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DEATH CERTIFICATE OF
Place of Birth: Ill
Lived in Illinois: 56 years.RANDOLPH MARSHALL (R. M.) DAVIS Union County Illinois Genealogy Trails Contributed by Teresa Holcomb Personal and Statistical Particulars and Medical Certificate of Death Full Name of
Deceased: R. M. Davis (Randolph Marshall)
Sex: Male Color: White Age: 56years Occupation: Saw Milling Married Died on the 9th day of Sept 1908, at about 7 P. M. Place of Death: Mounds (Ill) Place of Burial: Dongola Name of Undertaker: (illegible) Address: Ullin, Ill. |
| CAUSE OF
DEATH Immediate Cause:
Gun shot wound by C. T. Powell, with intent to
kill.
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| I hereby
certify that the above stated personal particulars are
ture 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 by
me. Witness my hand, this 9th} (Signature) J. C. Sterle day of Sept. 1908 } Address: Mound City, Ill. |