Missouri Death Certificate:
Name: Mertie Pearl Miller
Death Date: July 8, 1912
Death Place: Ten Mile, Macon, Missouri
Gender: Female
Race: White
Marital Status: Single
Death Age: 15y 11m 10d
Birth Date: July 28, 1896
Birthplace: Macon Co., MO
Father’s Name: David Miller
Father’s Birthplace: Adams Co., IL
Mother’s Name: Mary E. Fessenden
Mother’s Birthplace: Adams Co., IL
Cause of Death: Pertusis Pulmonalis
Cemetery: Mount Zion
Burial Date: July 10, 1912
~~~~~~~~~~~~~~
Name: Mertie Pearl Miller
Death Date: July 8, 1912
Death Place: Ten Mile, Macon, Missouri
Gender: Female
Race: White
Marital Status: Single
Death Age: 15y 11m 10d
Birth Date: July 28, 1896
Birthplace: Macon Co., MO
Father’s Name: David Miller
Father’s Birthplace: Adams Co., IL
Mother’s Name: Mary E. Fessenden
Mother’s Birthplace: Adams Co., IL
Cause of Death: Pertusis Pulmonalis
Cemetery: Mount Zion
Burial Date: July 10, 1912
~~~~~~~~~~~~~~
Missouri Death Certificate:
Name: Mertie Pearl Miller
Death Date: July 8, 1912
Death Place: Ten Mile, Macon, Missouri
Gender: Female
Race: White
Marital Status: Single
Death Age: 15y 11m 10d
Birth Date: July 28, 1896
Birthplace: Macon Co., MO
Father’s Name: David Miller
Father’s Birthplace: Adams Co., IL
Mother’s Name: Mary E. Fessenden
Mother’s Birthplace: Adams Co., IL
Cause of Death: Pertusis Pulmonalis
Cemetery: Mount Zion
Burial Date: July 10, 1912
~~~~~~~~~~~~~~
Name: Mertie Pearl Miller
Death Date: July 8, 1912
Death Place: Ten Mile, Macon, Missouri
Gender: Female
Race: White
Marital Status: Single
Death Age: 15y 11m 10d
Birth Date: July 28, 1896
Birthplace: Macon Co., MO
Father’s Name: David Miller
Father’s Birthplace: Adams Co., IL
Mother’s Name: Mary E. Fessenden
Mother’s Birthplace: Adams Co., IL
Cause of Death: Pertusis Pulmonalis
Cemetery: Mount Zion
Burial Date: July 10, 1912
~~~~~~~~~~~~~~
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