Date of ledger entry: 2/15/1962.
Single or Married: .
What Race: WHITE.
Residence: 1412 SPRING QUINCY ILL.
Charge To: MRS. DORA CRAIN.
Address: 1412 SPRING QUINCY ILL.
Order Given By: MRS. DORA CRAIN.
How Secured: PER.
Veteran State War: NO.
Occupation of the Deceased: FARMER.
Age: 70 YRS.
Date of Funeral: 2/18/62.
Time of Funeral Service: 2 P.M..
Funeral Services At: EMERSON BAPTIST CHURCH.
Clergyman: REV GROVES & WIGGER.
Clergyman's address: .
Religion: BAPTIST.
Resided in the state: LIFE.
Cause of Death: CARSOMATOSIS OF ABEDOMEN.
Certifying Physician: .
Certifying Physician's address: .
Body to be shipped to: .
Interment At: EMERSON CEM.
