| JOHNSON COUNTY IAGenWeb Project |
Peterseim Funeral Home Records
| Funeral Record | |||||
|---|---|---|---|---|---|
| Date: Mar-30-1933 | |||||
| Name of Deceased | Bernice Dayton | Certifying Physician | Rev. Fillmore | Price of Casket or Coffin | |
| What Race | American | His Residence | S.UI Hospital | Price of Metallic Lining (state kind) | 50 |
| Where Born | Iowa | Number of Burial Certificate | Death Notices in Newspapers | ||
| Cause of Death | Tumor on the Brain | Size and Style of Casket or Coffin | 4/6 W.L.S. Full hil | ||
| Order Given by | Jesse Dayton | Date of Death | Mar-30-1933 | Manufactured by | D.M.C. Co. |
| Charge to | Occupation of the Deceased | School | Interment at | Sharon Hill Cemetery | |
| Address | Kalona, Ia | Single or Married | Child | ||
| Date of Funeral | April-1-1933 | Date of Birth | |||
| Residence | Kalona, Ia | Aged at Death | 9 years 7 months 11 days | ||
| Place of Death | S.UI Hospital | Name of Father | Jesse Dayton | ||
| Funeral Services at | Christian Church | His Birthplace | Iowa | ||
| Time of Funeral Service | 10AM | Name of Mother | Alta Ledman | ||
| Clergyman | Her Birthplace | Iowa | PAID by CO | ||
| Name of Pall Bearers: Pauline Peterseim, Elda Bigelow, Helen Snodgrass, Ardis Yoder, Grace Philips, Mildred Philips | |||||