VITALS - Death Certificate of: Collmore Bushnell; Meadow, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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FHL Film # 2229072, State of Utah, Death Certificates, Millard County:
              
Certificate Number:  0500735
              Death place:  Meadow
              Name:  Collmore Bushnell
              Usual residence:  Meadow
              How long resident:  
              
PERSONAL AND STATISTICAL PARTICULARS
              Sex:  Male
              Color:  White
              Birth date:  Jany 6 1901
              Age:  4 y 10 m 30 d
              Marital status:  
              Birth place:  Meadow Millard
              Father:  Edward B Bushnell
              Father's birth place:  Fillmore Utah
              Mother:  Catherine Davie
              Mother's birth place:  Fillmore Utah
              Occupation:  
              Informant:  Edward B Bushnell
              Informant's address:  Meadow Utah
              Burial place:  Meadow Cemetary
              Burial date:  Dec 7, 1905
              Undertaker:  
              Undertaker's address:  
              
MEDICAL CERTIFICATE OF DEATH
              Death date:  Dec 5 1905
              Cause:  Perclumtpin d Meningitis
              Where contracted:  Meadow
              Duration:  15 days
              Contributory:  Typhoid and Pneumonia
              Where contracted:  Meadow
              Duration:  15 days
              Doctor:  T. C. Duckworth
              Dated:  Dec 5 1905  Fillmore Ut
              Filed:  
              Registrar: Neil M. Stewart