|
Name |
Mable Wilson |
|
Book & Page No. |
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|
Registration No. |
88 |
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Place of Death |
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Residence |
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Date of Birth |
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Age |
1y 5m 3d |
|
Gender/Color |
Female/white |
|
Marital Status |
Single |
|
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 |
09-01-1894 11pm |
|
Cause of Death |
Acute gastritis |
|
Attending Physician |
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When Signed |
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Place of Burial |
LaMoille |
|
Date of Burial |
09-02-1894 |
|
Funeral Director |
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Date of Return |
09-05-1894 |
|
Local Registrar |
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District |
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Explanation of Cause of Death |
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