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Darke County, Ohio
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DEATH CERTIFICATE

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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