Age: 11 years
Male, White, Student
Father: John C. Nickell
Mother: Kathryn Jean Grisamore
Usual Residence: 404 N. Belmont
Place of death: St. Joseph Hospital
Cause of death: Virus Pneumonia (2 days) due to old Poliomyelitis
Informant: John Nickell, 404 N Belmont, K C MO
Age: 11 years
Male, White, Student
Father: John C. Nickell
Mother: Kathryn Jean Grisamore
Usual Residence: 404 N. Belmont
Place of death: St. Joseph Hospital
Cause of death: Virus Pneumonia (2 days) due to old Poliomyelitis
Informant: John Nickell, 404 N Belmont, K C MO
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