VITAL - Death: Clarence Wheeler; Fielding, 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/wheeler-clarence.txt
***********************************************************************
State Board of Health File No.: 47
Stamped File No.: 0400136

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

Full Name of Deceased: Clarence Wheeler
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: 13 Dec 1904
Age: 4m1d
Single, Married, Widowed or Divorced: baby
Name of Spouse: 
Birthplace: Fielding
Name & Birthplace of Father: Calvin Wheeler Jr, North Ogden
Maiden Name & Birthplace of Mother: Margret E. Barker, North Ogden
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Calvin Wheeler Jr.
Place of Burial: Fielding
Date of Burial: 14 Dec 1904
Undertaker & Address: James H. Hess, Fielding

Date of Death: 13 Dec 1904
Attended Date: 
Time of Death: 10 am
Chief Cause of Death: intestinal trouble
Where contracted: 
Duration: 
Contributory if any: hernia
Where Contracted: 
Duration: 
Autopsy: 
Signed: Wm. G. Friday
Date of Signature: 14 Dec 1904
Address: Collinston