Date of ledger entry: MAR. 14 1926.
Single or Married: MARRIED.
What Race: .
Residence: PALMYRA MO..
Charge To: .
Address: .
Order Given By: .
How Secured: .
Veteran State War: .
Occupation of the Deceased: .
Age: .
Date of Funeral: 3/14-26.
Time of Funeral Service: 2:30 P.M..
Funeral Services At: BAPTIST CHURCH.
Clergyman: C. M. TRUEX.
Clergyman's address: .
Religion: BAPTIST.
Resided in the state: .
Cause of Death: GORTER OPERATION.
Certifying Physician: .
Certifying Physician's address: .
Body to be shipped to: FROM ST. LOUIS.
Interment At: GREENWOOD CEMETERY.
