Cass County, Missouri death certificate of Elizabeth H. Warner Carpenter

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Date: Sun, 26 Jan 2003
From: Darrell Warner 
http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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CASS COUNTY MISSOURI DEATH CERTIFICATE
1. Place of death
  a. County: Cass
  b. Township, village or city; Strasburg
  c. Registration district number: 139
  d. Primary registration district number: 4093
  e. File number: 7787
  f. Registered number: 4
2. Full name: Elizabeth H. Carpenter
3. Sex: female
4. Color or race: white
5. Single, married, widowed or divorced: widow
6. Date of birth: July 31, 1841
7. Age 73 years 7 months 11 days
8. Occupation: housewife
9. Birthplace: Kentucky
10. Name of father: Allen Warner
11. Birthplace of father: Kentucky
12. Maiden name of mother: Byanna Clayton
13. Birthplace of mother: Kentucky
14. Informant: J. J. Warner of Strasburg
15. Filed 3-15-1916    Registrar: W. Beckman
16. Date of death: March 3, 1915
17a. I hereby certify, that I attended deceased from March 2, 1915 to 
March 13, 1915, that I last saw her alive on march 13, 1915 and that 
death occurred, on the date stated above at 6:00 PM.  The cause of death 
was as follows: chronic catarrhal gastritis.
17. Signed: W. Beckman MD of Strasburg, Missouri  date: 3-15-1915
18. Length of residence: nothing listed
19. Place of burial or removal: Strasburg, Missouri   3-15-1915
20. Undertaker: Parker & Hon of Pleasant Hill, Missouri