Date of ledger entry: 1-18-1954
Single or Married: MARRIED
What Race: WHITE
Residence: BIRMINGHAM MICH
Charge To: PAUL BOWLES
Address:
Order Given By: PAUL BOWLES
How Secured: PER
Veteran State War:
Occupation of the Deceased: HOUSEWIFE
Age:
Date of Funeral: 1-20-54
Time of Funeral Service: 11 A.M.
Funeral Services At: EMERSON MO
Clergyman: REV. L. LEWIS
Clergyman's address: LAGRANGE MO
Religion:
Resided in the state:
Cause of Death: VENTRICULAR FAILURE
Certifying Physician:
Certifying Physician's address:
Body to be shipped to:
Interment At: EMERSON MO
