VITALS Death: Goldie Wasden; Scipio, Millard co., Utah
surname: Wasden, Robins

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

Certificate Number: 0700980
Death place: Scipio
Name: Goldie Wasden
Usual residence: Scipio
How long resident: 2 Mo 29 days

PERSONAL AND STATISTICAL PARTICULARS
Sex: Female
Color: White
Birth date: Feb 7 1907
Age: 2 m 29 d
Marital status: Single
Birth place: Scipio Utah
Father: F. L. Wasden
Father's birth place: Scipio Utah
Mother: Frances E Robins
Mother's birth place: Scipio Utah
Occupation: None
Informant: F. L. Wasden
Informant's address: Scipio Utah
Burial place: Scipio Cemetery
Burial date: May 7" 1907
Undertaker: act F. L. Wasden
Undertaker's address: Scipio Utah

MEDICAL CERTIFICATE OF DEATH
Death date: May 6' 1907
Cause: Bronchitis
Where contracted: Scipio
Duration:
Contributory:
Where contracted:
Duration:
Doctor: Adolph Hanseen Registrar
Dated: May 7 1907 Scipio
Filed: May 7 1907
Registrar: Adolph Hanseen