Missouri death certificat # 14063 shows name as Tom Smith. The listed occupation as construction forman, his cause of death as appendicitis, contributory peritontis. Single male white, father Carl Smith mother maiden Bonnett ???think hard to read. Lived at 417 1/2 S. Campbell. Interred in Hazelwood Cemetery April 12, 1911. Lohmeyer Funeral Home. Does not have a day or month for his birth, only a year. Showing his age as 44. Informant was Mrs. L ? Roberts 600 block of W. Calhoun in Springfield, MO. The document does not state Springfield, MO. for the informant. Just know that is a Springfield, MO. address.
Missouri death certificat # 14063 shows name as Tom Smith. The listed occupation as construction forman, his cause of death as appendicitis, contributory peritontis. Single male white, father Carl Smith mother maiden Bonnett ???think hard to read. Lived at 417 1/2 S. Campbell. Interred in Hazelwood Cemetery April 12, 1911. Lohmeyer Funeral Home. Does not have a day or month for his birth, only a year. Showing his age as 44. Informant was Mrs. L ? Roberts 600 block of W. Calhoun in Springfield, MO. The document does not state Springfield, MO. for the informant. Just know that is a Springfield, MO. address.
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