DEATH CERTIFICATE: John Oscar Brand; Beaver co., Utah

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State Board of Health File No.: 14
Stamped File No.: 0400015

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

Full name of Deceased: John Oscar Brand
Former or Usual Residence: Beaver
Sex: Male
Color: white
Date of Birth: 26 Jul 1904
Age: 37y 11m
Single, Married, Widowed, Divorced: single
Birthplace: Beaver
Name of Father, Birthplace: David Brand, don't know
Maiden Name of Mother, Birthplace: Maria Vaughn, Wales

Occupation: laborer
Informant: Philip Orwin
Address: 

Place of Burial: Beaver
Date of Burial: 27 May 1904
Undertaker: Joseph Ash
Address: Beaver

Medical Certificate of Death
Date of Death: 25 May 1904
Time: 4:05 pm
Chief cause: miners consumption
Where contracted: Deburen, Nevada
Duration: 2 years
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: I. E. Huffman, M.D.
Date: 25 May 1904
Address: Beaver