|
Name |
W.C. Wallace |
|
Book & Page No. |
Book 2, p.207 |
|
Registration No. |
184 |
|
Place of Death |
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Residence |
|
|
Date of Birth |
|
|
Age |
26y |
|
Gender/Color |
Male/white |
|
Marital Status |
Single |
|
Widow |
|
|
Place of Birth |
OH, resident of IA 5y |
|
Father |
|
|
Father’s Place of Birth |
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|
Mother |
|
|
Mother’s Place of Birth |
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|
Occupation |
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|
Informant |
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|
Informant’s Address |
|
|
Date of Death |
05-03-1894 |
|
Cause of Death |
Suicide |
|
Attending Physician |
W.F. Davis, coroner |
|
When Signed |
|
|
Place of Burial |
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|
Date of Burial |
|
|
Funeral Director |
D.C. Wilbur, |
|
Date of Return |
09-19-1894 |
|
Local Registrar |
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|
District |
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|
Explanation of Cause of Death |
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