BENSON DEATHS

 


 

County of:

Township or Road District or Village:

Primary Dist No.:

Full Name: Lula BENSON

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: November 25, 1914

Age:     Years            months            days

Occupation of Deceased: Child

Birthplace:

NAME OF FATHER: Frank BENSON

BIRTHPLACE OF FATHER: Kentucky

MAIDEN NAME OF MOTHER: Mary WOOLFOLK

BIRTHPLACE OF MOTHER: Illinois

INFORMANT: B.C. CROSSLAND

ADDRESS:

FILED:

DATE OF DEATH: June 29, 1923

CAUSE OF DEATH: Acute Appendicitis

SIGNED:  

PLACE OF BURIAL: Methodist Cemetery

DATE OF BURIAL:

UNDERTAKER: W.A. Gaunt

ADDRESS: Grand Chain, Illinois

 

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