DEATH CERTIFICATE: Thomas Frazer; Beaver co., Utah

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State Board of Health File No.: 8
Stamped File No.: 0400010

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: Thomas Frazer
Former or Usual Residence: 
Sex: male
Color: white
Date of Birth: 11 May 1825
Age: 82y 7m 6d
Single, Married, Widowed, Divorced: married
Birthplace: Clunie, Scotland
Name of Father, Birthplace: David Frazer, Scotland
Maiden Name of Mother, Birthplace: don't know, Scotland

Occupation: mason
Informant: Henry Frazer
Address: Beaver

Place of Burial: Beaver City
Date of Burial: 
Undertaker: 
Address: 

Medical Certificate of Death
Date of Death: 16 Mar 1904
Time: 1 am
Chief cause: old age
Where contracted: Beaver
Duration: 6 months
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: I. E. Huffman, M.D.
Date: 17 Mar 1904
Address: Beaver