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Allen, Frank A.
The Division of Health of Missouri, Standard Certificate of Death
Filed Oct 17 1956.  State File #: 33514.  Registration District: 96.  Primary Registration District: 4158.  Registrar #: 64.
Place of Death: County: Dallas, City: Buffalo, inside city limits. Full name of Hospital: Marshell Rest Home, length of stay: 45 days.
Usual Residence: State: MO, County: Dallas, City: Buffalo, inside city limits.
Name of Deceased: Frank E. Allen
Date of Death: Oct 6 1956
Sex: Male
Color/Race: White
Marital Status: Widowed
Date of Birth: Oct 17 1875
Age: 80years 11 mo 19 dys
Occupation: Farmer
Birthplace: Iow
Citizen: US
Father's name: Unknown
Mother's maiden name: Unknown
Not a veteran
Informant: John Gaunt, Buffalo, MO
Cause of Death: Coronary Thrombosis, due to Arteriosclerosis.
No Autopsy performed.
I attended the deceased from 1951 to 10-6-1956 and last saw him alive on 10-5-56. Death occurred at 5:45 a.m. on the date stated above; and to the best of my knowledge from the causes stated.
Signature: W Gannon M.D., Buffalo, MO 10-10-56
Burial, 10-8-1956,
Hill Cemetery, Dallas Co., MO
Funeral Director: Montgomery Funeral Home, Buffalo
Date Rec'd by Reg. 10/15/56, Registrar signature: Mrs. Grace Petill

 


 

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