D A V I E S S  C O U N T Y  H E A L T H  D E P A R T M E N T
303 E. Hefron Street
Washington, Indiana 47501
(812) 254-8666
R E C O R D  O F  D E A T H



THIS IS TO CERTIFY
that according to the records of the Daviess County Health Department,
ROY EDMONSON
Died on Dec. 20, 1906 at                      Age at Death: 3 mos. 23 days
                                              Born: Aug. 27 --- in Indiana
                       Washington             Occupation: -----
Sex: M      Color: White      Marital Status: ---
Cause of death: pneumonia   Duration: 2 days
Father: James Edmonson    Born: Indiana
Mother: Ella Sturgeon     Born: Indiana

Signed by:        E. Hollingsworth, M. D.


Place of burial
     or removal:  City Cemetery

Date of burial:   12/21/1906
Funeral home:     M. L. Bonhams Sons


               Signed by     [stamped signature of Robert H. Lang M.D.]   
                          Health Officer, Daviess County, Indiana
     S E A L
                              Washington, Indiana     04/25/00      
                                  Address               Date

               Recorded locally in Book No. H-19           Page No.   48
                                        Record                on 

---------------------------------------------------------------------------

Please write to the Daviess County Health Department to obtain a copy of this death record with the Health Department's seal on it. A copy is $5 payable by cash or money order; you need to include the name, date of death, age at death, and place of death in your request. Also, include the Book No. and Page No. of the record.

| Back to Roy Edmonson |