Missouri Digital Heritage :: Collections :: Birth & Death Records Database :: Death Record Detail

Missouri Birth & Death Records Database

Permanent Record of Deaths

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County Roll Number Page Number
Howell C 33793 1 7

Date of Report
(Month/Day/Year)
  1. Name
  2. Sex and Color
  1. Age (Year/Month/Day)
  2. Occupation
Sept 20 1883
  1. Charley E Wy?ick
  2. Sex - Male
    Color - White
  1. 6 year 8 month 10 days

Date of Death
(Month/Day/Year AM or PM) 		Single, Married,
Widower or Widow
  1. Nationality
  2. Where Born
Sept 10 1883 ? P.M. Single
  1. American
  2. Missouri

How long Resident in the state. 1. Place of Death
2. Cause of Death		 1. Complication
2. Duration of Complication
3. Duration of Disease
6 yrs
  1. Howell Township
  2. pemiciuos remittant fever
  3. 4 days

  1. Place of Burial
  2. Date of Burial
  1. Name of Undertaker
  2. Place of Business
 Name and Residence
of Physician
Returning Certificate
  1. Howell Township
  2. Sept 12 1883
H C Shuttee West Plains MO

NOTE
 

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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.