CERTIFICATE OF DEATH
MISSOURI STATE BOARD OF HEALTH
Record transcribed from original recorded public records to avoid violation of direct reproduction/copyright laws. This is not an official copy, but research of official documents are listed here for the purpose of family research. This page will give the researcher a reference number and the location of where to find this official document.
Document obtained from Erlene Dudley Transcribed by Kevin Everingham
DECEASED NAME: Richard Everingham
DATE OF DEATH: June 12, 1910
PLACE OF BIRTH: England
Place of Death: Kansas City, MO
Date of Birth: Aug 19, 1827
OCCUPATION: Contractor, House Builder
City of DEATH: Kansas City
County of DEATH: Jackson
ADDRESS: 3705 E. 9th Street
Registrar & Date of Registration: E.W. Dann(sp?) (Jun 14, 1910)
FATHER: Thomas Everingham (b.Eng)
MOTHER: Mary West (b.Eng)
Informant: Mrs. Wm. E. Kost
Address: 3705 East 9th Street
IMMEDIATE CAUSE: Intestional Hemmorrhage
INTERVAL: 1 day
PHYSICIAN: C.W. Burrill M.D.
All Burial Information: Mt. Washington (Jun 15, 1910) E. Stine & Son Undertaking.