Polk County Cemetery

Burials from Death certificates, Polk County
1916-1920
FHL Films #102902982, #102902983

Contributed by Patrick Walters
Last updated Feb. 22, 2023.

Family Search films #102902982, #102902983 recorded the Death Certificate number beginning with the digits "77" ["77" designates Polk County]; Additionally an image number was assigned; for the purpose of brevity the cite will appear as 77 0470 (Death Certificate number) and 452 (image number).

Abbreviations used: POL(POL) Roll(R)Page(P) Line(LN) Reference POL 409 will be made to: Asylum Record 1894-1900;Insane Record 1901-1915; Insane Record. 1910-1927.

Place of Burial: * denotes this person is one who has been identified as having been moved and is listed on the Pine Hill roster.

    DATE OF BIRTHDATE OF DEATH  SOURCEDEATH CERT LIST
LAST NAMEFIRST NAMEMIDDLE
NAME		AGEDAYMONYEARDAY MONYEARPLACE OF
DEATH		PLACE OF
BURIAL		 POLROLLPG
#		LN
#		COCERTIMAGESEXH=Hornyak
Z=Zeitler
N=New
FHL Film #102902982 covers Jan 16, 1916 - July 6, 1918. Reference that film for the following entries.
ThomasGeorge 75   13Jan1916Polk County FarmCounty farm     7707705139 N
ThomasWilliam 58y 6m 6d   24Mar19163rd and RacoonCounty farm     7707996410 N
Breefe (Breeze?)Jake 65   14Apr1916Polk County HospitalNone listed     7708033446 N
NobleGeorge 65   9Apr1916Polk County FarmPolk County Farm     7708117524 N
Ozarke (Ozark?)Frank 60   9Apr1916Polk Co HospitalPolk County Farm     7708124530 Z
  NOTE-Frank Ozarke: Verify Frank James recoded as inmate of PCF see 104 James Sr
HannaSamuel 33   30Jun1916Tuberculosis FarmCounty Farm     7708364 756 N
AustinLouis 62   14Jul1916County HospitalCounty Cemetery     7708453841 N
JohnsonCharles 45   19Aug1916Polk Co AsylumPotters field at Farm     77086431023 N?
RileyJames 65   7Oct1916Polk County FarmPolk County Farm     77089261290 N
JohnsonAugust 55 or 60   15Nov1916Polk Co HospitalPolk Co Pauper field     77090151376 N
CopenhefferJohn 70   15Jan1917Polk Co HospitalPolk Co. Farm     7701031673 N
  NOTE-John Copenheffer: FS lists under "Capenheffer"
JohnsonCharley 65   4Mar1917Polk County FarmCounty Farm     7703141863 N
SmithMironP75   8Feb1917Polk Co HospitalCounty Farm     7705492089 N
  NOTE-Miron Smith: (Possibly "Monroe" Male?)
SampsonTisscia 50   10Apr1917Polk County AsylumNone listed     7705792118 N
  NOTE-Tisscia Sampson: Likely buried here; Female subject listed as an inmate if Asylum:
BakerGeorge 69   6Jul1917Polk Co HospitalPolk County Farm     7706942227 N
JonesSmith 55   15Aug1917County FarmNone listed     7709142438 N
McCormickFrank 70   4Jun1917Polk Co FarmPolk Co. Farm     7709672489 N
  NOTE-Frank McCormick: Likely. Listed as Inmate of Polk Co Farm
OlsonHans 85   6Aug1917Polk Co HospitalNone listed     7710312552 N
  NOTE-Hans Olson: Likely. Listed as Inmate of Polk Co Farm
Falaco. (Falacor?)Frank 50   14Sep1917Polk Co AsylumCounty Farm     7713762879 N
HaskinAaron 70   26Sep1917Lee Twsp. City SaylorCounty farm     7714332936 N
JacobsA 70   7Apr1918Polk Co AsylumNone listed     7725844035 N
JiruceFrancis 40   22Apr1918Polk Co HospitalNone listed     7725894040 N
  NOTE-Francis Jiruce: Likely; Female inmate is listed as a resident of Asylum; PCHIH Record Volume Insane Redcord #2 1915-1935 Admission/Discharges confirms
CocranMike 31   23May1918Polk Co HospitalNone listed     7728224264 N
  NOTE-Mike Cocran: Likely. Listed as Inmate of Asylum
SwansonFred 65   16May1918Polk Co HospitalPolk Co Cemetery     7729814417 N
MurreyEdward 58   20Jun1918Polk Co Tuberculosis HospitalNone listed     7739924524 N
  NOTE-Edward Murrey: Likely. Listed as Inmate Polk Co Tuberculosis (camp?)
FarrerCharley 70   14Jul1918Polk County HospitalCounty farm     7733184742 N
FHL Film #102902983 covers July 21, 1918 - Jan 22 1920. Reference that film for the following entries.
HanselJohn 70   7Aug1918Polk County HospitalNone listed     77340375 N
GerssLevi 65   15Oct1918Polk Co AsylumPolk. Co Farm      773745408 N
GornayJoe 40   15Nov1918Polk Co HospitalPolk County Cemetery     774036679 N
LewtonWm 65   17Feb1919Polk Co HospitalCounty Farm     7757632375 N
BarnesGeorge 45   16Mar1919County Poor FarmCounty Poor Farm     7758692475 N
LundbergOle 35   16Mar1919Polk Co HospitalNone listed     7759852588 N
TempleAdam 75   17Mar1919Polk Co HospitalNone listed     7760522653 N
WatsonHenry 58   13Mar1919County Poor FarmCounty Farm     7760652665 N
GastonDavid 75   11May1919Polk Co HospitalCounty Farm     7762822877 N
Willard  75   21Jun1919Polk Co HospitalPolk County Cemetery     7764993086 N
DonovanJohn 50   4Jul1919Polk Co AsylumNone listed     7765373120 N
DavisElizabeth 74   3Feb1920Polk Co HospitalNone listed     7776234138 N
WeldonFrank 75   14Feb1920Polk County HospitalPolk County Cemetery     7778194324 N
RoseSebraAnn47y 11m 26d   5Mar1920Polk Co AsylumNone listed     7779704464 N
ThorntonJohn 75   23May1920Polk County HospitalPolk. Co Farm     7783804849 N
BunyardWilliam 65   7Jun1920Polk Co farmPolk. Co Farm *     7784154882 N
CullonsPat 65   19Aug1920Polk Co AsylumNone listed     7787165159 N
DonovanJohnP38   27Aug1920lists only Saylor under TownshipPolk. Co Farm     7787215164 N
GatwoodEG86   28Aug1920Polk Co T B HosPolk. Co Farm     7787325175 N
SmithMinnie 65   2Aug1920Polk Co AsylumPolk. Co Farm      7788025240 N?
  NOTE-Minnie Smith: Z has an "N' Smith; unresolved; review County Records
WilliamsGeorge 80   29Aug1920Polk Co AsylumPolk. Co Farm      7788025240 N
SillickAllen 85   17Sep1920Polk Co HosPolk County Cemetery     7789355363 N
YoungAbner 65   18Sep1920Polk Co HospitalPolk County Cemetery     7789595387 N

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