Leo Shelley
===================
PA Death Certificate
Name: Daniel Book
Gender: Male
Race: White
Marital Status: Married
Occupation: retired Farmer
Age: 63 y 6 m 12 d
Birth Date: 21 Oct 1850
Birth Place: PA
Death Date: 3 Apr 1914 at 10 pm
Death Place: Walker Twp., Juniata Co., PA
Cause of Death: Valvular Disease of Heart complicated with Influenza
Father: Abraham Book
Birth Place: PA
Mother: Mary Keefer
Birth Place: PA
Informant: D. L. Snyder, Undertaker, Mifflintown, PA
Burial: 7 Apr 1914, Adams Cemetery [Juniata Co., PA]
Certificate Number: 38457
Leo Shelley
===================
PA Death Certificate
Name: Daniel Book
Gender: Male
Race: White
Marital Status: Married
Occupation: retired Farmer
Age: 63 y 6 m 12 d
Birth Date: 21 Oct 1850
Birth Place: PA
Death Date: 3 Apr 1914 at 10 pm
Death Place: Walker Twp., Juniata Co., PA
Cause of Death: Valvular Disease of Heart complicated with Influenza
Father: Abraham Book
Birth Place: PA
Mother: Mary Keefer
Birth Place: PA
Informant: D. L. Snyder, Undertaker, Mifflintown, PA
Burial: 7 Apr 1914, Adams Cemetery [Juniata Co., PA]
Certificate Number: 38457
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