Date of ledger entry: JULY 6 1957.
Single or Married: WIDOWED.
What Race: WHITE.
Residence: R #1 TAYLOR MO.
Charge To: ESTTE FRED MERTSWAH.
Address: HANNIBAL MO ADM..
Order Given By: FRED MERTSWAH.
How Secured: INS & ESTATE.
Veteran State War: NO.
Occupation of the Deceased: RET. SHOE WORKER.
Age: 65 YRS.
Date of Funeral: 7/10/57.
Time of Funeral Service: 1:30 P.M..
Funeral Services At: SPRAGUE FUNERAL HOME.
Clergyman: REV. JOHN GOLDIN.
Clergyman's address: HANNIBAL.
Religion: CHRISTIAN.
Resided in the state: LIFETIME.
Cause of Death: MYOCARDIAL INFRACTION CORONARY SCLEROSIS.
Certifying Physician: DR. SWEETES CORONER.
Certifying Physician's address: HANNIBAL MO.
Body to be shipped to: .
Interment At: MT. OLIVET.
