VITAL - Death: Carris Thomas Harper; North Ward, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 31
Stamped File No.: 0400115

Place of Death: 
Precinct of: 
City, Town or Village: North Ward
Street and No.: RFD No. 1

Full Name of Deceased: Carris Thomas Harper
Former or Usual Residence: North Ward
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: 3 Feb 1904
Age: 6m23d
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Box Elder co.
Name & Birthplace of Father: Hyrum Harper, Box Elder co.
Maiden Name & Birthplace of Mother: Mildred Toyrr, Kelton
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Hyrum Harper, Brigham
Place of Burial: North Ward
Date of Burial: 28 Aug 1904
Undertaker & Address: 

Date of Death: 26 Aug 1904
Attended Date: 
Time of Death: 10:20 am
Chief Cause of Death: summer complaint
Where contracted: at home
Duration: 9 days
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: Thomas Yates, M.D.
Date of Signature: 4 Sep 1904
Address: