Page 126 DATE: April 19, 1933
NAME of DECEASED: James Robert Fullerton SEX: COLOR: White
CHARGE TO: Estate ORDER GIVEN BY:
Date of Funeral: April 22, 1933 Place of Death: Mt. Ayr, Iowa
Funeral Services Christian Church, Kellerton
Time of Funeral Services: 2:30 P. M. Clergyman: Rev. Smith, Mt. Ayr
Certifying Physician: Dr. Stanton His Residence: Mt. Ayr
Cause of Death: Myocardial Heart Failure
Date of Death: April 19, 1933; 810 A. M.
Occupation of the Deceased: Retired Farmer
Single, Married, Divorced: Widowed Religion:
Aged: 89 years, 2 months, 23 days Birth Place: Zanesville, Ohio
Father: Thomas Fullerton Birth Place: Ohio
Maiden Name of Mother: Kathryn Thompson Birth Place: unknown
Name of Wife:
Informant: A. F. Fullerton Address:
Size and Style of Casket: metal Gold, [illegible] Gold Trim
Manufactured by: Rex-Art
Interment at Maple Row Cemetery