Iroquois county Illinois, David Curtis Briscoe (c) Submitted by: Lucy Briscoe Green CERTIFICATE AND RECORD OF DEATH 63632 Registered no. 6031 David Curtis Briscoe, Male white, married; birthplace: Salem Ind., Date of Birth: Feb. 23, 1889 age 31 years 11 months 1 day died: on the 24 day of Dec. 1913 at about 3 a.m. ;last occupation: farming from the year of 1898 to the year of 1913; place of death: Belmont twp. County of Iroquois;place of burial: Maple Grove Cem.; date of burial: Dec. 27, 11 a.m.; How long in the state: 10-12 years.; born in the U.S.; name of father: Frank B. Briscoe ; birth place of father: , don't know; maiden name of mother: Mary Godfrey; birth place of mother: don't know; informant: William L. Black address Watseka, Illinois. Undertaker: O. S. Osborn Milford; License No. 1344 MEDICAL CERTIFICATE OF CAUSE OF DEATH I hereby certigy that I attended the deceased from March 1912 to Dec. 24 1913 . That I last saw him a live on the 22 day of Nov. 1913. That death occurred on Date stated above , at about 3 o'clock a.m. and that to the best of my knowledge and belief the cause of his death was as hereunder written. (a) cause of death Pulmonary Tuberculosis ; Duratoin in years months and days or hours: 20 months; (b) contributory (secondary) Tuberculous, intestinal ulceration, diarrhrea 6 months; Witness my hand the 27 day of Dec. 1913 O. O. Hall M. D. Milford Illinois. --------------------------------------------------------------------- UGENWEB NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by other organizations or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contributor, 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: Lucy Briscoe Green