|
Name |
Cora A. Ackley |
|
Book & Page No. |
Book 1, p.2 |
|
Registration No. |
5 |
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Place of Death |
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Residence |
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Date of Birth |
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Age |
13m, 9d |
|
Gender/Color |
Female/white |
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Marital Status |
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|
Widow |
|
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Place of Birth |
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|
Father |
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Father’s Place of Birth |
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Mother |
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|
Mother’s Place of Birth |
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Occupation |
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Informant |
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Informant’s Address |
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Date of Death |
04-15-1887 9am |
|
Cause of Death |
Pneumonia, duration few days |
|
Attending Physician |
W.J. Ward, MD, Gilman |
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When Signed |
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Place of Burial |
Gilman |
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Date of Burial |
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Funeral Director |
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Date of Return |
04-20-1887 |
|
Local Registrar |
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District |
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Explanation of Cause of Death |
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