*
Use standard
abbreviations - Use proper punctuation!
For
information that you type in follow these guidelines.
Such as MO
- not Mo.
Correct
usage example:
Seligman, Barry Co., MO
Such as Barry
Co., MO - not Barry co,
Mo. - not Barry Co, MO
Correct
usage example: Barry Co., MO
Such as TN
- not Tenn.
Correct
usage example:
Greene Co., TN
Such as
Co. for county - not
Wayne Cty Ky.
Correct
usage example:
Gap Creek, Wayne Co., KY
Such as
Flat Creek Twp. - not
twsp or TWP.
Correct
usage example: Flat Creek Twp., Barry Co., MO
For Dates: Use this format
Jan. 1, 1940 - not this one - 1 Jan. 1940.

* - denotes a required field.
| * |
Your Name: |
e.g. Jim Jack
Jones, Jr. |
| * |
Your Complete Email Address: |
e.g.: jdoe@japordomain.com |
| * |
County
Died:
MO County with the information - County
Death Certificate is Registered in. |
e.g. Barry Co.
- Newton Co. |
| * |
Name of
Barry County Cemetery:
(Enter the word "Cremated" if needed) |
e.g.: Washburn Prairie, Clio, Clark, Etc. |
| Name of Deceased:
If a female with additional married
names, place the additional marriage information in the note section at
the bottom of this form. Do not list unmarried females, males or
children maiden names. |
| * |
Surname: |
e.g. JONES |
| * |
Maiden Name:
If given - For married women only.
Children, men or women who have never married do not have maiden
names. |
e.g. SMITH |
| * |
Given Name: |
e.g. Mary |
Because of space
limitation on the individual cemetery pages PLEASE abbreviate months to
the Sept., Jan. etc. format. See examples.
For places - if entering a
county name - PLEASE abbreviate. See examples.
Thanks, this will save me a great deal of
work. |
| * |
Date of Birth
- if given |
e.g.: Jan. 1, 1900 |
| * |
Place
of Birth - if given |
e.g. Near Purdy, Barry Co., MO |
| * |
Age at
Death - if given |
e.g. 16 years, 2 months and 3 days. |
| * |
Date of Death |
e.g. Feb. 1, 1926 |
| * |
Place of Death |
e.g. Flat Creek Twp., Barry Co., MO |
| * |
Cause
of Death - if given |
e.g. Accidental gun shot to the abdomen area. |
| * |
Father's Name & Where Born - if given |
e.g. Jim Bob Jones, born Neosho, MO |
| * |
Mother's Name & Where Born - if given |
e.g. Mary Amelia Smith, born Washington, Co., AR |
| * |
Informant & Address - if given |
e.g. Amelia Smith, Rt. 1, Cassville, MO |
| * |
Death Certificate Number |
e.g. #6464 |
| * |
Resource: |
e.g. Barry Co., MO, Death Certificates |
|
You may now enter additional information given such as the something the doctor may have
reported or a place where the burial was if other than Barry County.
DO NOT ADD ANYTHING THAT IS NOT WRITTEN ON THE DOCUMENT. (Please be brief.)
DO NOT USE UPPER CASE WORDS FOR SURNAMES in the research note as text.
Example:
Not HADDOCK - use Haddock.
A note at the bottom can explain when facts seem to be incorrect.
Example:
Note: Bob's stone reads that he was born in 1896 not 1886 as the death certificate reads.
His age at death that is given on the death certificate would make the 1886 date the correct one.
Research Note: |
|
|
|
|
Or Abandon this Submission and return to:
Return to
Obits Page Return
to Barry County

© 2008 Donna Haddock Cooper, All Rights Reserved