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,
SARAH JANE MYERS
Died on 04/21/1917 at                      Age at Death: 84 Years 10 mos.
                                                           21 days
                                           Born: May 30, 1832 in Tennessee
                       Washington, IN      Occupation: housekeeper

Sex: F      Color: White      Marital Status: Widowed - Valentine myers
Cause of death: Cancer of stomach
Father: unknown    Born: unknown
Mother: unknown    Born: unknown

Signed by:        H. Poindexter, Coroner
                  Odon, IN

Place of burial
     or removal:  Veale Creek Cemetery
     
Date of burial:   not stated
Funeral home:     James A. Gill
                  Washington IN

               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. CH-7           Page No.   90
                                        Record                on

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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.

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