Date of Report (Month/Day/Year) | - Name
- Sex
- Color
| - Age (Year/Month/Day)
- Occupation
|
Mch. 31, 1886 | - Applegate, [Saml]
- Male
- White
| - 7 mo
- Mch 7, 1886
|
How long Resident in the state. | - Place of Death
- Cause of Death
| - Complication
- Duration of Complication
- Duration of Disease
|
| - Trenton, Mo
- C[erebral] Spinal M[eningitis]
| - 4 days
|
- Place of Burial
- Date of Burial
| - Name of Undertaker
- Place of Business
| Name and Residence of Physician Returning Certificate |
- Trenton, Mo
|
| J. E. Harris, MD, Trenton, Mo |