Name |
Emma Hazel Boardman |
Book & Page No. |
Book 1, p.17 |
Registration No. |
27 |
Place of Death |
|
Residence |
|
Date of Birth |
|
Age |
1y, 3m |
Gender/Color |
Female/white |
Marital Status |
Single |
Widow |
|
Place of Birth |
|
Father |
|
Father’s Place of Birth |
|
Mother |
|
Mother’s Place of Birth |
|
Occupation |
|
Informant |
|
Informant’s Address |
|
Date of Death |
03-03-1889 |
Cause of Death |
Tubrenlosis of the brain |
Attending Physician |
I.H. Fry, |
When Signed |
|
Place of Burial |
|
Date of Burial |
|
Funeral Director |
|
Date of Return |
09-30-1889 |
Local Registrar |
|
District |
|
Explanation of Cause of Death |
|