Name |
Louis Ben Nelson |
Book & Page No. |
|
Registration No. |
340 |
Place of Death |
|
Residence |
|
Date of Birth |
June 18, 1884 |
Age |
22yrs 10mos 18dys |
Gender/Color |
Male |
Marital Status |
Single |
Widow |
|
Place of Birth |
|
Father |
|
Father’s Place of Birth |
|
Mother |
Rachael Larson |
Mother’s Place of Birth |
|
Occupation |
Farmer |
Informant |
|
Informant’s Address |
|
Date of Death |
05-05-1907 |
Cause of Death |
Pneumonia |
Attending Physician |
M.U. Chesire |
When Signed |
|
Place of Burial |
|
Date of Burial |
05-07-1907 |
Funeral Director |
A.E. Wilbur & Sons of |
Date of Return |
|
Local Registrar |
|
District |
|
Explanation of Cause of Death |
|