Date of Report (Month/Day/Year) | - Name
- Sex
- Color
| - Age (Year/Month/Day)
- Occupation
|
Mar. 23, 1887 | - Mary Theuerkauf
- Female
- White
| - 58 Years, 4 Months, 25 Days
|
How long Resident in the state. | - Place of Death
- Cause of Death
| - Complication
- Duration of Complication
- Duration of Disease
|
36 years | - Cape Girardeau
- Brights renal disease Complicated of Lung disease and hemorrhage of same in the last three days.
| - Lung disease and hemorrhage of same
- Three days
- About five years
|
- Place of Burial
- Date of Burial
| - Name of Undertaker
- Place of Business
| Name and Residence of Physician Returning Certificate |
- City Cemetery
| - Aug. Walther
| F.B. Schulz, M.D., Cape Girardeau |