Blaine, John | |
| Address | |
| Age | 62 | 
| Race | |
| Sex | M | 
| Widowed | |
| Single | |
| Military Service | |
| Married | X | 
| Place of Birth | |
| Date of Death | 9/14/1912 | 
| Date of Burial | 9/16/1912 | 
| Section | 1 | 
| Lot Number | S/G | 
| Grave | S/G #23 | 
| Lot Owner | |
| Lot Book | |
| Page Number | |
| Interment Book | 1 | 
| Page Number | 34 | 
| Funeral Home | |
| Next of Kin |