OHIO GENEALOGY EXPRESS - Darke County, Ohio

STATE OF OHIO BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH 1. PLACE OF DEATH: County: Darke Registration District No. 305 File No. 31732 Township______ Primary Registration District No. 8127 Registered No. 145 No. Ash St., 4 Ward. City of Greenville 2. FULL NAME: Sarah Julia Cast (a) Residence. No. 414 Ash st., 4 Ward.
PERSONAL AND STATISTICAL PARTICULARS			MEDICAL CERTIFICATE OF DEATH
3. SEX: Female	4. COLOR OR RACE: White	5. Single, Married, Widowed or Divorced Married	16. DATE OF DEATH: Oct. 19, 1918
3a. If married, widowed or divorced. Wife of: John W. Cast			17. I HEREBY CERTIFY, That I attended deceased from ____ and that death occured on the date stated above, at 11:18 __m. The CAUSE F DEATH was as follows: Broncho Pneumonia duration: 4 ds. CONTRIBUTORY: Influenza duration: 3 ds. Was there an autopsy? No (Signed) H. A._______, M. D. Oct. 17, 1918 (Address) Greenville.
6. DATE OF BIRTH: 1863 - 15th Nov?
7. AGE: 54 yrs.	Months: 11	Days: 4
8. OCCUPATION OF DECEASED: Housewife
9. BIRTHPLACE: Cincinnati
PARENTS: 10: NAME OF FATHER: John L. Deible 11: BIRTHPLACE OF FATHER: Germany 12: MAIDEN NAME OF MOTHER: Mary E. Baldwin 13: BIRTHPLACE OF MOTHER: Cinti, OHIO
14. Informant: John W. Cast			19. PLACE OF BURIAL, CREMATION OR REMOVAL: Blanchester, Ohio
15. Filed: Oct., 1918 C. E. W____m, Registrar			20. UNDERTAKER License No._____ H. P. Stokes ____l, Greenville, O.
(Submitted by Lori Chaffin)

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