VITAL - Death: Joseph A. Christensen; Brigham City, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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note: transcribed from deteriorating original document
State Board of Health File No.: 61
Stamped File No.: 0400107

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

Full Name of Deceased: Joseph A. Christensen
Former or Usual Residence: 
How long resident at place of death: 
Length of residence in the city: 
Length of residence in the state: 

Sex: male
Color: 
Date of Birth: 
Age: 32y3m3d
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: 
Name & Birthplace of Father: 
Maiden Name & Birthplace of Mother: 
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: C. M. Christensen; Cache Junction
Place of Burial: Newton, Cache co.
Date of Burial: Jul 1904
Undertaker & Address: Lorenzo N. Stott, Brigham City

Date of Death: 20 Jul 1904
Attended Date: 
Time of Death: 
Chief Cause of Death: appendicitis
Where contracted: 
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: E. A. Rich, M.D.
Date of Signature: 20 Jul 1904
Address: Brigham City