VITALS - Death Certificate of:  Daniel Kelleher; Deseret, 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: 0400640
Death place: Deseret
Name: Daniel Kelleher
Usual residence:
How long resident:

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date:
Age: 56 y
Marital status: Single
Birth place: Ohio
Father:
Father's birth place:
Mother:
Mother's birth place:
Occupation: Miner
Informant:
Informant's address:
Burial place: Mt. Calvery Cem
Burial date: Sept 7, 1904
Undertaker: O'Donnell & Co.
Undertaker's address: Salt Lake City, Utah.
Filed: Sept 8 1904
Registrar: M R Brothers

MEDICAL CERTIFICATE OF DEATH
Death date: Sept. 3 1904
Cause: Uremia
Where contracted:
Duration:
Contributory:
Where contracted:
Duration:
Doctor: E. F. Roote
Dated: Salt Lake City

Permission is hereby granted to bury/ship the body of the person above described
Health Officer: Chas. F Wilcox
Address:
Date: Sept 8th 1904