Date of ledger entry:
Single or Married: MARRIED
What Race: WHITE
Residence: MARION CO. R.F.D.
Charge To: COUNTY
Address:
Order Given By:
How Secured:
Veteran State War:
Occupation of the Deceased: HOUSE WIFE
Age: 43 YEARS
Date of Funeral: JAN. 3 THURS
Time of Funeral Service: 2 P.M.
Funeral Services At: FUNERAL HOME
Clergyman: EISENBURG
Clergyman's address:
Religion:
Resided in the state: MARION CO. 43 YEARS
Cause of Death: SUDDEN DEATH PROBABLY CARDIAC
Certifying Physician: M. WACHOWAIK
Certifying Physician's address: PALMYRA MO.
Body to be shipped to:
Interment At:
