Transcript of original death record:
1922, cert. 6340
Died: 05 Feb 1922, village of Dawson, Sangamon Co., Illinois
Female, white, widowed
Husband William H. Lewis
Born: 18 Jul 1835 Illinois, age 86 years, 6 mo, 18 days
Father: John Davidson, birth not known
Mother: Not known
Informant: Mrs. W. H. Tribby (?), Springfield, Illinois
Cause of death: broncho pneumonia, duration 2 weeks. Contributory: senility.
Dr. W. Mayes, Dawson, Illinois.
Buried: Constant Cemetery, 07 Feb 1922, by John E. Fullenwider, Mechanicsburg.