Name of Deceased: Forsythe [sic] John
Color: White
Sex: Male
Age: 23 yr.
Name of Father: [left blank]
Name of Mother: [left blank]
Married or Single: M
Place of Birth: England [sic]
Occupation: Miner
Date of Death: Oct. 18, 1902
Place of Death: Lilly
Cause of Death: Struck by Train
Duration of Last Sickness: [left blank]
Place of Interment: Horatio, Pa.
Date of Interment: Oct. 31, 1902
Date of Record: Dec. 27, 1902
Name of Deceased: Forsythe [sic] John
Color: White
Sex: Male
Age: 23 yr.
Name of Father: [left blank]
Name of Mother: [left blank]
Married or Single: M
Place of Birth: England [sic]
Occupation: Miner
Date of Death: Oct. 18, 1902
Place of Death: Lilly
Cause of Death: Struck by Train
Duration of Last Sickness: [left blank]
Place of Interment: Horatio, Pa.
Date of Interment: Oct. 31, 1902
Date of Record: Dec. 27, 1902
Family Members
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