VITALS Death: K. Watada; Necles, Millard co., Utah
surname: Watada

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

Certificate Number: 0701003
Death place: Necles
Name: K. Watada
Usual residence: Necles Utah
How long resident: 6 months

PERSONAL AND STATISTICAL PARTICULARS
Sex: Male
Color: Japanese
Birth date: dont know
Age: about 35 y
Marital status: married
Birth place: Japan
Father: N. Watada
Father's birth place: Japan
Mother: Dont know
Mother's birth place: Dont know
Occupation: Laborer
Informant: E. D. Hashmoto
Informant's address: Salt Lake
Burial place: City Cemetery
Burial date: 9/4/07
Undertaker: S. D Evans
Undertaker's address: Salt Lake

MEDICAL CERTIFICATE OF DEATH
Death date: Sept. 2nd 1907
Cause: Myocarditis (Post Mortem)
Where contracted:
Duration:
Contributory:
Where contracted:
Duration:
Doctor: H. P. Kirtley
Dated: 9.3 1907 35 Mercantile Bldg
Filed: 9-5 1907
Registrar: M R Schwartz MD