Age: 14 years, 11 months, 11 days
Male, White, School Boy
Father: William R. Headlee, b. PA
Mother: Anna Moore, b. IL
Usual Residence: 1831 Lister Ave.
Died at University Hospital
Cause of death: Brights Disease (6 months)
Contributory: Dilation of Heart (3 months)
Informant: W. R. Headlee, 1831 Lister Ave.
Burial: 03 Sep 1911 by Carroll-Davidson Und. Co., 3024 Troost Ave, K C MO
Age: 14 years, 11 months, 11 days
Male, White, School Boy
Father: William R. Headlee, b. PA
Mother: Anna Moore, b. IL
Usual Residence: 1831 Lister Ave.
Died at University Hospital
Cause of death: Brights Disease (6 months)
Contributory: Dilation of Heart (3 months)
Informant: W. R. Headlee, 1831 Lister Ave.
Burial: 03 Sep 1911 by Carroll-Davidson Und. Co., 3024 Troost Ave, K C MO
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