Missouri State Board of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Mt. Vernon Township, Lawrence County, Missouri
Full Name: Matilda J. Penington
Length of residence in city or town where death occurred: 50 yrs.
Sex: Female
Color or Race: white
Single, Married, Widowed, or Divorced: Single
Date of Birth: Mch 28, 1845
Age: 81 Years, 4 Months, 10 Days
Occupation of Deceased: (a) Trade, profession, or particular kind of work - at Home (b) General nature of Industry, business or establishment is which employed - Farm
Birthplace: Lincoln Co, Tenn
Name of Father: Timothy Pennington
Birthplace of Father: Lincoln Co. Tenn
Maiden Name of Mother: Sarah Johnson
Birthplace of Mother: Madison Co Alabama
Informant: Amanda J. Pennington, Mt. Vernon Mo.
Date of Death: Aug 8 1926
Cause of Death: Dysentery
Was there an Autopsy: No
Place of Burial, Cremation, or Removal: Salem Cemetery
Date of Burial: 8/9-1926
Undertaker: Gro B Orr
