Ross County OhArchives Deaths.....Cox, Mary Elizabeth (Wisecup) (Cokonougher) April 27, 1934 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/oh/ohfiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Ralph Cokonougher rcokon@hotmail.com November 29, 2006, 11:21 pm Name: Cox, Mary Elizabeth (Wisecup) (Cokonougher) Date Of Death: April 27, 1934 Time: 9:30 P.M. Place Of Death: South Salem, Ohio. Buckskin Township. Residence: South Salem, Ohio. Buckskin Township. Gender: Female Race: W Age: 78 yrs 2 mo 13 ds Marital Status: Married Spouse: Cox, Edward Date Of Birth: February 14, 1856 Place Of Birth: Adams County, Ohio. Mother's Name: Frost, Provy Mother's Birthplace: Ohio. Father's Name: Wisecup, Joseph Father's Birthplace: Adams Co., Ohio. Cause Of Death: Chronic nephritis. Hospital: none. SS Number: none. Occupation: Homekeeping. Funeral Home: R. B. Walker Doctor: W. H. Wilson M.D. Coroner: none Informant: Anna Smith (sic Schmidt). Date Of Burial: April 30, 1934 Place Of Burial: South Salem Cemetery. Date Recorded: April 30, 1934 Source Of Record: Ohio Dept. of Health. Columbus, Ohio. Certificate No.: 26412 This is a transcript of the record: STATE OF OHIO DEPARTMENT OF HEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH 26412 1. PLACE OF DEATH. County - Ross. Township - Buckskin, or Village - South Salem, O. ... Registration District No. - 1127. File No. - 75. Primary Registration District No. - 3213. Registered No. - 127. Length of residence in city or town where death occurred - 60 yrs ... . 2. FULL NAME - Mary Elizabeth Cox. (a). Residence - South Salem, Ohio ....... PERSONAL AND STATISTICAL PARTICULARS. 3. Sex - Female. 4. Color or Race - White. 5. Single, Married, Widowed, or Divorced (write the word) - Married. 5a. If married, widowed, or divorced, husband of (or) wife of - Edward Cox. 6. Date of Birth (month, day, and year) - 2-14-1856. 7. Age: Years - 78, Months - 2, Days - 13 ... . OCCUPATION. 8. Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. - Homekeeping. ....... 12. BIRTHPLACE (city or town) - Adams Co. (State or country) - Ohio. FATHER. 13. Name - Joseph Wisecup. 14. Birthplace (city or town) - Adams Co. (State or Country) - Ohio. MOTHER. 15. Maiden name - Provy Frost. 16. Birthplace (city or town) (State or Country) - Ohio. 17. The Signature of INFORMANT and (address) - sig. Miss Anna Smith. South Salem, Ohio. 18. BURIAL, CREMATION, OR REMOVAL. Place - South Salem Cem. Date - 4-30-34. 19. UNDERTAKER - R.B. Walker. Sig. R.B. Walker. (Address) Greenfield, Ohio 19 a. Was body embalmed? - Yes. Embalmer's No. 3581A. 20. FILED - 4/30, 1934. Sig. Blanche g. Rogers, Registrar. MEDICAL CERTIFICATE OF DEATH. 21. Date of Death (month, day, and year) - 4-27-34. 22. I hearby certify, that I attended deceased from 4-25, 1934, to 4-27, 1934. I last saw her alive on 4-27, 1934, death is said to have occurred on the date stated above at 9:30 P. The principal cause of death and related causes of importance in order of onset were as follows: chronic nephritis. ......... 24. ..... Sig. W.H. Wilson M.D. Date - 4-30-34. Address - Greenfield, Ohio. I hereby certify that the above certificate is an exact copy of the original certificate which is registered and preserved in the Division of Vital Statistics of the Ohio Department of Health, witness my signature and the seal of the department. John Ackerman, M.D. Director of Health. 29 Apr. 1976. File at: http://files.usgwarchives.net/oh/ross/vitals/deaths/cox118ndt.txt This file has been created by a form at http://www.genrecords.net/ohfiles/ File size: 4.2 Kb