VITALS, Death Certificate: Neils Mathias Petersen; Hinckley, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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Peterson, Niels Mathias

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

              Certificate Number:  0600856
              Death place:  Hinckley
              Name:  Neils Mathias Petersen
              Usual residence:  Hinckley
              How long resident:  

              PERSONAL AND STATISTICAL PARTICULARS
              Sex:  Male
              Color:  White
              Birth date:  March 17 1845
              Age:  61 y 1 m 13 d
              Marital status:  Married
              Birth place:  Sjeldland Denmark
              Father:  Soren Petersen
              Father's birth place:  Christiana Mathias
              Mother:  
              Mother's birth place:  
              Occupation:  Farmer
              Informant:  Mrs. N. M. Petersen
              Informant's address:  Hinckley
              Burial place:  Hinckley
              Burial date:  3 of May
              Undertaker:  
              Undertaker's address:  
              Filed:  Jul 30 1906
              Registrar:  B. W. Scott

              MEDICAL CERTIFICATE OF DEATH
              Death date:  April 30 1906
              Cause:  Cancer
              Where contracted:  
              Duration:  
              Contributory:  
              Where contracted:  
              Duration:  
              Doctor:  
              Dated:   

              Permission is hereby granted to bury/ship the body of the person above described
              Health Officer:  B. W. Scott
              Address:  Hinckley
              Date:  March 1 1906