Death Certificate of Sarah Elizabeth WARNER, Peoria County, Illinois Contributed for use in the USGenWeb Archives Copyright 1999 Annabelle O'Neill Certificate of Death - Registered No. 716 County - Peoria Township, etc. - Peoria City - Peoria 212 W. Maplewood St., Full Name - SARAH ELIZABETH WARNER Sex - Female Color or race - White Single, Married, Widowed or Divorced - Married Date of Birth - August 1836 Age 79 Occupation - Retired Birthplace - Norfolk, Va. Name of Father - ALONZO SIMMS Birthplace of Father - Va. Maiden Name of Mother - MARY DENBY Birthplace of Mother - Va. Informant - W. D. Meisser address - 110 E. Elmwood Filed 7-12-1916 Medical Certificate of Death: Date of Death - July 11, 1916 I Hereby Certify that I attended deceased from July 10, 1916 to July 11, 1916 and I last saw her alive on July 11, 1916 and that death occurred on the date stated above at 12 midnight. The Cause of Death was as follows: Lobar Pneumonia Contributory - Bronchitis, Diarrhea Signed A. G.Farnum address: 513 Jefferson Place of Burial or Removal - Springdale Date of Burial July 14, 1916 Undertaker Ziegler Co. ------------------------------------------------------------------ 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: Celia Snyder