Source: Missouri Birth & Death Records Pre 1910
County: St. Louis. Roll Number: C 10414. Page: (Blank.) Number: 1296. Date of Report: July 5, 1907. Name: Brand, Clarence . Sex: M. Color: W. Age: 9 years, 10 months, 30 days. Date of Death: July 2, 1907. Place of Birth: Missouri. Place of Death: (Blank.) Cause of Death: Shock & Injuries - Internal. Complication: Ran over by wagon; Accident. Place of Burial: Calvary Cemetery. Date of Burial: (Blank.) Name of Undertaker: John Koch & Son. Name and Residence of Physician Returning Certificate: H. D. Faith, D C.
Source: Missouri Birth & Death Records Pre 1910
County: St. Louis. Roll Number: C 10414. Page: (Blank.) Number: 1296. Date of Report: July 5, 1907. Name: Brand, Clarence . Sex: M. Color: W. Age: 9 years, 10 months, 30 days. Date of Death: July 2, 1907. Place of Birth: Missouri. Place of Death: (Blank.) Cause of Death: Shock & Injuries - Internal. Complication: Ran over by wagon; Accident. Place of Burial: Calvary Cemetery. Date of Burial: (Blank.) Name of Undertaker: John Koch & Son. Name and Residence of Physician Returning Certificate: H. D. Faith, D C.
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