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Sarah J. BOSTWICK (WILLIAMS) (The items in parenthesis are added by the submitter and not on the original death certificate.) State of Ohio, Department of Health, Division of Vital Statistics, Certificate of Death Place of Death: Montgomery County, Van Buren Township, Dayton State Hospital Name: Sarah J. BOSTWICK (WILLIAMS) Residence: Xenia, Ohio Sex: female Color or Race: White Married Name of Husband: (James H. D. Bostwick) Date of Birth: 1842 Age: 81 years Occupation of deceased: Housewife Birthplace: Unknown, Ohio (Muskingum County, OH) Name of father: Unknown (Elijah Williams) Maiden name of mother: Unknown (Phoebe Martin) Informant: Records of Dayton State Hospital Filed on Jan 10, 1923 Date of Death: Jan. 10, 1923 I hereby certify that I attended deceased from June 15, 1904 to January 10, 1923 that I last saw her alive on Jan. 10, 1923 and that death occurred on the date stated above at 9:25 am. The cause of death was as follows: Cancer of female genital organs originating in cervic. Contributory cause: age There was no autopsy Signed by Esther A. Ryerson Place of Burial: Xenia, OH Woodland Cemetery Date of burial: Jan. 12, 1923 |
Submitted by Teresa Kidd 20 Jan 2002
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Last Revised: December 10, 2002