Missouri Birth & Death Records Database
Permanent Record of Deaths
County Roll Number Page Number
Texas C 6690 11 136
Date of Report
10/10/1884
Walter Gooch
Sex - male
Color - white
8 months
Date of Death
(Month/Day/Year AM or PM) Single, Married,
Widower or Widow
Nationality
Where Born
09/26/1884 single
USA
MO
How long Resident in the state. 1. Place of Death
2. Cause of Death 1. Complication
2. Duration of Complication
3. Duration of Disease
since birth
Piney Township
Cholera Infantuus
3 weks
Place of Burial
Date of Burial
Name of Undertaker
Place of Business
Name and Residence
of Physician
Returning Certificate
Union
09/27/1884
L B Laws, MD Stanford MO
Permanent Record of Deaths
County Roll Number Page Number
Texas C 6690 11 136
Date of Report
10/10/1884
Walter Gooch
Sex - male
Color - white
8 months
Date of Death
(Month/Day/Year AM or PM) Single, Married,
Widower or Widow
Nationality
Where Born
09/26/1884 single
USA
MO
How long Resident in the state. 1. Place of Death
2. Cause of Death 1. Complication
2. Duration of Complication
3. Duration of Disease
since birth
Piney Township
Cholera Infantuus
3 weks
Place of Burial
Date of Burial
Name of Undertaker
Place of Business
Name and Residence
of Physician
Returning Certificate
Union
09/27/1884
L B Laws, MD Stanford MO
Missouri Birth & Death Records Database
Permanent Record of Deaths
County Roll Number Page Number
Texas C 6690 11 136
Date of Report
10/10/1884
Walter Gooch
Sex - male
Color - white
8 months
Date of Death
(Month/Day/Year AM or PM) Single, Married,
Widower or Widow
Nationality
Where Born
09/26/1884 single
USA
MO
How long Resident in the state. 1. Place of Death
2. Cause of Death 1. Complication
2. Duration of Complication
3. Duration of Disease
since birth
Piney Township
Cholera Infantuus
3 weks
Place of Burial
Date of Burial
Name of Undertaker
Place of Business
Name and Residence
of Physician
Returning Certificate
Union
09/27/1884
L B Laws, MD Stanford MO
Permanent Record of Deaths
County Roll Number Page Number
Texas C 6690 11 136
Date of Report
10/10/1884
Walter Gooch
Sex - male
Color - white
8 months
Date of Death
(Month/Day/Year AM or PM) Single, Married,
Widower or Widow
Nationality
Where Born
09/26/1884 single
USA
MO
How long Resident in the state. 1. Place of Death
2. Cause of Death 1. Complication
2. Duration of Complication
3. Duration of Disease
since birth
Piney Township
Cholera Infantuus
3 weks
Place of Burial
Date of Burial
Name of Undertaker
Place of Business
Name and Residence
of Physician
Returning Certificate
Union
09/27/1884
L B Laws, MD Stanford MO
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