Certificate D63 360026
Name of Deceased:  George W. Pancake
Place of Death:  Malta Hospital, Malta, Phillips County
Usual Residence:  Malta, Phillips County, Montana
Date of Death:  June 4, 1963
Sex:  Male   Color or Race:  Cauc.   Marital Status:  Married
Date of Birth:  Aug. 6, 1883
Age in years:  79
Occupation:  Farmer
Birthplace:  Forest City, Minnesota
Father's Name:  George W. Pancake, Sr.
Mother's Name:  Della Brower
Was Deceased ever in U.S. Armed Forces?:  No
Social Security No.:  517-14-7213
Informant:  Alvina Pancake, Malta, Montana
Burial:  6/8/63, Malta Cemetery, Malta, Montana
Funeral Director:  Bell Funeral Home, Malta, Mont.   Lic. No.:  618