VITALS - Death Certificate of: Brigham Byron Clark; Leamington, 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:  0500726
              Death place:  Leamington
              Name:  Brigham Byron Clark
              Usual residence:  Lemington, Utah
              How long resident:  21 days
              
PERSONAL AND STATISTICAL PARTICULARS
              Sex:  male 
              Color:  white
              Birth date: July 21st 1905 
              Age:  21 d
              Marital status:  Single
              Birth place:  Leamington
              Father:  Brigham Clark
              Father's birth place:  Santiquin Utah
              Mother:  Hilma Elizabeth Sorrenson
              Mother's birth place:  Payson Utah
              Occupation:  day Laborer
              Informant:  Hilma E Clark
              Informant's address:  Leamington Utah
              Burial place:  Leamington Utah
              Burial date:  August 12 1905
              Undertaker:  none
              Undertaker's address:  
              
MEDICAL CERTIFICATE OF DEATH
              Death date:  August 11, 1905
              Cause:  Convulsions & constipation
              Where contracted:  at Lemington
              Duration:  7 days
              Contributory:  
              Where contracted:  
              Duration:  
              Doctor:  Hilma E. Clark Mother of deceased
              Dated:  Aug 27 1905  Lemington Utah
              Filed:  August 15 1905
              Registrar: Mable J Overson Deputy