VITALS Death: Albert Irvin Bushnell; Meadow, Millard co., Utah
surname: Bushnell, Deardon

submitted by Stephen D. Robison (kinseeker @ hotmail.com)
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FHL Film # 2229077, State of Utah, Death Certificates, Millard County:

Certificate Number:  0701017
Death place:  Meadow
Name:  Albert Irvin Bushnell
Usual residence:  Meadow
How long resident:  11 years

PERSONAL AND STATISTICAL PARTICULARS
Sex:  Male
Color:  White
Birth date:  22 March 1906
Age:  11 y 9 m 7 d
Marital status:  Single
Birth place:  Meadow
Father:  Daniel B Bushnell
Father's birth place:  Fillmore
Mother:  Susan Deardon
Mother's birth place:  Fillmore
Occupation:  
Informant:  Daniel B Bushnell
Informant's address:  Meadow
Burial place:  Meadow Cemetary
Burial date:  Dec 30th, 1907
Undertaker:  
Undertaker's address:  

MEDICAL CERTIFICATE OF DEATH
Death date:  Dec 29 1907
Cause:  Pneumonia
Where contracted:  at Meadow
Duration:  12 Days
Contributory:  Sevire Cold
Where contracted:  
Duration:  
Doctor:  Neil M Stewart health officer
Dated:   Dec 31 1907  Meadow Utah
Filed:  Dec 31 1907
Registrar:  Neil M Stewart