|
Name |
Mrs. J.W. Anderson |
|
Book & Page No. |
Book 2, p.1 |
|
Registration No. |
4 |
|
Place of Death |
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Residence |
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Date of Birth |
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|
Age |
56y |
|
Gender/Color |
Female/white |
|
Marital Status |
Widowed |
|
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 |
12-24-1891 6pm |
|
Cause of Death |
Valvular disease of heart; duration 2y |
|
Attending Physician |
G.W. Harris, |
|
When Signed |
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Place of Burial |
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Date of Burial |
12-27-1891 |
|
Funeral Director |
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Date of Return |
01-05-1892 |
|
Local Registrar |
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District |
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Explanation of Cause of Death |
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