|
Name |
|
|
Book & Page No. |
Book 2, p.76 |
|
Registration No. |
79 |
|
Place of Death |
Timber Creek Twp. |
|
Residence |
|
|
Date of Birth |
|
|
Age |
74y, 5m, 27d |
|
Gender/Color |
Male/white |
|
Marital Status |
Married |
|
Widow |
|
|
Place of Birth |
N. Hampshire |
|
Father |
|
|
Father’s Place of Birth |
|
|
Mother |
|
|
Mother’s Place of Birth |
|
|
Occupation |
|
|
Informant |
|
|
Informant’s Address |
|
|
Date of Death |
11-03-1898 |
|
Cause of Death |
Typhoid fever |
|
Attending Physician |
|
|
When Signed |
|
|
Place of Burial |
|
|
Date of Burial |
|
|
Funeral Director |
|
|
Date of Return |
03-18-1899 |
|
Local Registrar |
|
|
District |
|
|
Explanation of Cause of Death |
|