State File No.:  175
Registered No.:  91-1933
 1. PLACE OF DEATH
    County of:  Barnes
    Township of:  140 N
                  Range 58 W
                  SW 1/4 Sec 16
 2. FULL NAME:  William [Sapharel?] Jones
    (a) Residence:  No. 4603 Blaisdale St., Minneapolis, Minn
 3. SEX:  M
 4. COLOR OR RACE:  W
 5. Single, Married, Widowed, or Divorced:  Married
 5a. If married, widowed, or divorced HUSBAND of:  Olive Jones
 6. DATE OF BIRTH:  Sept 20 1879
 7. AGE:  54 Years, 0 Months, 5 Days
OCCUPATION
 8. Trade, profession, or particular kind of work done:  Collector
 9. Industry or business in which work was done:  Farm Implements
10. Date deceased last worked at this occupation:  Sept 25 1933
11. Total time (years) spent in this occupation:  35 yrs
12. BIRTHPLACE:  Minnesota
FATHER:
13. NAME:  Thomas Jones
14. BIRTHPLACE:  Indiana
MOTHER:
15. MAIDEN NAME:  Mary [Ma??]
16. BIRTHPLACE:  Indiana
17. INFORMANT:  Mrs. W. S. Jones
    (Address):  Mpls Minn
18. BURIAL, CREMATION, OR REMOVAL
    Place:  Mpls Minn
    Date:  9-30-1933
19. UNDERTAKER:  [Halberg?] Peterson
    (Address):  Valley City, N.D.
20. FILED:  Sept 26, 1933
    [? ? ?aswell]  
    Registrar.
21. DATE OF DEATH:  9/25, 1933
22-24:  Cause of death omitted for privacy.