DEATH CERTIFICATE

NAME OF DECEASED
COLOR
SEX
AGE
MARRIED OR SINGLE
PLACE OF BIRTH
OCCUPATION
DATE OF DEATH
PLACE OF DEATH
CAUSE OF DEATH
DURATION OF LAST ILLNESS
PLACE AND DATE OF INTERMENT
NAME OF FATHER
NAME OF MOTHER
RECORDED
E. J. Amos W F 37 M Greene Co. H wife Feb 23, 1898 Main Stree, Beallsville Comsumption 2 months Beallsville Cem Feb 25, 1898 Vinson Amos Sarah Amos Nov 15, 1898

Washington County, PA Death records, 1893 - 1906, Volume 1, page 8
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