VITALS - Death Certificate of:  Hortense Melville; 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: 0500717
Death place: Fillmore, Millard County
Name: Sadie Hortense Melville
Usual residence: Fillmore
How long resident: All her life

PERSONAL AND STATISTICAL PARTICULARS
Sex: Female
Color: White
Birth date: August 17 1894
Age: 10 y 7 m 11 d
Marital status: Single
Birth place: Fillmore, Utah
Father: Cannon Melville
Father's birth place: Fillmore, Utah
Mother: Mary McBride
Mother's birth place: Fillmore, Utah
Occupation:
Informant: George Melville
Informant's address: Fillmore, Utah
Burial place: Fillmore, Utah
Burial date: March 30 1905
Undertaker: Jesse Millgate
Undertaker's address: Fillmore, Utah
Filed:
Registrar:

MEDICAL CERTIFICATE OF DEATH
Death date: March 28 1905
Cause: Chronic Valvular Heart Disease
Where contracted:
Duration: several years
Contributory:
Where contracted:
Duration:
Doctor: J. C. Robison
Dated: March 30 1905

Permission is hereby granted to bury the body of the person above described
Health Officer: J. C. Robison
Address: Fillmore, Utah
Date: March 30 1905