Birth Date: 29 Oct 1927
Birth Place: Kentucky, United States
Gender: Male
Race: White
Hispanic Origin: Not Hispanic (Latino)
Death Date: 3 Jan 1994
Death Time: 02:00 AM
Hospital of Death: Home
Death Place: Adams, Ohio, USA
Certificate: 000004
Age at Death: 66
Hospital Status: Other/Residence
Father's Surname: Hornback
Mother's Maiden Name: Otis
Marital Status: Married
Education: 10
Industry of Decedent: Motor vehicles and motor vehicle equipment
Occupation of Decedent: Tool and die makers
Primary Registration District: 0100
Birth Date: 29 Oct 1927
Birth Place: Kentucky, United States
Gender: Male
Race: White
Hispanic Origin: Not Hispanic (Latino)
Death Date: 3 Jan 1994
Death Time: 02:00 AM
Hospital of Death: Home
Death Place: Adams, Ohio, USA
Certificate: 000004
Age at Death: 66
Hospital Status: Other/Residence
Father's Surname: Hornback
Mother's Maiden Name: Otis
Marital Status: Married
Education: 10
Industry of Decedent: Motor vehicles and motor vehicle equipment
Occupation of Decedent: Tool and die makers
Primary Registration District: 0100
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