Date of Report (Month/Day/Year) | - Name
- Sex
- Color
| - Age (Year/Month/Day)
- Occupation
|
07/09/1889 | - Duncan, James Alvin
- Male
- White
| - 16 yr 10 mo 8 days
- farmer
|
How long Resident in the state. | - Place of Death
- Cause of Death
| - Complication
- Duration of Complication
- Duration of Disease
|
life | - Near Freeman
- Congestion of the brain
| - 14 days
|
- Place of Burial
- Date of Burial
| - Name of Undertaker
- Place of Business
| Name and Residence of Physician Returning Certificate |
- Freeman Cem.
- 06/17/1889
| - Lacy & Cable
- Freeman, MO
| E.G. Goforth, Freeman, MO |