DEATH CERTIFICATE

TRANSCRIPTIONS O SURNAMES

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Amanda O'NEAL
Residence No.:
Gender: Female
Color or Race: Colored
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth:
Age: Years months days: 15
Occupation of Deceased:
Birthplace:
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: Feb 15, 1910
Cause Of Death:
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:

 


 

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