VITAL - Death: infant Hardy; Fielding, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 
Stamped File No.: 0400097

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

Full Name of Deceased: infant Hardy
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: white
Date of Birth: 18 Sep 1903
Age: 7m12d
Single, Married, Widowed or Divorced: single
Name of Spouse: 
Birthplace: Fielding
Name & Birthplace of Father: W. J. Hardy, Farmington, UT
Maiden Name & Birthplace of Mother: Susan Wilcox, Farmington, UT
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: W. J. Hardy, Fielding
Place of Burial: Fielding
Date of Burial: 2 May 1904
Undertaker & Address: 

Date of Death: 30 Apr 1904
Attended Date: 
Time of Death: 9 pm
Chief Cause of Death: whooping cough & pneumonia
Where contracted: Fielding
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: E. J. Wilcox, mother
Date of Signature: 8 May 1904
Address: Fielding