Place of Death:  County of Union            Registration Dist. No. 5651
Village:  Dongola
Length of residence in city or town where death occurred:  14 yrs.
Full Name:  Malandia Louise Davis

PERSONAL AND STATISTICAL PARTICULARS
Sex:  Female            Color or Race:  White            Single, Married, Widowed:  Widow
If married, widowed or divorced Husband or Wife:  R. M. Davis
Date of Birth:  Oct. 17, 1848
Age:  86 years, 6 months, 6 days.
Occupation:  Housewife
Birthplace:  Illinois
Father Name:  Jacob Peeler
Birthplace:  North Carolina
Mother Maiden Name:  Elizabeth Cox
Birthplace:  North Carolina
Informant:  Ruth Ridenhour
Place of Burial:  Dongola I00F            Date:  Apr 25, 1935
Location:  Dongola        County:  Union            State:  Ill.
Undertaker:  E. J. Ford         Dongola, Ill.

MEDICAL CERTIFICATE OF DEATH
Date of Death:  Apr. 23, 1935
I Hereby Certify, that I attended deceased from March 20, 1935 to April 23, 1935.  I last saw her alive on april 22, 1935; death is said to have occured on the date stated above at 11:40 P.M.
The principal cause of death and related causes of importance were as follows:
Senility
Other contributory causes of importance:
Arteriosclerois
Was an operation performed?  No
Was there an autopsy?  No
What test confirmed diagnosis?  None
(Signed)  J. W. Davis, M. D.
Address:  Dongola
Date:  4-24-1935

Filed 4-25-1935        Registrar:  H. N. Holshouser
P. O. Address:  Dongola, Ill.