|
Name |
William Adams, Sr. |
|
Book & Page No. |
Book 2, p.1 |
|
Registration No. |
1 |
|
Place of Death |
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Residence |
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Date of Birth |
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Age |
83y, 7m, 9d |
|
Gender/Color |
Male/white |
|
Marital Status |
Married |
|
Widow |
|
|
Place of Birth |
NC, resident of IA 39y |
|
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 |
Farmer |
|
Informant |
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Informant’s Address |
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Date of Death |
10-10-1891 8pm |
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Cause of Death |
A complication of plueresy, diarrhea & heart failure |
|
Attending Physician |
Carey, |
|
When Signed |
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Place of Burial |
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Date of Burial |
10-12-1891 |
|
Funeral Director |
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Date of Return |
11-19-1891 |
|
Local Registrar |
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District |
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Explanation of Cause of Death |
Hernia as complication; duration 1 week |