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Clemons Death RecordsClemons Death Certificate transcriptions. Township or Road
District or Village: PrimaryDist No.: Full Name: Callie
CLEMONS Residence No.: Sex: Female Color or Race:
Colored Single, Married,
Widowed or Divorced: If married, widowed
or divorced Husband of (or) Wife
of: Date of Birth: 1860 Age: 62 Years months
days Occupation of
Deceased: Housework Birthplace: North
Carolina NAME OF FATHER: John
WILLIAMS BIRTHPLACE OF
FATHER: North Carolina MAIDEN NAME OF
MOTHER: Charity MUSE BIRTHPLACE OF
MOTHER: Virginia INFORMANT: William
Clemons ADDRESS: FILED: DATE OF DEATH: April
5, 1922 CAUSE OF DEATH:
Arterio Sclerosis and Bronchitis SIGNED: PLACE OF BURIAL:
Methodist Cemetery DATE OF BURIAL:
April 6, 1922 UNDERTAKER: W. A.
GAUNT ADDRESS: Township or Road
District or Village: PrimaryDist No.: Full Name: Lurleine
CLEMONS Residence No.: Sex: Female Color or Race: B
lack Single, Married,
Widowed or Divorced: If married, widowed
or divorced Husband of (or) Wife
of: Date of Birth: May
15, 1903 Age: 29 Years, 2
months, 10 days Occupation of
Deceased: Invalid for 21 years Birthplace: Mound
City, Illinois NAME OF FATHER:
Thomas CLEMONS BIRTHPLACE OF
FATHER: Illinois MAIDEN NAME OF
MOTHER: Maggie HUGHES BIRTHPLACE OF
MOTHER: Illinois INFORMANT: ADDRESS: FILED: DATE OF DEATH: Nov
25, 1932 CAUSE OF DEATH:
Pneumonia, labor ____ uni-latteral SIGNED: PLACE OF BURIAL: DATE OF BURIAL: UNDERTAKER: ADDRESS: Township or Road
District or Village: PrimaryDist No.: Full Name: Robert
CLEMONS Residence No.: Sex: Male Color or Race: Male Single, Married,
Widowed or Divorced: If married, widowed
or divorced Husband of (or) Wife
of: Date of Birth: 1884 Age: Years months
days Occupation of
Deceased: Birthplace: Mounds,
Illinois NAME OF FATHER:
Washington CLEMONS BIRTHPLACE OF
FATHER: Virginia MAIDEN NAME OF
MOTHER: Mandy REED BIRTHPLACE OF
MOTHER: Fulton, Kentucky INFORMANT: ADDRESS: FILED: DATE OF DEATH: Nov
25, 1932 CAUSE OF DEATH:
Urina SIGNED: PLACE OF BURIAL:
Bethel DATE OF BURIAL:
November 28, 1932 UNDERTAKER: ADDRESS: Township or Road
District or Village: PrimaryDist No.: Full Name: Thomas
R. CLEMONS Residence No.: Sex: Male Color or Race:
Colored Single, Married,
Widowed or Divorced: Married If married, widowed
or divorced Husband of (or) Wife
of: Date of Birth: July
25, 1882 Age: 44 Years, 15
days Occupation of
Deceased: Birthplace: Mound
City, Illinois NAME OF FATHER:
Robert CLEMONS BIRTHPLACE OF
FATHER: Illinois MAIDEN NAME OF
MOTHER: Mary BRANHAM BIRTHPLACE OF
MOTHER: Tennessee INFORMANT: ADDRESS: FILED: DATE OF DEATH:
August 9, 1926 CAUSE OF DEATH:
Homicide (Justifiable) SIGNED: PLACE OF BURIAL:
Spencer Hts. DATE OF BURIAL:
August 11, 1926 UNDERTAKER: G.O.
JAMES ADDRESS: Mound City,
Illinois
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