Daniel Norrix
Donated by ©Betty L. Capps
THE DEATH CERTIFICATE OF DANIEL NORRIX
Full name of Deceased.... Daniel Norrix
PERSONAL AND STATISTICAL PARTICULARS AND MEDICAL CERTIFICATE OF DEATH
Sex.. Male...
Color.. White...
Age.. 51 Years 9 Months 17 Days
Place of Birth... Illinois
Lived in Illinois... all of life.... Years.
Occupation... Laborer
Married
Died on the 10th day of Oct. 1906, at about 4:30 A.M.
Place of Death... Jonesboro
Place of Burial... Water Valley (Cemetery)
Date of Burial... Oct. 11, 1906
Name of Undertaker... Thomas Norris
Address... Jonesboro, Ills.
CAUSE OF DEATH {Abscess of kidney}
DURATION ... 4 years
I HEREBY CERTIFY, That the above stated personal particulars are true to the best of my knowledge and belief, and
that the cause of death of the above named and described deceased was as above written my me.
WITNESS MY HAND, this ... 15... day}
(Signature)...... A. J. Lyerly, M. D.
Oct. 1906}
Address... Jonesboro, Ills.
©Copyright Brenda Neely 2006, All Rights Reserved