NAME OF DECEASED |
COLOR |
SEX |
AGE |
NAME OF FATHER (if minor) |
NAME OF MOTHER (if minor) |
MARRIED OR SINGLE |
PLACE OF bIRTH |
OCCUPATION |
DATE OF DEATH |
PLACE OF DEATH |
DAUSE OF DEATH |
DURATION OF LAST SICKNESS |
PLACE OF INTERMENT | DATE OF INTERMENT | DATE RECORDED |
| Davis, Mrs. Jos | W | F | 45 | M | Bridgeport | June 10, 1900 | Bridgeport Hills | Consumption | 3 mos | Beallsville, | June 13, 1900 |
Fayette County Record of Death, Vol 2, page 46
