Missouri Death Certificate
Name-Mrs. Susan E. Maxwell
Place of death-Webb City, Jasper Co., Missouri
Date of death-29 Dec 1912
Cause of death-Tuberculosis
Age at death-46 years 6 months 12 days
Date of birth-17 Jun 1866
Place of birth-Stone Co., Missouri
Occupation-housework
Name of father-Edward Crosswell
Birth place of father-unknown
Maiden name of mother-Mary Taylor
Birth place of mother-Buffalo, Missouri
Informant-C. G. Maxwell Webb City, Missouri
Date of burial-30 Dec 1912
Missouri Death Certificate
Name-Mrs. Susan E. Maxwell
Place of death-Webb City, Jasper Co., Missouri
Date of death-29 Dec 1912
Cause of death-Tuberculosis
Age at death-46 years 6 months 12 days
Date of birth-17 Jun 1866
Place of birth-Stone Co., Missouri
Occupation-housework
Name of father-Edward Crosswell
Birth place of father-unknown
Maiden name of mother-Mary Taylor
Birth place of mother-Buffalo, Missouri
Informant-C. G. Maxwell Webb City, Missouri
Date of burial-30 Dec 1912
Inscription
46 yrs
Family Members
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