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| From Death Register Volume 1 1880-1897 Page C8 |
| Number | 87 | 04 Jun 1895 | Date Reported |
| Decedent's Given Name | Anna May | Courtney | Decedent's Surname |
| Sex | Female | White | Color |
| Date of Death | 28 Aug 1895 5:50 AM | Franklin Twp Story Co IA | Place of Death |
| Age | 20y 3m | School girl | Occupation |
| Marital Status | 5:50 AM | Other | |
| Nationality | American | Jones Co IA | Place of Birth |
| Years in IA | life | 6 months | Length of Illness |
| Cause of Death | Tubercular Consumption | Complication | |
| Date of Burial | 30 Aug 1894 | Ames Story Co IA | Place of Burial |
| Undertaker | Undertaker Place | ||
| Physician | H.M. Templeton | Ames Iowa | Physician Residence |
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