Death Records For:
1. Rosa E. Jacobs Williams - daughter of Sarah Jane Pair Jacobs
1.
1. Place of Death: Flat River, St. Francois, Missouri
Reg. Dist. # 774, File # 15669, Primary Reg. Dist. # 4465,
Registered # 45
2. Full Name: Rosa E. [Jacobs] Williams
3. Sex: F
4. Color or Race: W
5. Married
6. Date of Birth: Oct 4, 1883
7. Age: 32 yrs 6 mo 13 da
8. Occupation: housewife - house work
9. Birthplace: Mo
10. Name of Father: B. F. Jacobs
11. Birthplace of Father: Mo
12. Maiden Name of Mother: Sarah Pair
13. Birthplace of Mother: Mo
14. Informant: Walter Williams, Flat River, Mo.
15. Filed: April 18, 1916 Dr. Topping
16. April 17, 1916
17. [Doctor] Attended: April 1 - April 17, 1916
Last Saw Alive: April 15, 1916
Cause of Death: Tuberculosis of the lungs
Contributory: Appendicular Abcess
Signed: M. H. Topping, April 18, 1916, Flat River
18. Length of Residence: [blank]
19. Place of Burial: Dor Run, Mo
Date of Burial: April 19, 1916
20. Undertaker: H. Rinke, Flat River