MISSOURI DEATH CERTIFICATE 33063
Female Infant Blankenship (sic)
Date of birth: Oct 20, 1910
Place of birth: Bacon Township, Vernon, Missouri
Date of death: Oct. 20, 1910
Place of death: Bacon Twp., Vernon, Missouri
Cause of death: Stillborn
Father: Lewis William Blankinship
Place of birth: Coffeyville, Kansas
Mother: Francis Harvey
Place of birth: Dent county, Missouri
Cause of death: Mother received severe burns over
half surface of body.
Burial: Home of Parents, Oct. 21, 1910
Informant: Thomas Harvey, Schell City, MO.
Undertaker: Jas. Calvin, Schell City
Female Infant Blankenship (sic)
Date of birth: Oct 20, 1910
Place of birth: Bacon Township, Vernon, Missouri
Date of death: Oct. 20, 1910
Place of death: Bacon Twp., Vernon, Missouri
Cause of death: Stillborn
Father: Lewis William Blankinship
Place of birth: Coffeyville, Kansas
Mother: Francis Harvey
Place of birth: Dent county, Missouri
Cause of death: Mother received severe burns over
half surface of body.
Burial: Home of Parents, Oct. 21, 1910
Informant: Thomas Harvey, Schell City, MO.
Undertaker: Jas. Calvin, Schell City
MISSOURI DEATH CERTIFICATE 33063
Female Infant Blankenship (sic)
Date of birth: Oct 20, 1910
Place of birth: Bacon Township, Vernon, Missouri
Date of death: Oct. 20, 1910
Place of death: Bacon Twp., Vernon, Missouri
Cause of death: Stillborn
Father: Lewis William Blankinship
Place of birth: Coffeyville, Kansas
Mother: Francis Harvey
Place of birth: Dent county, Missouri
Cause of death: Mother received severe burns over
half surface of body.
Burial: Home of Parents, Oct. 21, 1910
Informant: Thomas Harvey, Schell City, MO.
Undertaker: Jas. Calvin, Schell City
Female Infant Blankenship (sic)
Date of birth: Oct 20, 1910
Place of birth: Bacon Township, Vernon, Missouri
Date of death: Oct. 20, 1910
Place of death: Bacon Twp., Vernon, Missouri
Cause of death: Stillborn
Father: Lewis William Blankinship
Place of birth: Coffeyville, Kansas
Mother: Francis Harvey
Place of birth: Dent county, Missouri
Cause of death: Mother received severe burns over
half surface of body.
Burial: Home of Parents, Oct. 21, 1910
Informant: Thomas Harvey, Schell City, MO.
Undertaker: Jas. Calvin, Schell City
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