VITAL - Death: Nick Bocos; Lakeside, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 8
Stamped File No.: 0400050

Place of Death: Lakeside
Precinct of: 
City, Town or Village: Lakeside
Street and No.: 

Full Name of Deceased: Nick Bocos
Former or Usual Residence: 
How long resident at place of death: 
Length of residence in the city: 
Length of residence in the state: 

Sex: M
Color: Dark
Date of Birth: Nov. 14, 1875
Age: 28y-1m-27d
Single, Married, Widowed or Divorced: single
Name of Spouse: 
Birthplace:  St. Vassilliss, Greece
Name & Birthplace of Father: Tom Bocos, Greece
Maiden Name & Birthplace of Mother: Sophie Millonos, Greece
Occupation: laborer
Type of occupation: South Pacific Railroad
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Tomis Millonos
Place of Burial: Mountain View, Ogden, Utah
Date of Burial: Jan 17, 1904
Undertaker & Address: 

Date of Death: Jan. 10th, 1904
Attended Date: 
Time of Death: 7 pm
Chief Cause of Death: fracture right tibia at lower 1/3, tract of knee joint
Where contracted: 
Duration: 
Contributory if any: shock from injuries
Where Contracted: Lakeside
Duration: 3 hours
Autopsy: 
Signed: F. C. Pache, M.D.
Date of Signature: Jan. 11, 1904
Address: Cutoff