Missouri Death Certificate
Name-Shirley Deana Smith
Place of death-Webb City, Jasper Co., Missouri
Date of death-3 Jan 1938
Cause of death-Broncho pneumonia
Age at death-7 months
Date of birth-2 Jun 1937
Place of birth-Webb City, Missouri
Name of father-Alvin M. Smith
Birth place of father-Missouri
Maiden name of mother-Josephine Gibson
Birth place of mother-Missouri
Informant-Alvin M. Smith Webb City, Missouri
Date of burial-4 Jan 1938
Name-Shirley Deana Smith
Place of death-Webb City, Jasper Co., Missouri
Date of death-3 Jan 1938
Cause of death-Broncho pneumonia
Age at death-7 months
Date of birth-2 Jun 1937
Place of birth-Webb City, Missouri
Name of father-Alvin M. Smith
Birth place of father-Missouri
Maiden name of mother-Josephine Gibson
Birth place of mother-Missouri
Informant-Alvin M. Smith Webb City, Missouri
Date of burial-4 Jan 1938
Missouri Death Certificate
Name-Shirley Deana Smith
Place of death-Webb City, Jasper Co., Missouri
Date of death-3 Jan 1938
Cause of death-Broncho pneumonia
Age at death-7 months
Date of birth-2 Jun 1937
Place of birth-Webb City, Missouri
Name of father-Alvin M. Smith
Birth place of father-Missouri
Maiden name of mother-Josephine Gibson
Birth place of mother-Missouri
Informant-Alvin M. Smith Webb City, Missouri
Date of burial-4 Jan 1938
Name-Shirley Deana Smith
Place of death-Webb City, Jasper Co., Missouri
Date of death-3 Jan 1938
Cause of death-Broncho pneumonia
Age at death-7 months
Date of birth-2 Jun 1937
Place of birth-Webb City, Missouri
Name of father-Alvin M. Smith
Birth place of father-Missouri
Maiden name of mother-Josephine Gibson
Birth place of mother-Missouri
Informant-Alvin M. Smith Webb City, Missouri
Date of burial-4 Jan 1938
Inscription
9 mos
Family Members
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