DEATH CERTIFICATE: Mat Bertlin; Beaver co., Utah

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State Board of Health File No.: 17
Stamped File No.: 0400018

Place of Death
County of: Beaver
City, Town or Village: Frisco
Street and No.: 
If in Hospital or Institution, give name: 

Full name of Deceased: Mat Bertlin
Former or Usual Residence: Frisco, for about last 5 years
Sex: male
Color: white
Date of Birth: 
Age: 51 years last birthday
Single, Married, Widowed, Divorced: married
Birthplace: Bertby, Wora, Finland
Name of Father, Birthplace: 
Maiden Name of Mother, Birthplace: 

Occupation: miner
Informant: G. A. Murdock, J.P.
Address: Frisco

Place of Burial: Frisco
Date of Burial: 7 Jun 1904
Undertaker: 
Address: 

Medical Certificate of Death
Date of Death: 6 Jun 1904
Time: 9:30 pm
Chief cause: heart failure
Where contracted: Frisco
Duration: 
Contributory if any: general debility
Where contracted: Frisco
Duration: 
Signed Doctor: G. A. Murdock, coroner
Date: 14 Jun 1904
Address: Frisco