|
Name |
Engleborg Botnen |
|
Book & Page No. |
p. 20 |
|
Registration No. |
17 |
|
Place of Death |
|
|
Residence |
|
|
Date of Birth |
|
|
Age |
80yrs 8 mos. |
|
Gender/Color |
Female |
|
Marital Status |
Married |
|
Widow |
|
|
Place of Birth |
|
|
Father |
|
|
Father’s Place of Birth |
|
|
Mother |
|
|
Mother’s Place of Birth |
|
|
Occupation |
|
|
Informant |
|
|
Informant’s Address |
|
|
Date of Death |
01-31-1899 |
|
Cause of Death |
LaGrippe |
|
Attending Physician |
|
|
When Signed |
|
|
Place of Burial |
|
|
Date of Burial |
|
|
Funeral Director |
|
|
Date of Return |
03-10-1900 |
|
Local Registrar |
|
|
District |
|
|
Explanation of Cause of Death |
|