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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 51 5

Date of Report
(Month/Day/Year)
  1. Name
  2. Sex and Color
  1. Age (Year/Month/Day)
  2. Occupation
Feb 21, 1890
  1. Emma R. Hauks
  2. Sex - Female
    Color - White
  1. 32yr 1mo 17d
  2. Housewife

Date of Death
(Month/Day/Year AM or PM) 		Single, Married,
Widower or Widow
  1. Nationality
  2. Where Born
Feb 12, 1890 Married
  1. German
  2. Germany

How long Resident in the state. 1. Place of Death
2. Cause of Death		 1. Complication
2. Duration of Complication
3. Duration of Disease
23yrs
  1. Washington Twp.
  2. Puerperal fever
  3. 13 day

  1. Place of Burial
  2. Date of Burial
  1. Name of Undertaker
  2. Place of Business
 Name and Residence
of Physician
Returning Certificate
  1. Lyma Graveyard
  2. Feb 13, 1890
J. C. Helf; Plymouth, Mo.

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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