Page 6 DATE: Feb. 26, 1927
NAME of DECEASED: Barnard (sic, should be Bernard) Gorman
SEX: Male COLOR: White
CHARGE TO: Daughter ORDER GIVEN BY: Daughters
How Secured: Telephone Date of Funeral: 2-27-27 Place of Death: Home
Funeral Services at M.E. Church Time of Funeral Services: 2.30
Clergyman: Rev. Clarke
Certifying Physician: Dr. Walker His Residence: Kellerton
Number of Burial Certificate: No. 4
Cause of Death: Paralysis Deate of Death: 2-25-27
Occupation of the Deceased: Farmer
Single, Married, Divorced: M Age: 88 Years, 9 Months, 14 Days
Birth Place: Pennsylvannia
Informant: Loyd Gorman Address: Kellerton
Interment at [Maple Row] Cemetery