(Parts of her Pennsylvania Death Certificate):
Name: Florence Alverta Bailey
Marital Status: Single
Occupation: House work
Birth Date and Place: Jan. 5, 1903, Snyder County, Pennsylvania.
Aged 18y 3m 7d
Death Date and Place: April 12, 1921, 12:15 p.m., Beaver Township, Snyder County, Pennsylvania.
Father's Name and Birthplace: Daniel L. Bailey, Snyder County, Pennsylvania
Mother's Maiden Name and Birthplace: Edith E. Loss, Union County, Pennsylvania
(Parts of her Pennsylvania Death Certificate):
Name: Florence Alverta Bailey
Marital Status: Single
Occupation: House work
Birth Date and Place: Jan. 5, 1903, Snyder County, Pennsylvania.
Aged 18y 3m 7d
Death Date and Place: April 12, 1921, 12:15 p.m., Beaver Township, Snyder County, Pennsylvania.
Father's Name and Birthplace: Daniel L. Bailey, Snyder County, Pennsylvania
Mother's Maiden Name and Birthplace: Edith E. Loss, Union County, Pennsylvania
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