VITALS - Death Certificate of:  John Kelly; 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: 0400636
Report of Death in Fillmore City, Utah,
Name: John Kelly
Name of parents: Elizabeth and John Kelly
Age: eighty
When and where born: Kilmarnock
Term of residence in city: Forty
Occupation: Merchant
Marital status: married
Sex: Male
Race: Caucasian
Color: white
Last place of residence: Fillmore
Date of death: Aug 5 - 1904
Cause thereof: general debility
Name of attending physician:
Date of Burial: Aug 6 - 1904
Name of Cemetery: Fillmore
Initial letter of the plat: A
Number of the Block:
Number of Lot:
Informant:

I hereby certify that the foregoing is a true and correct copy of my Register of Death, recorded by me
this 16 day Aug. A.D. 1904
Name: M. M. Kelly
Address: Fillmore, Utah