Certificate of Death, State of Illinois Registration number 3199 1. Place of Death: 912 E. Olive, Canton, Fulton County, IL 2. Full Name: Andrew M. Carter 3. Sex: Male 4. Color: White 5. Status: Widowed 6. Date of Birth: April 7, 1827 7. Age: 89 years 3 months 12 days 8. Occupation: Farmer 9. Birthplace: Ohio 10. Name of Father: Thomas Carter 11. Birthplace of Father: Ireland 12. Name of Mother Unknown 13. Birthplace of mother: Unknown 14. Informant: Robert Williams (son-in-law) 15. Filed July 21, 1916 16. Date of Death: July 19, 1916 I hereby certify that I attended deceased from July 1, 1916 to July 19, 1916, that I last saw him alive on July 19, 1916 and that death occurred on the date stated above at 9 am. Cause of Death was Briglets desease of the kidneys and Rheumatisim. (signed) J.E. Coleman Canton, Il July 21, 1916 Place of burial was Orendorff Cemetary July 21, 1916. ------------------------------------------------------------------ USGENWEB NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by other organiza- tions or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contri- butor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. ----------------------------------------------------------------- File contributed for use in USGenWeb Archives by: Scott Carter Submitted by his great great grandson, Scott A. Carter
Sacjfc@erols.com