Date of ledger entry: MAR. 17 1928.
Single or Married: .
What Race: .
Residence: PALMYRA MO..
Charge To: ESTATE.
Address: .
Order Given By: REV. FR. FARISHON.
How Secured: BY ESTATE.
Veteran State War: .
Occupation of the Deceased: .
Age: 89 YEARS 10 MONTHS 3 DAYS.
Date of Funeral: MARCH 20 1928.
Time of Funeral Service: 9:30 A.M..
Funeral Services At: ST. JOSEPHS.
Clergyman: RT. REV. FR. FARISHON.
Clergyman's address: .
Religion: CATHOLIC.
Resided in the state: .
Cause of Death: .
Certifying Physician: FRANKA.
Certifying Physician's address: HANNIBAL MO..
