| . |
STATE:
Missouri
File Number:
221
Registered #16
|
|
CERTIFICATE OF DEATH
MISSOURI STATE BOARD OF HEALTH
Record transcribed from original recorded public records to avoid violation of direct reproduction/copyright laws.
This is not an official copy, but research of official documents are listed here for the purpose of family research.
This page will give the researcher a reference number and the location of where to find this official document.
Document obtained from Erlene Dudley
Transcribed by Kevin Everingham |
| DECEASED
|
DECEASED NAME:
Ned G. Everingham Jr. | SEX
M | DATE OF DEATH:
January 6, 1912 |
PLACE OF BIRTH:
St. Joseph, MO | Place of Death:
St. Joseph, MO | AGE
14d | Date of Birth:
Dec 23, 1911 |
OCCUPATION:
n/a | City of DEATH:
St. Joseph | County of DEATH:
Buchanan |
STATUS:
single | Time of DEATH:
10:00 A.M. | Color or Race:
White |
ADDRESS:
6023 Lookout. | Registrar & Date of Registration:
N.B. Kelling (Jan 8, 1912) |
| | PARENTS | FATHER:
Ned G. Everingham (b.New York) | MOTHER:
Josie Vest (b.MO) |
| | Informant | Informant:
Ned G. Everingham | Address:
6023 Lookout St. |
| | CAUSE
| IMMEDIATE CAUSE:
Bronchal Pneumonia | INTERVAL:
6d | CAUSE:
| INTERVAL:
- | CONTRIBUTORY:
very delicate from birth | PHYSICIAN:
(can't read it) M.D. |
| | BURIAL | All Burial Information:
Ashland Cem (Jan 8, 1912)
|
|
BACK TO DEATH RECORDS PAGE
LAST RECORD | NEXT RECORD
|