MySource:Rkoelz/Certificate of Death - Missouri

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MySource Certificate of Death - Missouri
Author MO State Board of Health
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Year range -
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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