Date of ledger entry: MAY 10 1924.
Single or Married: SINGLE.
What Race: .
Residence: MILLER TOWNSHIP.
Charge To: .
Address: .
Order Given By: .
How Secured: .
Veteran State War: .
Occupation of the Deceased: FARMER.
Age: 62 YEARS 3 MONTHS 4 DAYS.
Date of Funeral: MAY 12.
Time of Funeral Service: 2 P.M..
Funeral Services At: MT. ZION CHRISTIAN CHURCH.
Clergyman: .
Clergyman's address: .
Religion: .
Resided in the state: .
Cause of Death: .
Certifying Physician: GUSSMAN.
Certifying Physician's address: PALMYRA MO..
