VITAL - Death: Ruth Mabel Sousen; Garland, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
***********************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/ut/utfiles.htm
http://files.usgwarchives.net/ut/boxelder/vitals/deaths/1904/sousen-ruthmabel.txt
***********************************************************************
State Board of Health File No.: 36
Stamped File No.: 0400121

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

Full Name of Deceased: Ruth Mabel Sousen
Former or Usual Residence: Garland
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: 1 Nov 1903
Age: 10m14d
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Box Elder co.
Name & Birthplace of Father: Levi J. Sousen, Lima Springs, Iowa
Maiden Name & Birthplace of Mother: Maud Tanner; Clive, Tooele co.
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: J. M. Francke, M.D.
Place of Burial: Garland
Date of Burial: 16 Sep 1904
Undertaker & Address: C. J. Campbell, Garland

Date of Death: 14 Sep 1904
Attended Date: 
Time of Death: 11 am
Chief Cause of Death: asphyxia, inhaled fragmented coal
Where contracted: home
Duration: 2 hrs
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: J. M. Francke, M.D.
Date of Signature: 14 Sep 1904
Address: Garland