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Page | Number | Date of Report | Last Name | First Name | Sex | Color | Age Yrs. | Age Mos. | Age Dys. | Occupation | Date of Death | Death Time | M. Status | Nationality | Where Born | No. Years in State | Place of Death | Cause of Death | Complication | Duration of Disease | Place of Burial | Date of Burial | Name of Physician | Residence of Physician | |
191 | 18 | June 6, 1883 | Quinn | Rebecca | Female | White | 34 | 4 | 2 | Housewife | May 11, 1883 | .9 | Married | Amer. | Mich | 26 | Benton Twp | Heart Disease | Pneumonia | Benton Twp | May 13, 1883 | I. S. Boles | Shellsburg, Ia |
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