Document F.200 · death certificate · transcription: verbatim
Indiana State Board of Health death certificate for Catherine Cooper Skinner — d. 7 Nov 1901, Fort Wayne, Allen Co., IN, age 100y 11m.
Transcription and notes
Indiana State Board of Health — Certificate and Record of Death. Maintainer-supplied scan 2026-06-26 ((image held in the family archive)). = catalog [p.972].
Data from the document: - County: Allen · Township: Wayne · City: Fort Wayne - Deceased's full name: Catherine Cooper Skinner - Date of death: 7 November 1901 - Medical certificate: attended deceased from Oct. 1st to Nov. [6/7]; last saw her alive Nov. 6; died Nov. 7 about [?] P.M. Disease causing death: Senility. Contributory: Paralysis. Duration: "few days." Witnessed 7th Nov. 1901; physician Chas. Nieschang [?], Fort Wayne. - Record of death: Residence Fort Wayne, Ind., 62 W. Dewald [?] St. · Age: 100 yrs 11 mos · Place of death Fort Wayne, Ind. · Place of birth Lebanon, Ohio · Father's name in full: Silas Hurin · Father's birthplace: "Lebanon, Ohio" [sic — Silas was b. CT per G.258] · Mother's maiden name in full: Agnes B. Ludlow · Mother's birthplace: "Lebanon, Ohio" [sic — Agnes was b. NJ] · Date of burial: Sunday, Nov. 10th 1901 · Place of burial: Delphos, Ohio · Reported by Chas. Nieschang, Fort Wayne, Ind.
Note (not on the document): primary-source-locks [p.972]'s death: 7 Nov 1901, Fort Wayne, Allen Co., Indiana, age 100 yrs 11 mos — consistent with the obituary [J.179] (b. 27 Nov 1800 → died ~20 days short of 101) and FaG/DAR's "1800–1901." Names both parents — Silas Hurin [p.1501] + Agnes B. Ludlow [p.884] (the "B." middle initial is new; the informant's "Lebanon, Ohio" birthplaces for both parents are errors). Burial Delphos, Ohio (matches the [J.179] funeral location).
Cross-references
- p.972 Catherine Cooper Hurin Skinner · father p.1501 · mother p.884 · [J.179] (obituary) · [I.168] (DAR lineage)