Full Name of Deceased Mazie BOSWELL
PERSONAL & STATISTICAL PARTICULARS & MEDICAL CERT. OF DEATH
Sex: female
Color: white
Age: 26 Years
Place of Birth: Spring Garden
Lived in Illinois: 26 years
Occupation Teacher
Married
Died on the 11 day of February 1903, at about 12:00 PM
Place of Death Mt. Vernon
Place of Burial Oakwood
Date of Burial: Feb. 13
Name of Undertaker J.J.Fly & Son
Address: Mt. Vernon
Immediate Cause Cebral Apoplexy
Duration: 14 days
Contributory Cause of Complication: Child Birth
Witness my hand, this 14 day of Aug 1903
Signature J. W. Hamilton (Physician)
Address Mt. Vernon, Ill.
Filed for Record this 1 day of June 1903
W. B. Phillips County Clerk.