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Note: Individual: Cook, Agnes Birth date: Mar 3, 1919 Death date: Jan 1991 Social Security #: 269-18-7840 Last residence: 43420 State of issue: OH Name: Agnes Virginia Cook [Agnes Virginia Willey] Birth Date: 3 Mar 1919 Birth State: Ohio Birth Country: United States Gender: Female Race: White Hispanic Origin: Not Hispanic (Latino) Residence County: Sandusky Residence State: Ohio Residence Country: United States Death Date: 15 Jan 1991 Death Time: 09:25 AM Hospital of Death: Long-Term Care Facilities City of Death: Fremont County of Death: Sandusky Certificate: 005457 Age at Death: 71 Certifier: Physician Referred to Coroner: Not Referred to Coroner Autopsy: No Autopsy performed Filing Date: 15 Jan 1991 Hospital Status: Other/Nursing Home Injury in Ohio: Yes Type Place of Injury: Unspecified Place Social Security Number: 269-18-4848 Father's Surname: Willey Marital Status: Widowed Education: 12 Industry of Decedent: Agricultural production, crops Occupation of Decedent: Farmers, except horticultural Primary Registration District: 7201
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