VITAL - Death: infant Heigh; Bear River, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 77
Stamped File No.: 0400104

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

Full Name of Deceased: infant Heigh
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: 9 Jun 1904
Age: 7 hours
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Bear River City
Name & Birthplace of Father: Reeves D.Heigh, Pennsylvania
Maiden Name & Birthplace of Mother: Emma Iversen, Bear River City
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Reeves D. Heigh; Bear River City
Place of Burial: Bear River City Cemetery
Date of Burial: 10 Jun 1904
Undertaker & Address: N. P. Rasmussen, sexton, Bear River City

Date of Death: 9 Jun 1904
Attended Date: 
Time of Death: 10 am
Chief Cause of Death: premature birth
Where contracted: 
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: Sarah M. Fridal, midwife
Date of Signature: June 9, 1904
Address: Bear River City