VITALS - Death Certificate of:  Ponce De Leon Quinn; 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: 0500720
Death place: Fillmore, Millard County
Name: Ponce De Leon Quinn
Usual residence: Pocatello
How long resident: 8 years

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date: July 27 1857
Age: 39 y 9 m 5 d
Marital status: Married
Birth place: Roanoke, Missouri
Father:
Father's birth place:
Mother:
Mother's birth place:
Occupation:
Informant: T. C. Callister
Informant's address: Fillmore, Utah
Burial place: Pocatello Idaho
Burial date:
Undertaker:
Undertaker's address:
Filed:
Registrar:

MEDICAL CERTIFICATE OF DEATH
Death date: May 1st 1905
Cause: Pulmonary Tuberculosis
Where contracted: Pocatello Idaho
Duration: 6 years
Contributory:
Where contracted:
Duration:
Doctor: J. C. Robison
Dated: May 2 1905 Fillmore, Utah

Permission is hereby granted to ship the body of the person above described
Health Officer: J. C. Robison
Address: Fillmore, Utah
Date: May 2 1905