Missouri certificate of death, Matilda Davis, Kirksville, 9 Jan 1918

Sourcesources/death-certificate-matilda-davis-1918.md

011.7 KBsize
0229lines
032filed with

As written

title
Missouri certificate of death, Matilda Davis, Kirksville, 9 Jan 1918
type
vital-record
date
9 Jan 1918; filed 10 Jan 1918
repository
Missouri State Board of Health, Bureau of Vital Statistics (Missouri State Archives); the image posted on Ancestry ("Matilda Davis Death Record", shared by maureenandglen, 3 Oct 2018)
reference
Registration District No. 4; Primary Registration District No. 5001; Registered No. 7; File No. 11 [?]
seen
image
access
public

Seen 11 Oct 2026 as a screenshot of the image in the Ancestry viewer.

  • Place of death: Adair County; Kirksville, no. 1315 S. Wabash St., 3rd Ward.
  • Full name: Matilda Davis. Female, white, married.
  • Date of birth: May 10, 1831. Age: 86 years, 7 months, 29 days. Occupation: housewife. Birthplace: Indiana.
  • Father: Jesse Collins, born Indiana. Maiden name of mother: Mary Reed, born Indiana.
  • Informant: E. E. Galbreath [?], Kirksville, Mo. Filed 1/10 1918, A. W. Parrish [?], registrar.
  • Medical certificate: died January 9, 1918, at 3 p.m.; attended from June 26, 1917, to Jan. 8, 1918; "last saw her alive on Oct. 13 [?], 1917." Cause: chronic dysentery, duration "don't know"; contributory, senility. Signed W. W. Martin, M.D., Jan. 9, 1918, Kirksville.
  • Burial: Llewellyn Cemetery [?], Jan. 10, 1918. Undertaker: Swiger & Riordan [?], Kirksville.

It names her parents as Jesse Collins and Mary Reed, the first record found that does. The informant gives both parents' birthplace as Indiana; Jesse was born in Virginia, and the family was in Morgan County, Indiana, by 1830. Her own birth year here is 1831; the 1850 census (aged 20) and the family tree have 1830.

  1. ---
  2. title: "Missouri certificate of death, Matilda Davis, Kirksville, 9 Jan 1918"
  3. type: vital-record
  4. date: 9 Jan 1918; filed 10 Jan 1918
  5. repository: "Missouri State Board of Health, Bureau of Vital Statistics (Missouri State Archives); the image posted on Ancestry (\"Matilda Davis Death Record\", shared by maureenandglen, 3 Oct 2018)"
  6. reference: "Registration District No. 4; Primary Registration District No. 5001; Registered No. 7; File No. 11 [?]"
  7. seen: image
  8. access: public
  9. ---
  11. Seen 11 Oct 2026 as a screenshot of the image in the Ancestry viewer.
  13. - **Place of death:** Adair County; Kirksville, no. 1315 S. Wabash St., 3rd Ward.
  14. - **Full name:** Matilda Davis. Female, white, married.
  15. - **Date of birth:** May 10, 1831. **Age:** 86 years, 7 months, 29 days. **Occupation:**
  16. housewife. **Birthplace:** Indiana.
  17. - **Father:** Jesse Collins, born Indiana. **Maiden name of mother:** Mary Reed, born Indiana.
  18. - **Informant:** E. E. Galbreath [?], Kirksville, Mo. Filed 1/10 1918, A. W. Parrish [?],
  19. registrar.
  20. - **Medical certificate:** died January 9, 1918, at 3 p.m.; attended from June 26, 1917, to Jan.
  21. 8, 1918; "last saw her alive on Oct. 13 [?], 1917." Cause: chronic dysentery, duration "don't
  22. know"; contributory, senility. Signed W. W. Martin, M.D., Jan. 9, 1918, Kirksville.
  23. - **Burial:** Llewellyn Cemetery [?], Jan. 10, 1918. Undertaker: Swiger & Riordan [?],
  24. Kirksville.
  26. It names her parents as Jesse Collins and Mary Reed, the first record found that does. The
  27. informant gives both parents' birthplace as Indiana; Jesse was born in Virginia, and the family was
  28. in Morgan County, Indiana, by 1830. Her own birth year here is 1831; the 1850 census (aged 20) and
  29. the family tree have 1830.

Pictures

Death certificate of Matilda (Collins) Davis, Kirksville, 1918Death certificate of Matilda (Collins) Davis, Kirksville, 1918

BeginEnd