MySource |
Certificate of Death - Missouri |
Author |
MO State Board of Health |
Coverage
Publication information
Publication |
Name: Name: Bureau of Vital Statistics;; |
Citation
MO State Board of Health. Certificate of Death - Missouri. (Name: Name: Bureau of Vital Statistics;;). |
ABBR Martha Roller HollandTEXT Personal and Statistical Particulars from record:
Born 7-28-1849 Female White Widow of Jasper Holland
Age; 77 Years, 7 months and 7 days.
Occupation: House Keeper
Birhtplace: Unknown
Name of Father: Elias Roller of VA
Maiden name of Mother: Rebecca Robinet of VA
Informant: John Mooney
Filed: 7-10-1927 Mrs. L. Clemens
MEDICAL CERTIFICATE OF DEATH
Date of Death: March 5 1927
Cause of Death: Cebral Hemarage
Time of Death 5am
Dr. R. R. Farthimag? Mar 6. 1927 Ozark, Mo.
Place od Burial: Roller Cemetery 3/6//27
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