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STATE:
Missouri
File Number:
3861
Registered #155
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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
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DECEASED NAME:
Vera Francis Everingham | SEX
F | DATE OF DEATH:
February 12, 1915 |
PLACE OF BIRTH:
MO | Place of Death:
St. Joseph, MO | AGE
11m 6d | Date of Birth:
March 6, 1914 |
| Typo Note - shows 11 years old, 11 months, 6 days. First 11 was recorded in the wrong space. |
OCCUPATION:
n/a | City of DEATH:
St. Joseph | County of DEATH:
Buchanan |
STATUS:
single | Time of DEATH:
7:20 P.M. | Color or Race:
White |
ADDRESS:
913 Fowler. | Registrar & Date of Registration:
N.E. Harrington (Feb 14, 1915) |
| | PARENTS | FATHER:
N.G. Everingham (b.MO) | MOTHER:
Josephine Vest (b.MO) |
| | Informant | Informant:
N.G. Everingham | Address:
913 Fowler Street |
| | CAUSE
| IMMEDIATE CAUSE:
Capillary Bronchitis | INTERVAL:
8d | CAUSE:
| INTERVAL:
- | CONTRIBUTORY:
Capillary Bronchitis | PHYSICIAN:
Wm. M. Campbell M.D. |
| | BURIAL | All Burial Information:
Ashland Cemetery (Feb 14, 1915)
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