Date of ledger entry: FEB. 22 1931.
Single or Married: MARRIED.
What Race: .
Residence: PALMYRA MO..
Charge To: ESTATE.
Address: PALMYRA MO..
Order Given By: .
How Secured: PHONE.
Veteran State War: .
Occupation of the Deceased: HOUSEWIFE.
Age: 91 YEARS 2 MONTHS 9 DAYS.
Date of Funeral: FEB 24 1931.
Time of Funeral Service: 2 P.M..
Funeral Services At: PHILADELPHIA BAPTIST CHURCH.
Clergyman: REV. SCOTT.
Clergyman's address: .
Religion: BAPTIST.
Resided in the state: .
Cause of Death: CHRONIC MICORDITIS.
Certifying Physician: DR. O'NEAL.
Certifying Physician's address: PALMYRA MO..
Body to be shipped to: .
Interment At: PHILADLEPHIA CEMETERY.
