There are two death certificates at the Bureau of vital Statistics, MO. One informant was his mother who completed the form February 1910, stating his birth was 08 Apr 1909 & death 31 Jan 1910. Second one completed by Dirk Bloom dated March 25, 1910, stating birth was 15 Apr 1909 and death 31 Jan 1910.
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There are two death certificates at the Bureau of vital Statistics, MO. One informant was his mother who completed the form February 1910, stating his birth was 08 Apr 1909 & death 31 Jan 1910. Second one completed by Dirk Bloom dated March 25, 1910, stating birth was 15 Apr 1909 and death 31 Jan 1910.
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