VITAL - Death: Moroni Smith Larkin; Snowville, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 49
Stamped File No.: 0400140

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

Full Name of Deceased: Moroni Smith Larkin
Former or Usual Residence: Snowville
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: 22 Sep 1904
Age: 2m27d
Single, Married, Widowed or Divorced: single
Name of Spouse: 
Birthplace: Snowville
Name & Birthplace of Father: Jos. J. Larkin, Utah
Maiden Name & Birthplace of Mother: Agnes E. Robbins, Utah
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Joseph Robbins, Snowville
Place of Burial: Snowville
Date of Burial: 20 Dec 1904
Undertaker & Address: 

Date of Death: 19 Dec 1904
Attended Date: 
Time of Death: 12:30 am
Chief Cause of Death: convultions
Where contracted: Snowville
Duration: 30 days
Contributory if any: bad cold
Where Contracted: Snowville
Duration: 15 days
Autopsy: 
Signed: Joseph Robbins
Date of Signature: 19 Dec 1904
Address: Snowville