VITALS Death: Ethel Rasmussen; Fillmore, Millard co., Utah
surname: Rasmussen, Payne

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

Certificate Number: 0700994
Death place: Fillmore
Name: Ethel Rasmussen
Usual residence: --
How long resident: --

PERSONAL AND STATISTICAL PARTICULARS
Sex: f
Color: w
Birth date: 7 17 1907
Age: - y - m - d
Marital status: --
Birth place: Fillmore
Father: Lars Rasmussen
Father's birth place: Fillmore
Mother: May Payne
Mother's birth place: Fillmore
Occupation: --
Informant: Lars Rasmussen
Informant's address: Fillmore
Burial place: Fillmore
Burial date: July 18 - 1907
Undertaker: John H Davies
Undertaker's address: Fillmore

MEDICAL CERTIFICATE OF DEATH
Death date: 7 17 1907
Cause: Still born
Where contracted:
Duration:
Contributory:
Where contracted:
Duration:
Doctor: AM Dwight
Dated: Apr 1 1909 Fillmore
Filed: Apr 1 1909
Registrar: AM Dwight