VITAL - Death: Karl Wilcox; Fielding, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
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State Board of Health File No.: 50
Stamped File No.: 0400142

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

Full Name of Deceased: Karl Wilcox
Former or Usual Residence: Fielding
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: 27 Apr 1904
Age: 7m27d
Single, Married, Widowed or Divorced: 
Name of Spouse: 
Birthplace: Utah
Name & Birthplace of Father: Ebenezer O. Wilcox, Utah
Maiden Name & Birthplace of Mother: Abigail A. Abbott, Utah
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Ebenezer O. Wilcox
Place of Burial: Fielding
Date of Burial: 25 Dec 1904
Undertaker & Address: 

Date of Death: 24 Dec 1904
Attended Date: 
Time of Death: 7:15 am
Chief Cause of Death: pneumonia
Where contracted: Fielding
Duration: 9 days
Contributory if any: none
Where Contracted: 
Duration: 
Autopsy: 
Signed: Wm. G. Friday
Date of Signature: 24 Dec 1904
Address: Collinston