VITALS, Death Certificate: Ada Christopherson Chritchley; Fillmore, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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Chritchley, Ada Christopherson

FHL Film # 2229075, State of Utah, Death Certificates, Millard County:

              Certificate Number:  0600869
              Death place:  Fillmore
              Name:  Ada Chritchley
              Usual residence:  
              How long resident:  

              PERSONAL AND STATISTICAL PARTICULARS
              Sex:  Female
              Color:  white
              Birth date:  October 18 1876
              Age:  29 y 10 m 12 d
              Marital status:  Married
              Birth place:  Fillmore Utah
              Father:  Charles Christopherson
              Father's birth place:  Denmark
              Mother:  Adeline Speaksman
              Mother's birth place:  Fillmore Utah
              Occupation:  House wife
              Informant:  Wm Critchley
              Informant's address:  Fillmore
              Burial place:  Fillmore
              Burial date:  Aug 23
              Undertaker:  J. H Davis
              Undertaker's address: Fillmore

              MEDICAL CERTIFICATE OF DEATH
              Death date:  Aug 29 1906
              Cause:  Mitral Regurgratations
              Where contracted:  June 15
              Duration:  64 days
              Contributory:  
              Where contracted:  
              Duration:  
              Doctor:  T. O Duckworth
              Dated:   Aug 29 1906  Fillmore
              Filed:  Oct 4 1906
              Registrar: J C Robison M.D.