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

Missouri State Archives
Missouri Birth & Death Records Database

Permanent Record of Deaths

County Roll Number Page Number
Carroll C 1368 8

Date of Report
(Month/Day/Year)
  1. Name
  2. Sex and Color
  1. Age (Year/Month/Day)
  2. Occupation
Jan 29, 1884
  1. Frederick Gustave Epperson
  2. Sex - Male
    Color -
  1. 1yr 5mo 2d

Date of Death
(Month/Day/Year AM or PM) 		Single, Married,
Widower or Widow
  1. Nationality
  2. Where Born
Jan 10, 1884
  2. Combs Twp.

How long Resident in the state. 1. Place of Death
2. Cause of Death		 1. Complication
2. Duration of Complication
3. Duration of Disease
life
  1. Combs Twp.
  2. Double pneumonia
  1. Croup
  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. At fathers
  2. Jan 16, 1884
  1. Hubbell & Co.
  2. Carrollton

NOTE
 

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.
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