| Line # | Name | Color | Sex | Age | Marrie or Single | Place of birth | Occupation | Date of Death | Place of Death | Cause of Death | Duration of illness | Place and date of interment | Father's name | Mother's name | date recorded |
24 |
Hornbake, Experience |
W |
F |
37 |
M |
E. Bethlehem Twp |
Nov 10, 1903 |
West Pike Run Twp |
Tuberculosis |
9 mos |
Taylors Cem |
Nov 19, 1903 |
Washington County, PA Death Records, 1893 - 1906, Vol 2, page 99
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