Editing Death Certificate of Annie Mailahn

From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907)

Certificate No 90 (01135)

# Full name of deceased                                 = [[Annie Mailahn]]
# Maiden name (if wife or widow),                       = (blank)
# Color and sex,                                        = White . Female
# Race,                                                 = Caucasian
# Occupation of deceased                                = Housework
# Age (years, months and days),                         = 25 years, 7 mo, 16 dys
# Name of father,                                       = [[Louis Mailahn]]
# Birthplace of father                                  = Germany
# Name of mother,                                       = [[Augusta Schmidt Mailahn|Gustie Schmidt]]
# Birthplace of mother                                  = Wisconsin
# Birthplace of deceased                                = Town Black Creek
# Date of birth of deceased                             = July 20 - 1820 [note, year 1820 is clearly a clarical error, was 1880]
# Condition (single, married, widowed, or divorced,     = Single
# Name of wife or husband of deceased                   = (blank)
# Date of death,                                        = Mar. 16. 1906
# Cause of Death {Primary, Secondary}                   = Phthisis Pulmonalis (Consumption) Heart Failure
# Duration of disease                                   = One year
# Place of death                                        = At home
# Residence at time of death                            = Town Center
# Was deceased ever a U. S. solider or sailor?          = (blank)
# Name of physician, coroner or justice,                = E. N. Lartell M.D.
# Residenc of such person                               = Black Creek, Wis.
# Name of undertaker or other person conducting burial  = Rev. Hinnenthal
# No. and date of burial permit                         = 11 - March 17th 1906
# Place of burial                                       = Town Cemetery Black Creek
# Date of certificate                                   = March 18th 1906
# Date of registration                                  = March 21st 1906
# Other important facts not related                     = (blank)