VITALS Death: Bert Roberts; Kanosh, Millard co., Utah
surname: Roberts, Mundy

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

Certificate Number: 0700996
Death place: Kanosh
Name: Bert Roberts
Usual residence:
How long resident: from Birth

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: White
Birth date: July 19th 1907
Age: 17 d
Marital status: Infant
Birth place: Kanosh
Father: Charles Willis Roberts
Father's birth place: Springville Utah
Mother: Gertrude Lydia Mundy
Mother's birth place: Bonley Pool Wales
Occupation: -- --
Informant: Gertrude Lydia Mundy
Informant's address: Kanosh Utah
Burial place: Kanosh Cemetery
Burial date: Aug'st 6th 1907
Undertaker: Alonzo Roberts
Undertaker's address: Kanosh Utah

MEDICAL CERTIFICATE OF DEATH
Death date: Aug'st 5th 1907
Cause: Blood Poison
Where contracted: No Attending Physician
Duration:
Contributory:
Where contracted:
Duration:
Doctor: James Gardner
Dated: Sep'r 5th 1907 Kanosh Utah
Filed: Sep'r 5th 1907
Registrar: James Gardner