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William Moses (Will) Slaton  (image of death certificate)

William Moses (Will) Slaton was born in Jefferson County, Tennessee.  He was the son of Francis Marion (Frank) Slaton and Mary Ann Moore.  As such, he was the nephew of my second great grandmother Susan A. Slaton.  He moved first to Imperial County, California, where he lived next to his brother John Thomas Slaton.  John Thomas Slaton remained in California, but Will moved to Ohio.  The informant Belle Slaton was Will's second wife Lydia Belle (Belle) Hanely.



Ohio Department of Health
Division of Vital Statistics
Certificate of Death

Reg. Dist. No. 70
Primary Reg. Dist. No. 7000
State File No 094750
Registrar's No  877

1. Place of Death
   a. County                     Richland
   b. City, Village or Location  Madison Township
   c. Length of Stay in 1b       3 days
   d. Name of hospital           Madison Hospital
   e. Is place of death
      inside city limits?        no

2. Usual residence
   a. State                      Ohio
   b. County                     Richland
   c. City, Village or Location  Mansfield Washington Township
   d. Street Address             1133 West Hanley Rd.
   e. Is residence
      inside city limits?        no
   f. Is residence
      on a farm?                 yes

3. Name of deceased              William M. Slaton

4. Date of Death                 Dec. 11, 1963

5. Sex                           M

6. Color or race                 W

7. Married, never married,
   widowed, divorced             married

8. Date of Birth                 4/9/1878

9. Age                           85

10.a. Usual Occupation           farmer (retired)
10.b. Kind of business           self emp.

11. Birthplace                   Tennessee

12. Citizen of what country      U.S.

13. Father's name                Frank Slaton

14. Mother's maiden name         Mary Moore

15. Was deceased ever in
    U.S. armed forces?           no

16. Social Security No.          no

17. Informant's name             Belle Slaton,
                                 Mansfield, O.

18. Cause of death

19. Was autopsy performed?

20.a. Accident, suicide,
      homocide                   (Check marks left blank)

20.b Describe how injury
     occurred                     (left blank)

20.c Time of injury               (left blank)

20.d. Injury occurred             (left blank)

20.e. Place of injury             (left blank)

20.f. City, village, or town      (left blank)

21.  Death occurred at            7:00 A.M.

22.a. Signature
22.b. Address
22.c. Date signed                 12-13-63

23.a. Burial, cremation           burial
23.b. Date                        12/13/1963
23.c. Cemetery                    Lexington Cemetery
23.d. Location                    Lexington, Richland, O.

24. Name of embalmer              Robert L. Snyder

25. Funeral Directors's
    signature                     Robert L. Snyder

26. Funeral firm and              Snyder Funeral Home
    address                       106 Delaware St.
                                  Lexington, Ohio

27. Date received by
    local Reg.                    12/17/63

28. Registrar's signature         Martha A. McFarland

29. Sub-registrar's signature     O.O. Snyder


 
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