Date of ledger entry: 7-12-1954
Single or Married:
What Race: WHITE
Residence: PALMYRA
Charge To: ESTATE
Address:
Order Given By: WILBUR WELLMAN
How Secured:
Veteran State War:
Occupation of the Deceased: HOUSEWIFE
Age: 73 YEARS
Date of Funeral: 7-15-54
Time of Funeral Service: 9 A.M.
Funeral Services At: ST. JOSEPH CATHOLIC CHURCH
Clergyman:
Clergyman's address:
Religion: CATHOLIC
Resided in the state:
Cause of Death:
Certifying Physician: DR. WELL
Certifying Physician's address: PALMYRA
Body to be shipped to:
Interment At: ST. JOSEPH
