| Source: Howard Funeral Home Records (St. Louis), 1913-1943 Location: Howard Funeral Home Records, archives | |
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| Decedent Last Name: | Brocksmith |
| Decedent First Name: | Annie |
| Decedent Title: | Mrs. |
| Decedent Maiden Name: | Bold |
| Address: | 6714 Virginia Ave. |
| Charge to, Last Name: | Brocksmith |
| Charge to, First Name: | Robert |
| Charge to, Title: | Dr. |
| Death Date: | 1/16/1917 |
| Birth Date: | 7/6/1893 |
| Age: | 23 |
| Father's Last Name: | Bold |
| Father's First Name: | Daniel |
| Mother's First Name: | Mattie |
| Interred at: | Mount Olive |
| Vol/Box: | 7 |
| Page: | 171 |
