Missouri Birth & Death Records Database

 

CountyRoll NumberPageNumber
PlatteC 2194637291
Date of Report
(Month/Day/Year)
  1. Name
  2. Sex
  3. Color
  1. Age (Year/Month/Day)
  2. Occupation
06/03/1885
  1. Slavens Benjm
  2. Male
  3. White
  1. 78 yrs 4 mos 29 dys
  2. Farmer
Date of Death
(Month/Day/Year AM or PM)		Single, Married,
Widower or Widow
  1. Nationality
  2. Place of Birth
05/15/1885 4 PMWidower
  1. US
  2. Kentucky
How long Resident in the state.
  1. Place of Death
  2. Cause of Death
  1. Complication
  2. Duration of Complication
  3. Duration of Disease
12
  1. Waldron Township
  2. Old age - Paralasis
  1. Palsy
  2. 30 years
  3. No entry
  1. Place of Burial
  2. Date of Burial
  1. Name of Undertaker
  2. Place of Business
Name and Residence
of Physician
Returning Certificate
  1. Parker Cemetery
  2. 05/12/1885
  1. Friends
Jas Hawkins, M.D., Waldron Mo
NOTE
 DOD = May 15 '85. DOBur = May 12

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