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Title |
Bolerjack, Thomas C. - Death Certif (1928) |
Short Title |
Bolerjack, Thomas C. - Death Certif (1928) |
Publisher |
Missouri, "Missouri Death Certificates, 1910 - 1956," database «i»Missouri Secretary of State«/i» (http://www.sos.mo.gov/archives/resources/deathcertificates/ : accessed 22 Aug 2007), digital image, entry for Thomas C. Bolerjack, certificate no. 13089, Howell County, Missouri (1928) |
Repository |
Missouri State Archives - Death Certificates |
Source ID |
S948 |
Text |
Chapel township, Howell County, Missouri
Registration district 383 (penned)
# 13089 (stamped)
Thomas C. Bolerjack
Length of Residence in area where death occurred: 55 years
Male, white, widowed
Wife: Lucy E. Bolerjack
Age: 89 years, 9 months, 29 days
Birth 19 April 1838? [same date as death?]
Farmer
Born in Illinois
Father: Joel Bolerjack, born in Tennessee
Mother: Sarah Forster (place of birth unknown)
Informant: Clifford Bolerjack, Willow Springs, Missouri
Cause of death: general senility of 10 years duration
Signed by T.E. Ferrell, M.D., Mountain View, MO
Place of Burial: Center Hill Cemetery on 22 April 1928
Undertaker: John F. Duncan, Mountain View, MO |
Linked to |
Thomas C. Bolerjack |
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