Date of ledger entry: 12/17/1962.
Single or Married: MARRIED.
What Race: WHITE.
Residence: PALMYRA.
Charge To: ERNST NILL.
Address: PALMYRA.
Order Given By: MARIE NILL.
How Secured: INS.
Veteran State War: NO.
Occupation of the Deceased: HOUSEWIFE.
Age: 73 YRS.
Date of Funeral: 12/20/62.
Time of Funeral Service: 9 A.M..
Funeral Services At: ST. JOSEPH CATHOLIC CHURCH.
Clergyman: REV. FARISHAN.
Clergyman's address: PAL.
Religion: CATHOLIC.
Resided in the state: 50 YRS.
Cause of Death: .
Certifying Physician: DR. J. WELL.
Certifying Physician's address: PALMYRA.
Body to be shipped to: .
Interment At: ST. JOSEPH.
