain
11. BIRTHPLACE OF FATHER: Ohio?
12. MAIDEN NAME OF MOTHER: Amanda Hays
13. BIRTHPLACE OF MOTHER: Ohio?
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14. Informant: Chas. W. Smith
Address: Wilmington,O
15. Filed Jan. 28, 1826
Dr. F. A. Peells? Registrar |
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17. I HEREBY
CERTIFY, That I attended deceased from Jan. 13, 1926 to Jan.
27, 1926 that I last saw her alive on Jan. 26, 1916 and that
death occurred on the dated stated above at 5 a.m.
The CAUSE OF DEATH was as follows:
_leus & acute dilitation of the stomach
CONTRIBUTORY Choluystitis? Hep___ Partnitious?
Did an operation precede death: No
Signed: V. E. Hutchens, MD 1-28-1926
Address: Wilmington
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19. PLACE OF BURIAL, CREMATION OR REMOVAL:
Sugar Grove Cem
Date of Burial Jan. 29, 1926
20: Undertaker, License No. 171_
B___ D. E. A____
ADDRESS: Wilmington, Ohio |
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(Contributed by Lori Chaffin)
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
PLACE OF DEATH:
County of Clinton
Township (blank) Registration District No. 208
File No. 8555
Village of New Vienna Primary Registration
District No. 2211 Registered No. 7
2. FULL NAME: Mary E.
Smith
| PERSONAL AND STITISTICAL
PARTICULARS |
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MEDICAL CERTIFICATE OF DEATH |
3. SEX: Female
4. RACE: White 5. Widowed
6. DATE OF BIRTH: Aug. 14, 1858
7. AGE: 87 yrs. 6 mos. 10 ds.
8. OCCUPATION: Housekeeper
9. BIRTHPLACE: Not Known
10. NAME OF FATHER: jNO. mATHEWS
11. BIRTHPLACE OF FATHER: Ohio
12. MAIDEN NAME OF MOTHER: Don't know
13. BIRTH PLACE OF MOTHER: Don't know
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14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE:
Informant: Charls Smith
Address: New Vienna, O
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Filed 2-26 1920 R.J. Ruler? |
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20. DATE OF DEATH:
Feb. 24, 1920
21. I HEREBY CERTIFY, That I attended decd from Jun. 1919 to
Feb. 24, 1920 that I last saw her alive on Feb. 24, 1920, and
that death occurred, on the date stated above, at 1 p.m.
The CAUSE OF DEATH was as follows:
Verticular Hart disease
Duration: 2 yrs.
Contributory: Brights disease
Duration: 6 mos.
Signed: W. T. Man____, M.D.
Feb. 25, 1920
Address: New Vienna, O
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18. LENGTH OF RESIDENCE: _(Blank)
19. PLACE OF BURIAL OR REMOVAL
New Vienna, OH Date of Burial: 2/26/1920
20. UNDERTAKER: R. C. Hale
ADDRESS: New Vienna, O |
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