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Certified Copy of Death Record

The State of Ohio, Defiance County

Court of Common Pleas Probate Division

Date of Record______________________A.D. 19__________
No._____________
Name in full Jonas Mack
Date of Death -- Year 1 884 , Month August , Day 28th
Condition -- (Married, Single or Widowed), Married
Age -- Years 59 , Months 2 Days 1
Place of Death Washington Township, Defiance County, Ohio
Place of Birth Germany
Occupation Farmer
Name of Parents (when infant without name:) __________
Father_______________________
Mother_______________________
Color White
Cause of Death Consumption
Last Place of Residence Washington Township, Defiance, Ohio

The State of Ohio, Defiance County.
I, the undersigned, certify that I
am Judge of the, Court of Common Pleas, Probate Division, within and for said
County, which is a Court of Record; that I am ex-officio Clerk of said Court, and by
law the custodian of the records and papers required by law to be kept in said Court;
that among others a Record of Deaths was heretofore required by law to be kept
therein; and that the foregoing is a true and correct transcript from said record of Deaths,
Vol. 2 , Page 138 now in this office.