NAME OF DECEASED |
COLOR |
SEX |
AGE |
MARRIED OR SINGLE |
PLACE OF BIRTH |
OCCUPATION |
DATE OF DEATH |
PLACE OF DEATH |
CAUSE OF DEATH |
DURATION OF LAST ILLNESS |
PLACE AND DATE OF INTERMENT |
NAME OF FATHER |
NAME OF MOTHER |
RECORDED |
| Fry | Saml | W | M | 76 | M | Fallowfield | Farmer | Feb 24, 1904 | Bentleyville | Paralysis fever | 3 days | Beallsville, Feb 26, 1904 | August 20, 1904 |
Washington County, PA Death Records, 1893 - 1906, Vol 2, page 73
