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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 | |
180 | 13 | November 13, 1880 | Utlie | Sarah | Female | White | 37 | 9 | 3 | Housewife | October 18, 1880 | Married | Pa. | 20 | Union Twp, Benton Co, Iowa | Epilepsy, a fall in a?? of which abortion followed | one week | Salem Church grave yard | October 21, 1880 | N. Jasper Jones | Blairstown, Iowa |
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