Date of ledger entry: NOV 14 1949
Single or Married: WIDOWED
What Race: WHITE
Residence: PALMYRA MO
Charge To: H. F. HARRIS
Address: PALMYRA
Order Given By: H. F. HARRIS
How Secured:
Veteran State War:
Occupation of the Deceased: RETIRED GROCER
Age: 87 YEARS 11 MONTHS 27 DAYS
Date of Funeral: NOV 13 1949
Time of Funeral Service: 2:30 P.M.
Funeral Services At: SPRAGUE FUNERAL HOME
Clergyman: REV. A. E. WOODWARD
Clergyman's address:
Religion:
Resided in the state: 87 YEARS 11 MONTHS
Cause of Death:
Certifying Physician: DR. W. HARDIN
Certifying Physician's address: PALMYRA MO
Body to be shipped to:
Interment At: GREENWOOD CEMETERY
