I contacted two Itasca Co. sources, the Itasca Co. Recorder's office as well as Libbey Funeral Home. Libbey Funeral Home provided funeral services. Between the two sources, this is the info contained in their records:
Age: Estimated at 47 yr.
b. Unknown date
Marital status: Single
Buried: Itasca Calvary Cemetery, Gr. Rapids, Mn.
If I may be of further assistance:firstname.lastname@example.org
Residence: Goodland, Mn.
Occupation: Farmer helper
Location of death: Not specified
Informant: Thomas Russell, M.D.
Cause of death: Pneumonia