DEATH CERTIFICATE: Narva Shepherd; Beaver co., Utah

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State Board of Health File No.: 16
Stamped File No.: 0400017

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: Marva Shepherd
Former or Usual Residence: 
Sex: female
Color: white
Date of Birth: 27 May 1904
Age: 1 day
Single, Married, Widowed, Divorced: single
Birthplace: Beaver
Name of Father, Birthplace: Lyman Shepherd, California
Maiden Name of Mother, Birthplace: SArah Ann Stoney, England

Occupation: 
Informant: L. A. Shepherd
Address: 

Place of Burial: Mountain View, Beaver
Date of Burial: 29 May 1904
Undertaker: Joseph Ash
Address: Beaver City

Medical Certificate of Death
Date of Death: 28 May 1904
Time: 10 pm
Chief cause: atelectaus
Where contracted: 
Duration: 
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: I. E. Huffman, M.D.
Date: 29 May 1904
Address: Beaver