DEATH CERTIFICATE INFORMATION
Place of
Death: |
Full Name of Deceased: Louise Kelley ------------------------------ 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
----------------------------------------------------------------
Single, Married,Widowed or DivorcedDate of Birth: Unknown 1864
Month Day YearAge: 38 Years - Months - Days
Occupation (If none, so state)
HousewifeBirthplace - State or Country
OhioName of Father
Wm. HollowayBirthplace of Father - State or Country
OhioMaiden Name of Mother
Mary FrameBirthplace of Mother - State or Country
Ohio----------------------------------------------------
The above stated personal particulars are true to the best of my knowledge and belief.
(Informant) Mrs. Branson
(Address) 1820 California St.-------------------------------------------------------
Place of Burial Fairmount
Date of Burial Feb. 8th, 1902
Undertaker Walley and Rollins
Address 1408 Lanimer St.-------------------------------------------------------
MEDICAL CERTIFICATE OF DEATH
Date of Death Feb 6th 1902
_______________________________
Sex - Female / Race or Color - White------------------------------------------------
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--------------------------------------------------
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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CONTACT: |
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Last updated August 2000 by Web Genealogist Chris Stefanovich.