MISSOURI DEATH CERTIFICATE 65 032512
MINTA MAE CARMACK
AGE: 70 YEARS
female, white, married
Husband: Clarence Carmack
Date of birth: March 22, 1895
Place of birth: Bucklin, MO.
Usual residence: 481 Hunt St., Brookfield, Linn, MO.
Date of death: Aug. 10, 1965
Place of death: Louise’s Conv. Home, Brookfield, Linn, MO.
Cause of death: chronic pyelonephritis
Father: Silas West
Mother: Annie Michell
Burial: Aug. 12, 1965, Rose Hill Cemetery, Brookfield, MO.
Informant: Clarence Carmack, Brookfield, MO.
MINTA MAE CARMACK
AGE: 70 YEARS
female, white, married
Husband: Clarence Carmack
Date of birth: March 22, 1895
Place of birth: Bucklin, MO.
Usual residence: 481 Hunt St., Brookfield, Linn, MO.
Date of death: Aug. 10, 1965
Place of death: Louise’s Conv. Home, Brookfield, Linn, MO.
Cause of death: chronic pyelonephritis
Father: Silas West
Mother: Annie Michell
Burial: Aug. 12, 1965, Rose Hill Cemetery, Brookfield, MO.
Informant: Clarence Carmack, Brookfield, MO.
MISSOURI DEATH CERTIFICATE 65 032512
MINTA MAE CARMACK
AGE: 70 YEARS
female, white, married
Husband: Clarence Carmack
Date of birth: March 22, 1895
Place of birth: Bucklin, MO.
Usual residence: 481 Hunt St., Brookfield, Linn, MO.
Date of death: Aug. 10, 1965
Place of death: Louise’s Conv. Home, Brookfield, Linn, MO.
Cause of death: chronic pyelonephritis
Father: Silas West
Mother: Annie Michell
Burial: Aug. 12, 1965, Rose Hill Cemetery, Brookfield, MO.
Informant: Clarence Carmack, Brookfield, MO.
MINTA MAE CARMACK
AGE: 70 YEARS
female, white, married
Husband: Clarence Carmack
Date of birth: March 22, 1895
Place of birth: Bucklin, MO.
Usual residence: 481 Hunt St., Brookfield, Linn, MO.
Date of death: Aug. 10, 1965
Place of death: Louise’s Conv. Home, Brookfield, Linn, MO.
Cause of death: chronic pyelonephritis
Father: Silas West
Mother: Annie Michell
Burial: Aug. 12, 1965, Rose Hill Cemetery, Brookfield, MO.
Informant: Clarence Carmack, Brookfield, MO.
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