Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Spruce Hill Township, Juniata Township
Full Name: MRS. MINERVA BURNS
Personal and Statistical Particulars:
Sex: Female
Color: White
Marital Status: Widow
Deceased's Date of Birth: Mar. 25, 1868
Age: 67y 8m 15d
Birthplace: Pa.
Occupation: Housekeeper
Name of Father: Adam Weibley
Birthplace of Father: Pa.
Maiden Name of Mother: Elizabeth Hench
Birthplace of Mother: Pa.
Informant: C.W. Weibley, Honey Grove R.D.
Medical Certificate of Death:
Date of Death: Nov. 10, 1935, 4:30 a.m.
Cause of Death: Chronic valvular disease of heart
Signature: B.F. Long, Nov. 10, 1935, Mifflin, Pa.
Burial: Church Hill Cemetery, Nov. 13, 1935
Undertaker: C.C. Milliken, Port Royal
______________________________
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Spruce Hill Township, Juniata Township
Full Name: MRS. MINERVA BURNS
Personal and Statistical Particulars:
Sex: Female
Color: White
Marital Status: Widow
Deceased's Date of Birth: Mar. 25, 1868
Age: 67y 8m 15d
Birthplace: Pa.
Occupation: Housekeeper
Name of Father: Adam Weibley
Birthplace of Father: Pa.
Maiden Name of Mother: Elizabeth Hench
Birthplace of Mother: Pa.
Informant: C.W. Weibley, Honey Grove R.D.
Medical Certificate of Death:
Date of Death: Nov. 10, 1935, 4:30 a.m.
Cause of Death: Chronic valvular disease of heart
Signature: B.F. Long, Nov. 10, 1935, Mifflin, Pa.
Burial: Church Hill Cemetery, Nov. 13, 1935
Undertaker: C.C. Milliken, Port Royal
______________________________
Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Spruce Hill Township, Juniata Township
Full Name: MRS. MINERVA BURNS
Personal and Statistical Particulars:
Sex: Female
Color: White
Marital Status: Widow
Deceased's Date of Birth: Mar. 25, 1868
Age: 67y 8m 15d
Birthplace: Pa.
Occupation: Housekeeper
Name of Father: Adam Weibley
Birthplace of Father: Pa.
Maiden Name of Mother: Elizabeth Hench
Birthplace of Mother: Pa.
Informant: C.W. Weibley, Honey Grove R.D.
Medical Certificate of Death:
Date of Death: Nov. 10, 1935, 4:30 a.m.
Cause of Death: Chronic valvular disease of heart
Signature: B.F. Long, Nov. 10, 1935, Mifflin, Pa.
Burial: Church Hill Cemetery, Nov. 13, 1935
Undertaker: C.C. Milliken, Port Royal
______________________________
Department of Health
Bureau of Vital Statistics
Certificate of Death
Place of Death: Spruce Hill Township, Juniata Township
Full Name: MRS. MINERVA BURNS
Personal and Statistical Particulars:
Sex: Female
Color: White
Marital Status: Widow
Deceased's Date of Birth: Mar. 25, 1868
Age: 67y 8m 15d
Birthplace: Pa.
Occupation: Housekeeper
Name of Father: Adam Weibley
Birthplace of Father: Pa.
Maiden Name of Mother: Elizabeth Hench
Birthplace of Mother: Pa.
Informant: C.W. Weibley, Honey Grove R.D.
Medical Certificate of Death:
Date of Death: Nov. 10, 1935, 4:30 a.m.
Cause of Death: Chronic valvular disease of heart
Signature: B.F. Long, Nov. 10, 1935, Mifflin, Pa.
Burial: Church Hill Cemetery, Nov. 13, 1935
Undertaker: C.C. Milliken, Port Royal
______________________________
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