Date of ledger entry: 9/8/1959.
Single or Married: WIDOWED.
What Race: WHITE.
Residence: HOTEL QUINCY QYINCY ILL.
Charge To: ESTATE.
Address: .
Order Given By: R.T. MCKAY.
How Secured: .
Veteran State War: NO.
Occupation of the Deceased: RET EMP CARSON, PERRY, SCOTT.
Age: 80 YRS.
Date of Funeral: 9/11/59.
Time of Funeral Service: 2 P.M..
Funeral Services At: SPRAGUE FUNERAL HOME.
Clergyman: REV F. BAKER.
Clergyman's address: HANNIBAL.
Religion: .
Resided in the state: 35 YRS.
Cause of Death: .
Certifying Physician: DR. HENDRICKS.
Certifying Physician's address: QUINCY ILL.
Body to be shipped to: .
Interment At: GREENWOOD.
