Page 91 DATE: April 25, 1931
NAME of DECEASED: Mrs. Tom [Eliza Jane] Booth
SEX: F COLOR: W
CHARGE TO: ORDER GIVEN BY:
How Secured: Phone
Date of Funeral: 4-26-31 Place of Death: Residence
Funeral Services at Christian Church Time of Funeral Services: 1:00
Clergyman: Rev. Smith, Mt. Ayr
Certifying Physician: A. G. Byers His Residence: Kellerton
Cause of Death: Date of Death: 4-24-31
Occupation of the Deceased: Homemaking
Single, Married, Divorced: M Religion: Prot.
Aged: 74 years, 5 months, 28 days Birth Place: Missouri
Father: George Evans Birth Place: Kentucky
Maiden Name of Mother: Elizabeth Birth Place: Missouri
Name of Husband: Thomas Booth
Informant: Lora Byers Address: Kellerton, Iowa
Size and Style of Casket or Coffin: octagon, rose plush
Manufactured by: Roots
Interment at Maple Row Cemetery