VITAL - Death: Pearl Grant; Honeyville, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 28
Stamped File No.: 0400111

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

Full Name of Deceased: Pearl Grant
Former or Usual Residence: Honeyville
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: 28 Jan 1894
Age: 10y6m8d
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Honeyville
Name & Birthplace of Father: Jeddiah M. Grant; Mill Creek, Utah
Maiden Name & Birthplace of Mother: Annie K. Bowcut; Orley Green, England
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Jedediah M. Grant, Honeyville
Place of Burial: Honeyville
Date of Burial: 8 Aug 1904
Undertaker & Address: 

Date of Death: 6 Aug 1904
Attended Date: 
Time of Death: 9 pm
Chief Cause of Death: heart trouble
Where contracted: Honeyville
Duration: 180 days
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: R. B. Grant, M.D.
Date of Signature: 
Address: