1. Place of Death: Stearns, Sauk Centre, St. Michaels, inside corp. limits-yes
2. Usual residence: Minnesota, Stearns, Sauk Centre, 318 So. 5th St., Sauk Centre
3. Name of Deseased: Maria Peglow
4. Date of death: 10-3-66
5. Sex: female
6. Race: white
7. Married
8. Date of birth: 9-28-1918
9. Age: 48yrs.
10. Usual Occupation: housewife
11. Birthplace: Melrose, Minn.
12. Citizen of?: US
13a. Father's name: Mathias Brus
13b. Mother's maiden name: Frances Uphus
14. Spouse's name: Warren Peglow
15. In Armed Forces?: No
16. Soc. Sec. No.: 474-22-1451
17. Informant's own signature: Warren Peglow, Sauk Centre
18. Cause of Death: Gen. carcinomtosis for 8 mos
due to carcinoma cervix uteri for 2 yrs.
19. Date of Operation: Dec. 1965 for metastatis carcinoma cervix uteri
20-22. Doctor info.
23. Burial 10-6-66 in St. Paul's, Sauk Centre, MN
24. Date filed: 10-13-66