VITALS - Death Certificate of:  Lester Brunson; Fillmore, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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FHL Film # 2230661, State of Utah, Death Certificates, Millard County:
Certificate Number: 0400645
Death place: Fillmore
Name: Lester Brunson
Usual residence: Fillmore, Utah
How long resident: Whole life

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date: August 15th 1891
Age: 13 y 1 m 12 d
Marital status: single
Birth place: Fillmore, Millard co.
Father: John Brunson
Father's birth place: Fillmore, Utah
Mother: Jane Wilden
Mother's birth place: Fillmore, Utah
Occupation: Assisting father on farm
Informant: J. C. Robison, M.D.
Informant's address: Fillmore, Utah
Burial place: Fillmore,
Burial date: Dec. 29 1904
Undertaker: Joseph Squire
Undertaker's address: Fillmore, Utah
Filed: Jan 3rd 1905
Registrar: Rufus Day Co Clerk

MEDICAL CERTIFICATE OF DEATH
Death date: Dec. 27th 1904
Cause: Typhoid Fever
Where contracted: Fillmore
Duration: 28 days
Contributory: Pneumonia
Where contracted: Fillmore
Duration: 2 days
Doctor: J. C. Robison, M.D.
Dated: Dec 29 1904, Fillmore, Utah

Permission is hereby granted to bury/ship the body of the person above described
Health Officer: J. C. Robison, M.D.
Address: Fillmore, Utah
Date: Dec 29 1904