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| From Death Register Volume 1 1880-1897 Page E3 |
| Number | 51 | 29 May 1894 | Date Reported |
| Decedent's Given Name | Bertha | Erickson | Decedent's Surname |
| Sex | Female | White | Color |
| Date of Death | 30 Jan 1894 4 AM | Howard Twp Story Co IA | Place of Death |
| Age | 16y 10m | Occupation | |
| Marital Status | Single 4 AM | Other | |
| Nationality | American | Howard Twp Story Co IA | Place of Birth |
| Years in IA | Her life time | 10 mo | Length of Illness |
| Cause of Death | Phthisis Pulmonatis | Complication | |
| Date of Burial | 31 Jan 1894 | Roland Ia | Place of Burial |
| Undertaker | Undertaker Place | ||
| Physician | C.W. Allen | Story City Ia | Physician Residence |
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