Sample, Roy

Death Certificate Data

Deceased:Sample, Roy

Died:Nov 11 1918

Father:Jim Sample

Mother:Sarah Sampson

Informant:Lizzie Sample

Cause of Death:acute lobar pneumonia and heart failure

Remarks:married. A miner. Died Nov 11, 1918, age 32 years 10 months, of acute lobar pneumonia and heart failure. Physician W. D. Monnett, Prosperity Missouri. Born in Oklahoma. father Jim Sample and mother Sarah Sampson both born in Oklahoma. Informant Lizzie Sample of Prosperity. B. M. Clark undertaking of Galena Kansas.

Record Source:Missouri State Board of Health, Bureau of Vital Statistics

(Death Certificate)Jefferson City, Cole County, MO

Book: Hard Rock Lead and Zinc Mining Men — S J Mahurin

ISBN: 1-892744-95-3