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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
Ray C 5754 52

Date of Report
(Month/Day/Year)
  1. Name
  2. Sex and Color
  1. Age (Year/Month/Day)
  2. Occupation
02/13/1884
  1. Combs, Robert
  2. Sex - Male
    Color - White
  1. 60 yrs 3 mo 6 days
  2. Farmer

Date of Death
(Month/Day/Year AM or PM) 		Single, Married,
Widower or Widow
  1. Nationality
  2. Where Born
11/5/1883 Married
  1. America
  2. Ohio

How long Resident in the state. 1. Place of Death
2. Cause of Death		 1. Complication
2. Duration of Complication
3. Duration of Disease
8 yrs
  1. Grape Grove Twp
  2. ?
  3. 6 months

  1. Place of Burial
  2. Date of Burial
  1. Name of Undertaker
  2. Place of Business
 Name and Residence
of Physician
Returning Certificate
  1. Little Union Church
M. T. F--scher, Black Oak, 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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