Her death certificate records Rosa Belle Holloway, age 37 years 10 months 2 days, born 16 Mar 1875 in Jackson Co., Missouri, died 18 Jan 1913 in Mt. Pleasant township, Bates Co., Missouri, married, father J. H. Shrout, mother’s maiden name Richardson, birthplaces don’t know, cause of death chronic nephritis, informant C. W. Holloway, Butler, Mo, burial in Blue Springs, Mo.