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Show STATE OF UTAH No. 85676 CERTIFICATE OF DEATH State Board of Health 1. PLACE OF DEATH County Davis Precinct Centerville or Tovm or City Centerville 2. FULL NAME Elizabeth MUles Whitalcer 3. Residence: No. St. , Centerville (Usual place of abode) File No . Lf 3 No. --, st. Ward (If death occurred in a hospital or in stitution, give its NA!I.E instead of street and number) (If non-resident gi:ve city, or town and state) , (b) How lone in u.S. if of foreign birth? Year::; Months Days 96 (a) Length of residence in city or tovm where death occured Years Months Days 79 9 PERSONAL AND STATISTICAL PARTICULARS MEDICAL CERTIFI CATE OF DEATH 19 DATE OF DEATH 5.COLOR OR RACE 6. SINGLE 4. SEX June 7, 1937 Vlhi te MARRIED, WIDOW- ~onth,day, and year) Female ED ,or DIVORCED 20 I HEREBy CERTIFY , That I attended (Wr ite the \'lord ) djceased from May 26 1937 , to Moy 26 Widowed 193 7. I I last saw het alive on May 26 1937 ; ba If Married, Widowed, or Divorced death occured on the date stated above , HUSBAND OF (or) WIFE OF Thomas Whitaker at 8:;30 P. M. The principal cause of death and related 7 DATE OF BIRTH (mon tn, day, and yea r causes of importance were as folloRS: March 7, 1839 Duration 1 Yr,s. ·Mos. Ds. Days If LESS Years Months o than 98 3 Sev.yrs. IdEW,- Myocarditis hrs. Q.r _min? Ot her contributory causes of importance: .I nfluen za 1 |
