VITAL - Death: Emily Hannah Crowther; Elwood, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 52
Stamped File No.: 0400144

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

Full Name of Deceased: Emily Hannah Crowther
Former or Usual Residence: Elwood
How long resident at place of death: 
Length of residence in the city: 
Length of residence in the state: 

Sex: female
Color: white
Date of Birth: 26 Mar 1890
Age: 14y10m4d
Single, Married, Widowed or Divorced: single
Name of Spouse: 
Birthplace: Wayne co. Utah
Name & Birthplace of Father: Richard Crowther, England
Maiden Name & Birthplace of Mother: Esther R. Price, England
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Parley W. Christensen, Elwood
Place of Burial: Elwood
Date of Burial: 1 Jan 1905
Undertaker & Address: 

Date of Death: 30 Dec 1904
Attended Date: 
Time of Death: 9:30 pm
Chief Cause of Death: pneumonia
Where contracted: Elwood
Duration: 14 days
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: 
Date of Signature: 
Address: