VITAL - Death: Bengt Olsen; Elwood, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 33
Stamped File No.: 0400117

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

Full Name of Deceased: Bengt Olsen
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: 1 Oct 1844
Age: 59y11m7d
Single, Married, Widowed or Divorced: widowed
Name of Spouse: 
Birthplace: Sweden
Name & Birthplace of Father: Ola Swenson, Sweden
Maiden Name & Birthplace of Mother: unknown, Sweden
Occupation: farmer
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: P. M. Hansen, Elwood
Place of Burial: Bear River Cemetery
Date of Burial: 9 Sep 1904
Undertaker & Address: Sexton, N. P. Rasmussen, Bear River City

Date of Death: 7 Sep 1904
Attended Date: 
Time of Death: 9:30 am
Chief Cause of Death: consumption & general debility
Where contracted: 
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: T. M. Hansen, M.D.
Date of Signature: 
Address: