Resident of Jackson County Home
Missouri Death Certificate can be found at:
http://www.sos.mo.gov/archives/resources/deathcertificates/advanced.asp
Age: 81
Male, Black, Single
Occupation: Laborer
Place & date of birth: Unknown
Parents: Unknown
Former residence: Unknown
Died at Jackson County Home where he had lived for 1 year and 26 days.
Cause of death: Uremia/Senility
Informant: A. W. Harrison, M.D., Little Blue, MO
Burial: 06 Oct 1911 by A. W. Hudnall, Little Blue, MO
Resident of Jackson County Home
Missouri Death Certificate can be found at:
http://www.sos.mo.gov/archives/resources/deathcertificates/advanced.asp
Age: 81
Male, Black, Single
Occupation: Laborer
Place & date of birth: Unknown
Parents: Unknown
Former residence: Unknown
Died at Jackson County Home where he had lived for 1 year and 26 days.
Cause of death: Uremia/Senility
Informant: A. W. Harrison, M.D., Little Blue, MO
Burial: 06 Oct 1911 by A. W. Hudnall, Little Blue, MO
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