DEATH CERTIFICATE: Marcus L. Shepherd; Beaver co., Utah

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State Board of Health File No.: 4
Stamped File No.: 0400003

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: Marcus L. Shepherd
Former or Usual Residence: Beaver
Sex: male
Color: white
Date of Birth: (1825)
Age: 79 years
Single, Married, Widowed, Divorced: married
Birthplace: 
Name of Father, Birthplace: 
Maiden Name of Mother, Birthplace: 

Occupation: farmer
Informant: 
Address: 

Place of Burial: Beaver
Date of Burial: 7 Feb 1904
Undertaker: 
Address: 

Medical Certificate of Death
Date of Death: 5 Feb 1904
Time: 9 am
Chief cause: appoplexy
Where contracted: Beaver
Duration: 0 days
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: D. E. Huffman, M.D.
Date: 7 Feb 1904
Address: Beaver