Page 110 DATE: 3-8, 1932
NAME of DECEASED: Rachael (sic, should be Rachel) Moulton
SEX: F COLOR: W
CHARGE TO: ORDER GIVEN BY:
Date of Funeral: Mar. 9, 1932 Place of Death: at home
Funeral Services at Funeral Home
Time of Funeral Services: 1:30 P. M. Clergyman: Rev. Kratzer
Certifying Physician: Dr. Walker His Residence:
Cause of Death: Acute Heart Dilation Date of Death: 3-7-32
Occupation of the Deceased:
Single, Married, Divorced: Religion:
Aged: years, months, days Birth Place:
Father: Birth Place: Penn.
Maiden Name of Mother: Birth Place:
Name of Husband:
Informant: Address:
Size and Style of Casket or Coffin:
Manufactured by:
Interment at Tedow Cemetery