Missouri Birth & Death Records Database

 

CountyRoll NumberPageNumber
CooperC 9976555
Date of Report
(Month/Day/Year)
  1. Name
  2. Sex
  3. Color
  1. Age (Year/Month/Day)
  2. Occupation
Dec 24 1883
  1. Pennison, Anne
  2. Female
  3. White
  1. 98y
  2. Farmer's Wife
Date of Death
(Month/Day/Year AM or PM)
Single, Married,
Widower or Widow
  1. Nationality
  2. Place of Birth
Dec 23 1883Widow
  1. American
  2. North Carolina
How long Resident in the state.
  1. Place of Death
  2. Cause of Death
  1. Complication
  2. Duration of Complication
  3. Duration of Disease
50y
  1. Palestine Twp Cooper Co Mo
  2. Inflammation of the Bowels
  1. Stomach very much deranged
  2. 4 weeks
  1. Place of Burial
  2. Date of Burial
  1. Name of Undertaker
  2. Place of Business
Name and Residence
of Physician
Returning Certificate
  1. Pleasant Hill Church Cooper Co Mo
  2. Dec 5 1883
  1. W.W. Taliaferro
  2. Booneville Mo
W.E. Evans MD Booneville Mo
NOTE
 


Due to possible errors or discrepancies in this abstract it is recommended that researchers request a print copy. To request a copy of this record, please print a copy of this page and mail it to the Missouri State Archives, PO Box 1747, 600 W. Main Street, Jefferson City, MO 65101 with a check or money order for $1.00 made payable to the Missouri State Archives. Please include a #10 business size, stamped, self-addressed envelope with each request. Please submit one photocopy request at a time.