Certificate of Death |
|
Gallipolis, Ohio |
|
48859 |
Full Name: |
Ethel Crook |
Registration Dist. No.: |
426 |
Residence: |
Gallipolis State Institute |
Primary Reg.: Dist. No.: |
8197 |
Sex: |
Female |
Registrar's No. |
195 |
|
Color or Race: |
White |
Date of Death: |
August 6, 1848 |
| S/M/W/D: |
Married |
Time of Death: |
4:20 am |
| Spouse: |
|
Served in Military: |
|
| Date of Birth: |
February 23, 1894 |
Institution: |
Gallipolis State Institute |
| Age: |
54y 5m, 13d |
Cause of death: |
Bronchopneumonia |
| Trade/Profession: |
None |
|
| Industry: |
None |
|
| Date last worked: |
|
Contributory Causes: |
Idiopathis Epilepsy (36 years) |
| Birthplace City: |
|
|
| Birthplace Co./St: |
Ohio |
|
| Father: |
Ernest Martin |
Born: |
Ohio |
| Mother: |
Amelia Gnatzig |
Born: |
Germany |
| Informant: |
L (?) S. Berridge (son) |
Address: |
85 Locust, Gallipolis, Ohio |
| Burial, Cremation or Removal: |
Burial |
Date of Burial: |
August 9, 1848 |
| Cemetery Location: |
Mound Hill Cemetery |
Gallipolis, Ohio |
| Undertaker: |
Frank E. Wetherholt |
Address: |
Gallipolis, Ohio |
| NOTES: |
| Source: State of Ohio Department of Health, Division of Vital Statistics |
| Contributed by: |
|
|