%'27'Z Missouri Botanical Garden 
'• * . George Engelmann Papers 
Physicians are reminded of the importance of tilling out these Certificates with accuracy. 
They are the Basis of the Mortuary Statistics of the City. 
CEMETERY CERTIFICATE. 
(This Certificate must be fully and accurately filled out.) 
zfflcvYne ojf 2$ecect&ec//y ...(White.) (Colored.) 
2)ate 3)eat'h J ______1 ... 
&lace of’ MiAtfa, . 
&{ace of Sfo . 
ST. LOUIS, MO. 
'S$<p6 f .,. yea'll, . months, .... dayb, 
(SINCLE.) (MARRIED.) (WIDOWER.) (WIDOW.) Cross out the words not required. 
yfiauAe of dfleciih; ... 
1 CERTIFY that I attended the person above named , in— - last 
illness, who died of the disease stated, on the date above named. 
. M. <D. 
(Address,) 
Solace MwUcU ; . ... . 
. U ndertaker. 
Office Health Department, 
St. Louis, Mo., . 187 
1 CERTIFY that I have examined this Certificate, and find m it to accord with the 
