VITALS: DEATH CERTIFICATE: MEDORA FREEMAN CAINE, JACKSON COUNTY, OREGON

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Name:            CAINE, Medora Freeman
Certificate No.: 1501
Birthdate:       10 Sep 1949 (sic)
Age:             61 years, 8 months, 11 days
Birthplace:      New York
Occupation:      Pharmacist
Date of Death:   21 May 1911
Marital Status:  Widowed
Spouse's Name:   Not given 
Father's Name:   Ruben Freeman
Father's Bplace: New York
Mother's Name:   Hannah Swartout
Mother's Bplace: New York
Where Buried:    I O O F Cemetery, Gold Hill, Jackson County, Oregon