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

Missouri State Archives
Missouri Birth & Death Records Database

Register of Still Births

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County Roll Number Page Number
Daviess C 41770 196 63

Name
Date of Return
(Month/Day/Year)
  1. Name of Mother
  2. Name of Father
  1. Place of Birth
  2. Residence of Mother
03/14/1888
  1. Gemina Simms
  2. unknown
  1. Benton Twp.

  1. Period of Uterio Gestation
  2. Date of this Birth
  1. Sex
  2. Color
  1. Nativity of Mother
  2. Nativity of Father
  1. About 5 1/2 mo.
  2. 09/20/1887
  1. female
  2. white
  1. American
  2. Unknown

Cause of Dead Birth
(if known)
  1. Signature of Medical Attendant
  2. Residence of Medical Attendant
  1. Name of the Person making this Return
  2. Residence of the Person making the Return
  3. Undertaker, Place of Burial
Supposed to be jumping out of hay loft
  1. J. W. Merifield
  2. Pattonsburg
  1. J. W. Merifield
  2. Pattonsburg
  3. Webb Cem., Benton Twp.

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.