VITALS - Death Certificate of: Herbert Matson; Fillmore, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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Death: FHL Film # 2229072, State of Utah, Death Certificates, Millard County:

Certificate Number: 0500718
Death place: Fillmore, Millard County
Name: Herbert Matson
Usual residence: Fillmore
How long resident:

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date: March 28 1905
Age: 15 d
Marital status:
Birth place: Fillmore, Utah
Father: John Matson
Father's birth place: Norway
Mother: Elsie Millgate
Mother's birth place: Fillmore, Utah
Occupation:
Informant: Elsie Matson
Informant's address: Fillmore, Utah
Burial place: Fillmore
Burial date: April 14
Undertaker: Jesse Millgate
Undertaker's address: Fillmore, Utah
Filed:
Registrar:

MEDICAL CERTIFICATE OF DEATH
Death date: April 13 1905
Cause: Gastric Enteritis
Where contracted: Fillmore
Duration: 6 days
Contributory:
Where contracted:
Duration:
Doctor: J. C. Robison
Dated: April 14 1905 Fillmore, Utah

Permission is hereby granted to bury the body of the person above described
Health Officer: J. C. Robison
Address: Fillmore, Utah
Date: April 14 1905