Date of ledger entry: JAN. 2 1934.
Single or Married: SINGLE.
What Race: WHITE.
Residence: PALMYRA MO..
Charge To: CARL KNUEPPLE.
Address: PALMYRA MO..
Order Given By: CARL KNUEPPLE.
How Secured: .
Veteran State War: .
Occupation of the Deceased: .
Age: 15 YEARS 10 MONTHS 12 DAYS.
Date of Funeral: JAN 4 1934.
Time of Funeral Service: 2:30 P.M..
Funeral Services At: HOME.
Clergyman: REV. BUNDE.
Clergyman's address: .
Religion: CHRISTIAN.
Resided in the state: .
Cause of Death: .
Certifying Physician: DR. N. TOOMEY.
Certifying Physician's address: PALMYRA MO..
Body to be shipped to: .
Interment At: GREENWOOD CEMETERY.
