VITALS - Death Certificate of: Lloyd Clark Holbrook; Fillmore, 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:  0500715
Death place:  Fillmore
Name:  Lloyd Clark Holbrook
Usual residence:  Fillmore
How long resident:  All his life

PERSONAL AND STATISTICAL PARTICULARS
              Sex:  Male
              Color:  White
              Birth date:  May 2 1903
              Age:  1 y 10 m 13 d
              Marital status:  Single
              Birth place:  Fillmore, Utah
              Father:  Grantly Holbrook
              Father's birth place:  Fillmore, Utah
              Mother:  Jesse Mitchell
              Mother's birth place:  Fillmore, Utah
              Occupation:  
              Informant:  Grantly Holbrook
              Informant's address:  Fillmore, Utah
              Burial place:  Fillmore
              Burial date:  March 16, 05
              Undertaker:  Jesse Millgate
              Undertaker's address:  Fillmore, Utah
              Filed:  
              Registrar: 

MEDICAL CERTIFICATE OF DEATH
              Death date:  March 15 1905
              Cause:  Splenic leukemia
              Where contracted:  Fillmore
              Duration:  40 days
              Contributory:  
              Where contracted:  
              Duration:  
              Doctor:  J. C. Robison
              Dated:  March 15, 1905
              Permission is hereby granted to bury/ship the body of the
person above described
              Health Officer:  J. C. Robison
              Address:  Fillmore, Utah
              Date:  March 15, 1905