Name:   Charles O. Clark

Place of Death:   Warner

Date of Death:   Nov 5, 1913

Age YY-MM-DD:   75-07-26

Place of Birth:   Warner

Gender:   M

Color:   White

Single, Married, or Widow(er):   M

Occupation:   Farmer

Place of Birth of Father:   Warner

Place of Birth of Mother:   New York

Name of Father:   Roswell Clark

Maiden Name of Mother:   Fannie Bragg

Disease / Cause of Death:   acute peritonitis

Occupation of Father:   Farmer

Source: Annual Report for the Town of Warner for 1913