DEATH CERTIFICATE: Ernest W. McAulay; Beaver co., Utah

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State Board of Health File No.: 27
Stamped File No.: 0400029

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: Ernest W. McAulay
Former or Usual Residence: 
Sex: male
Color: white
Date of Birth: 27 Aug 1901
Age: 3y 0m 2d
Single, Married, Widowed, Divorced: single
Birthplace: Frisco
Name of Father, Birthplace: Alex. D. McAulay, Victoria co., Canada
Maiden Name of Mother, Birthplace: Lizzie Watkins, England

Occupation: 
Informant: F. H. Lay
Address: Frisco

Place of Burial: Frisco
Date of Burial: 31 Aug 1904
Undertaker: none
Address: 

Medical Certificate of Death
Date of Death: 29 Aug 1904
Time: 5 pm
Chief cause: acute meningitis
Where contracted: Frisco
Duration: 2 days
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: F. H. Lay, M.D.
Date: 29 Aug 1904
Address: Frisco