Place of Death: County: Moore; Township: Bursalem
Full Name: Eva S. Bost
Sex: Female
Color/Race: White
Married
Date of Birth: Sept. 11, 1875
Age: 39 yrs, 10 mos.
Educational Attainments: read & write
Birthplace: Catawba Co., NC
Name of Father: T.H. Drum; Birthplace: Catawba Co., NC.
Maiden Name of Mother: Sarah Wilkinson; Birthplace: Catawba Co., NC>
Informant: E.W. Bost; Eagle Springs, NC.
Files July 13, 1915; Registrar: D.C. McKinnon
Date of Death: July 11, 1915
I hereby certify that I attended deceased from June 1912 to July 1915 that I last saw her alive on July 11, 1915 and that death occurred on the date above stated at 3PM.
Cause of death: Pellagia
Signature: A.T. McDonald, MD.
Burial: Bursalem Cemetery; July 13, 1915
Undertaker: E.W. Bost, Eagle Springs.
(Source: Transcribed from copy of original document)