Civil War, Union, 1st Unit, Missouri, Cavalry, Company M, Private, Enlisted 15 June 1863, deserted 16 October 1864
Missouri State Board of Health
Bureau of Vital Statistics
Certificate of Death
County: Barton
Registration District No.: 39
File No. 13764
Primary Registration District No. 4023
Registered No. 9
City: Golden City
Full Name: Jacob Cornwell
Sex: Male
Color: White
Married
Date of Birth: May 9, 1835
Age: 81 years, 10 mos., 26 days
Occupation: Blacksmith
Birthplace: Middletown, KY
Name of Father: John Cornwell
Birthplace of Father: NOt Known
Maiden Name of Mother: McCain
Birthplace of Mother: NOt Known
The Above is true to the best of my knowledge (Informant): Mrs. Etta Stuart, Golden City, Mo.
Filed April 6, 1917, B. A. Wilson, Registrar
Date of Death: April 5, 1917
I hereby certify that I attended deceased from March 8, 1917 to April 5, 1917, that I last saw him alive on April 5, 1917, and that death occurred, on the date stated above at 4:10 a.m. The cause of death was as follows: Bulbar Paralysis--acute
Duration, 2 mos.
Contributory: Inspiration Pneumonis, duration 2 days
Signed B. A. Wilson, M.D.
April 6, 1917, Golden City, Mo
Place of Burial or Removal: IOOF Cem, Golden City
Missouri State Board of Health
Bureau of Vital Statistics
Certificate of Death
County: Barton
Registration District No.: 39
File No. 13764
Primary Registration District No. 4023
Registered No. 9
City: Golden City
Full Name: Jacob Cornwell
Sex: Male
Color: White
Married
Date of Birth: May 9, 1835
Age: 81 years, 10 mos., 26 days
Occupation: Blacksmith
Birthplace: Middletown, KY
Name of Father: John Cornwell
Birthplace of Father: NOt Known
Maiden Name of Mother: McCain
Birthplace of Mother: NOt Known
The Above is true to the best of my knowledge (Informant): Mrs. Etta Stuart, Golden City, Mo.
Filed April 6, 1917, B. A. Wilson, Registrar
Date of Death: April 5, 1917
I hereby certify that I attended deceased from March 8, 1917 to April 5, 1917, that I last saw him alive on April 5, 1917, and that death occurred, on the date stated above at 4:10 a.m. The cause of death was as follows: Bulbar Paralysis--acute
Duration, 2 mos.
Contributory: Inspiration Pneumonis, duration 2 days
Signed B. A. Wilson, M.D.
April 6, 1917, Golden City, Mo
Place of Burial or Removal: IOOF Cem, Golden City
Civil War, Union, 1st Unit, Missouri, Cavalry, Company M, Private, Enlisted 15 June 1863, deserted 16 October 1864
Missouri State Board of Health
Bureau of Vital Statistics
Certificate of Death
County: Barton
Registration District No.: 39
File No. 13764
Primary Registration District No. 4023
Registered No. 9
City: Golden City
Full Name: Jacob Cornwell
Sex: Male
Color: White
Married
Date of Birth: May 9, 1835
Age: 81 years, 10 mos., 26 days
Occupation: Blacksmith
Birthplace: Middletown, KY
Name of Father: John Cornwell
Birthplace of Father: NOt Known
Maiden Name of Mother: McCain
Birthplace of Mother: NOt Known
The Above is true to the best of my knowledge (Informant): Mrs. Etta Stuart, Golden City, Mo.
Filed April 6, 1917, B. A. Wilson, Registrar
Date of Death: April 5, 1917
I hereby certify that I attended deceased from March 8, 1917 to April 5, 1917, that I last saw him alive on April 5, 1917, and that death occurred, on the date stated above at 4:10 a.m. The cause of death was as follows: Bulbar Paralysis--acute
Duration, 2 mos.
Contributory: Inspiration Pneumonis, duration 2 days
Signed B. A. Wilson, M.D.
April 6, 1917, Golden City, Mo
Place of Burial or Removal: IOOF Cem, Golden City
Missouri State Board of Health
Bureau of Vital Statistics
Certificate of Death
County: Barton
Registration District No.: 39
File No. 13764
Primary Registration District No. 4023
Registered No. 9
City: Golden City
Full Name: Jacob Cornwell
Sex: Male
Color: White
Married
Date of Birth: May 9, 1835
Age: 81 years, 10 mos., 26 days
Occupation: Blacksmith
Birthplace: Middletown, KY
Name of Father: John Cornwell
Birthplace of Father: NOt Known
Maiden Name of Mother: McCain
Birthplace of Mother: NOt Known
The Above is true to the best of my knowledge (Informant): Mrs. Etta Stuart, Golden City, Mo.
Filed April 6, 1917, B. A. Wilson, Registrar
Date of Death: April 5, 1917
I hereby certify that I attended deceased from March 8, 1917 to April 5, 1917, that I last saw him alive on April 5, 1917, and that death occurred, on the date stated above at 4:10 a.m. The cause of death was as follows: Bulbar Paralysis--acute
Duration, 2 mos.
Contributory: Inspiration Pneumonis, duration 2 days
Signed B. A. Wilson, M.D.
April 6, 1917, Golden City, Mo
Place of Burial or Removal: IOOF Cem, Golden City
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