|
Name |
Clarance E.C. Boardman |
|
Book & Page No. |
Book 1, p.15 |
|
Registration No. |
15 |
|
Place of Death |
|
|
Residence |
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|
Date of Birth |
|
|
Age |
25y, 10m |
|
Gender/Color |
Male |
|
Marital Status |
Single |
|
Widow |
|
|
Place of Birth |
IA |
|
Father |
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|
Father’s Place of Birth |
|
|
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 |
04-02-1888 |
|
Cause of Death |
Pleuro pneumonia |
|
Attending Physician |
H.L. Getz, MD, |
|
When Signed |
|
|
Place of Burial |
|
|
Date of Burial |
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|
Funeral Director |
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Date of Return |
04-16-1888 |
|
Local Registrar |
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|
District |
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Explanation of Cause of Death |
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