VITALS - Death Certificate of:  Warren L. Syphers; Black Rock, 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: 0500732
Death place: Black Rock
Name: Warren L. Syphers
Usual residence:
How long resident:

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date: July 24 1881
Age: 24 y 3 m 12 d
Marital status: Married
Birth place: Scranton, Iowa
Father: Unknown (Deceased)
Father's birth place: Unknown
Mother: Mrs. S. E. Syphers
Mother's birth place: Unknown
Occupation: Hostler Helper
Informant: A. J. Murrieta M.D.
Informant's address: Black Rock - Utah
Burial place: Mountain View Cemetery Ogden
Burial date: Novr 13th 1905
Undertaker: C J W Lundquist
Undertaker's address: Ogden Utah

MEDICAL CERTIFICATE OF DEATH
Death date: Nov. 9 1905
Cause: Run over by Ry. Engine Tender
Where contracted: Instantaneous death
Duration: 0 days
Contributory:
Where contracted:
Duration:
Doctor: A. J. Murrieta
Dated: 11-12 1905 Black Rock, Utah
Filed: 11.13 1905
Registrar: James Gardner