VITALS - Death Certificate of: Frank Leland Warner; 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: 0400638
Report of Death in Fillmore City, Utah,
Name: Frank Leland Warner
Name of parents: Frank M. & Katie Warner
Age: Sixteen months old the 19th of Aug
When and where born: at Sink of Chalk Creek 19th of April 1903
Term of residence in city: Life time
Occupation:
Marital status:
Sex: Male
Race:
Color: Wight
Last place of residence: Fillmore
Date of death: Aug 12th 1904
Cause thereof: Stomach - Cholera Infantum, whooping cough
Name of attending physician: Dr. Duckworth
Date of Burial: Aug 14th 1904
Name of Cemetery: Fillmore
Initial letter of the plat:
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 19th day of Aug A.D. 1904
Name: Frank Warner
Address: Fillmore Milard Co Utah