DEATH CERTIFICATE: Maggie Johnson; Beaver co., Utah submitted by anonymous donor ************************************************************************ USGENWEB ARCHIVES(tm) NOTICE: All documents placed in the USGenWeb Archives remain the property of the contributors, who retain publication rights in accordance with US Copyright Laws and Regulations. In keeping with our policy of providing free information on the Internet, these documents may be used by anyone for their personal research. They may be used by non-commercial entities so long as all notices and submitter information is included. These electronic pages may NOT be reproduced in any format for profit. Any other use, including copying files to other sites, requires permission from the contributors PRIOR to uploading to the other sites. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. http://www.usgwarchives.net/ut/utfiles.htm *********************************************************************** State Board of Health File No.: 13 Stamped File No.: 0400014 Place of Death County of: Beaver City, Town or Village: Adamsville Street and No.: If in Hospital or Institution, give name: Full name of Deceased: Maggie Johnson Former or Usual Residence: Sex: female Color: white Date of Birth: 14 Oct 1882 Age: 27y 7m Single, Married, Widowed, Divorced: married Birthplace: Adamsville Name of Father, Birthplace: David James, Wales Maiden Name of Mother, Birthplace: SArah A. Griffith, Wales Occupation: housewife Informant: John R. Griffiths Address: Adamsville Place of Burial: Date of Burial: Undertaker: Address: Medical Certificate of Death Date of Death: 14 May 1904 Time: 12 pm Chief cause: corea Where contracted: Adamsville Duration: 14 days Contributory if any: miscarriage Where contracted: Duration: Signed Doctor: I. E. Huffman, M.D. Date: 14 May 1904 Address: Beaver