VITAL - Death: Ceclia Olson; Brigham City, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 46
Stamped File No.: 0400135

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

Full Name of Deceased: Ceclia Olson
Former or Usual Residence: 
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: widow
Age: 78y
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Sweden
Name & Birthplace of Father: 
Maiden Name & Birthplace of Mother: 
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: C. W. Davidson, City physician, Brigham City
Place of Burial: 
Date of Burial: 
Undertaker & Address: 

Date of Death: 10 Dec 1904
Attended Date: 
Time of Death: 
Chief Cause of Death: old age
Where contracted: 
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: C. W. Davidson
Date of Signature: 10 Dec 1904
Address: Brigham City