Date of ledger entry: DEC. 19 1934.
Single or Married: WIDOWED.
What Race: WHITE.
Residence: PALMYRA MO..
Charge To: J. M. MOSS.
Address: HANNIBAL MO. R.R. 2.
Order Given By: J. M. MOSS.
How Secured: .
Veteran State War: .
Occupation of the Deceased: HOUSEWIFE.
Age: 74 YEARS 11 MONTHS 26 DAYS.
Date of Funeral: DEC. 21 1934.
Time of Funeral Service: 2 P.M..
Funeral Services At: ST. JOHNS EPISCOPAL CHURCH.
Clergyman: REV. A. E. WOODWARD.
Clergyman's address: .
Religion: .
Resided in the state: .
Cause of Death: .
Certifying Physician: DR. D. A. ROSELLE.
Certifying Physician's address: HANNIBAL MO..
Body to be shipped to: .
Interment At: GREENWOOD CEMETERY.
