Page 76 DATE: Aug.-11-1930
NAME of DECEASED: Grant McCullough SEX: COLOR:
CHARGE TO: Estate ORDER GIVEN BY:
How Secured: Phone
Date of Funeral: 8-12-30 Place of Death: Home
Funeral Services at M.E. Church Time of Funeral Services: 2:30 P. M.
Clergyman: Rev. Clark
Certifying Physician: C. M. Walker His Residence: Kellerton
Cause of Death: Paralysis Date of Death: 8-10-30
Occupation of the Deceased: Retired
Single, Married, Divorced: M Religion: Prot.
Aged: 61 years, 10 months, 26 days Birth Place: Henry County:(Mrs. London)
Father: William L. McCullough Birth Place: Ohio
Maiden Name of Mother: Eliza Amy Lee Birth Place: Henry County
Name of Wife: Eva McCullough
Informant: Address: Kellerton, Iowa
Size and Style of Casket or Coffin: Oak
Manufactured by: Buckstaff
Interment at Maple Row Cemetery