Name |
James Wolver |
Book & Page No. |
|
Registration No. |
193 |
Place of Death |
|
Residence |
|
Date of Birth |
|
Age |
5 mos, 18 dys |
Gender/Color |
Male/white |
Marital Status |
|
Widow |
|
Place of Birth |
|
Father |
|
Father’s Place of Birth |
|
Mother |
|
Mother’s Place of Birth |
|
Occupation |
|
Informant |
|
Informant’s Address |
|
Date of Death |
Dec. 16, 1889 9pm |
Cause of Death |
Pneumonia; duration 8 dys |
Attending Physician |
W.F. David of |
When Signed |
|
Place of Burial |
|
Date of Burial |
Dec. 17, 1890 |
Funeral Director |
|
Date of Return |
Jan. 4, 1890 |
Local Registrar |
|
District |
|
Explanation of Cause of Death |
|