Louisa Talitha Holloway KELLEY
(February 13, 1865 - February 6, 1902)

DEATH CERTIFICATE INFORMATION

Place of Death:
County of Arapahoe
City or Town of Denver
Street and Number 619 -19th St.
State of Colorado
If in Hospital or Institution, give its name: ______________________________

Full Name of Deceased:
Louise Kelley
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Special Information for Hospitals, Institutions, Transients or Recent Residents:
Former or Usual Residence Denver
How Long at Place of Death 2 yrs.

PERSONAL AND STATISTICAL PARTICULARS
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Single, Married, Widowed or Divorced

Date of Birth: Unknown 1864
Month Day Year

Age: 38 Years - Months - Days

Occupation (If none, so state)
Housewife

Birthplace - State or Country
Ohio

Name of Father
Wm. Holloway

Birthplace of Father - State or Country
Ohio

Maiden Name of Mother
Mary Frame

Birthplace of Mother - State or Country
Ohio

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The above stated personal particulars are true to the best of my knowledge and belief.
(Informant) Mrs. Branson
(Address) 1820 California St.

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Place of Burial Fairmount
Date of Burial Feb. 8th, 1902
Undertaker Walley and Rollins
Address 1408 Lanimer St.

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MEDICAL CERTIFICATE OF DEATH

Date of Death Feb 6th 1902
_______________________________
Sex - Female / Race or Color - White

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I Hereby Certify that death occurred, on the date stated above, at 6 a.m. To the best of my knowledge and belief the cause of death was as follows:

Chief Cause Diptheria
Where Contracted Denver_, Duration _____
Contributory (if any)___________________
Where Contracted ____________________

(Signed) C.B. Richmond
MD or Coroner
(Address) 1737 Welton St.
(Date) 2/7 - 1902

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Permission is hereby granted to bury the body of the person above described.
(Signed) A.A. Clough
HEALTH OFFICER
(Address) Denver, Colo.
(Date) Feb. 8, 1902


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Last updated August 2000 by Web Genealogist Chris Stefanovich.

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