This is actually a death record, but contains birth information:

  • Smith, Clara
  • Missouri State Board of Health - Bureau of Vital Statistics - Certificate of Death
  • Registration District No: 518, File No: 10257, Primary Registration District: 5694, Registrar’s No: 5
  • Place of Death: McDonald County , McMillen Township
  • Sex: Female
  • Race: White
  • Date of Birth: June 15, 1883
  • Age: 26 yrs. 10 mos. 27 ds.
  • Place of Birth: Athens County , Ohio
  • Father Name: Fred Smith - Father Place of Birth: Athens Co., Ohio
  • Mother Name: Martha ILLEGIBLE -Mother Place of Birth: Meigs Co., Ohio
  • Informant: Fred Smith Address: Anderson , Mo.
  • Date of Death: April 25, 1910
  • Cause of death: Tuberculosis, Pulmonary
  • Dr. and Address: J.T. Fulkerson, Anderson , Mo.
  • Burial location and date: Cunningh Chaple, April 26, 1910
  • Undertaker and location: Fr. Rujjall, Anderson , Mo.
  • Filed: April 28, 1910
  • Registrar: Fulkerson

Transcribed from the original death certificate by Linda Irvin





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