VITAL - Death: Linda Irene Holtman; Yost, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 37
Stamped File No.: 0400122

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

Full Name of Deceased: Linda Irene Holtman
Former or Usual Residence: Yost
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: 18 Nov 1899
Age: 4y10m8d
Single, Married, Widowed or Divorced: single
Name of Spouse: 
Birthplace: Murray, Utah
Name & Birthplace of Father: Martin F. Holtman, Sweden
Maiden Name & Birthplace of Mother: Irene May Bird, Murray
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Martin F. Holtman, Yost
Place of Burial: Yost
Date of Burial: 28 Sep 1904
Undertaker & Address: Charles Yost, Yost

Date of Death: 26 Sep 1904
Attended Date: 
Time of Death: 5:30pm
Chief Cause of Death: pneumonia
Where contracted: at home
Duration: 1 day
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: Henry J. Bird
Date of Signature: 28 Sep 1904
Address: Yost