Date of ledger entry: 3/13 1938.
Single or Married: SINGLE.
What Race: WHITE.
Residence: PALMYRA MO..
Charge To: HARRY DAMERON.
Address: PALMYRA MO..
Order Given By: DARRY DAMERON.
How Secured: COUNTY.
Veteran State War: .
Occupation of the Deceased: .
Age: 1 YEAR 11 MONTHS 18 DAYS.
Date of Funeral: 3/14 1938.
Time of Funeral Service: 2 P.M..
Funeral Services At: CEMETERY.
Clergyman: .
Clergyman's address: .
Religion: .
Resided in the state: .
Cause of Death: .
Certifying Physician: DR. STUHLMAN.
Certifying Physician's address: PALMYRA MO..
Body to be shipped to: .
Interment At: GREENWOOD CEMETERY.
