Clark, Nancy - death certif (1912)

• Title	Clark, Nancy - death certif (1912)
  Short Title	Clark, Nancy - death certif (1912)
  Publisher	State of Missouri, "Missouri Death Certificates, 1910 - 1956," database «i»Missouri Secretary of State«/i» (<http://www.sos.mo.gov/archives/resources/deathcertificates/>), digital image, Nancy Black, certificate no. 9178, Howell County, Missouri (1912)
  Source ID	S446
  Text	Place of death: Benton Twp, Howell County, Missouri Registration District No. 386 File No. 9178 Primary Registration District No: 5538 Registered No. 7 Nancy Black Female, white, widowed Born Aug 9, 1840 age 71 years 7 months 8 days occupation housework Birhplace: (can't give town) Tennessee Father: Isaac Black Father born: (can't give town) Tennessee Maiden Name of Mother: Sallie Robison Mother born: (can't give town) Tennessee Informant: Sallie Black, South Fork, Missouri Date of Death: March 17, 1912 I hereby certify that I attended deceased from March 13 1912 to March 17 1912, that I last saw her alive on March 17, 1912, and that death occurred, on the date stated above, at 5 a.m.. The cause of death was as follows: Paralysis. Duration 4 days Signed J. D. Black, M. D., March 18, 1912, South Fork, MO Place of burial: Mt. Zion Date of burial: March 17 Undertaker: C. N. Linthicum, South Fork, MO
  Linked to	Sarah J. "Sally" Black Sarah "Sallie" Robison