Certificate Number: 10

Shared note

Certificate Number: 10
Filed: February 4, 1922
Place of Death: Fields Store, Waller
Full Name of Deceased: Wallingford, J.P.
Sex: Male
Race or Color: White
Single, Married, Widowed or Divorced: Married
Full Name of Father: T.G. Wallingford
Maiden Name of Mother: Annie Tucker
Date of Death: January 18, 1922
Cause of Death: Lober Pneumonia
Name of Physician or Coroner: G.E. Hill
Address: Waller 2
Place of Burial: Fields Store
Name of Cemetery: Fields Store
Date of Burial: January 19, 1922
Name of Undertaker: H.H. Horne
Address: Hempstead

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