DEATH CERTIFICATE: Edward Hall; Beaver co., Utah

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State Board of Health File No.: 34
Stamped File No.: 0400036

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: Edward Hall
Former or Usual Residence: Beaver, since birth
Sex: male
Color: white
Date of Birth: 25 Mar 1883
Age: 21y 7m
Single, Married, Widowed, Divorced: single
Birthplace: Beaver
Name of Father, Birthplace: Henry Hall, England
Maiden Name of Mother, Birthplace: Eliza Shelton, Cedar City, Iron co., Utah

Occupation: laborer
Informant: Edward Hall
Address: 

Place of Burial: Beaver
Date of Burial: 25 Sep 1904
Undertaker: Jos. Ash
Address: Beaver

Medical Certificate of Death
Date of Death: 22 Sep 1904
Time: 9 pm
Chief cause: neuroses
Where contracted: Beaver
Duration: 18 months
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: Jno. Ward Christian, M.d.
Date: 23 Sep 1904
Address: Beaver