Death Certificate of Annie Mailahn: Difference between revisions

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<b>[[Case File: Mailahn Family]]</b>
From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907)
From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907)


Certificate No 90 (01135)
Certificate No 90 (01135)
 
{| class="wikitable"
# Full name of deceased                                 = [[Anna Mailahn|Annie Mailahn]]
|+
# Maiden name (if wife or widow),                      = (blank)
!#
# Color and sex,                                        = White . Female
!Question
# Race,                                                = Caucasian
!Answer
# Occupation of deceased                               = Housework
|-
# Age (years, months and days),                        = 25 years, 7 mo, 16 dys
|1
# Name of father,                                      = [[Louis Mailahn]]
|Full name of deceased
# Birthplace of father                                 = Germany
|[[Anna Mailahn|Annie Mailahn]]
# Name of mother,                                      = [[Augusta Schmidt Mailahn|Gustie Schmidt]]
|-
# Birthplace of mother                                 = Wisconsin
|2
# Birthplace of deceased                               = Town Black Creek
|Maiden name (if wife or widow)
# 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)
|3
# Date of death,                                        = Mar. 16. 1906
|Color and sex
# Cause of Death {Primary, Secondary}                  = Phthisis Pulmonalis (Consumption) Heart Failure
|White . Female
# Duration of disease                                   = One year
|-
# Place of death                                       = At home
|4
# Residence at time of death                           = Town Center
|Race
# Was deceased ever a U. S. solider or sailor?          = (blank)
|Caucasian
# Name of physician, coroner or justice,                = E. N. Lartell M.D.
|-
# Residenc of such person                               = Black Creek, Wis.
|5
# Name of undertaker or other person conducting burial = Rev. Hinnenthal
|Occupation of deceased
# No. and date of burial permit                         = 11 - March 17th 1906
|Housework
# Place of burial                                       = Town Cemetery Black Creek
|-
# Date of certificate                                   = March 18th 1906
|6
# Date of registration                                 = March 21st 1906
|Age (years, months, days)
# Other important facts not related                     = (blank)
|25 years, 7 mo, 16 dys
|-
|7
|Name of father
|[[Louis Mailahn]]
|-
|8
|Birthplace of father
|Germany
|-
|9
|Name of mother
|[[Augusta Schmidt Mailahn|Gustie Schmidt]]
|-
|10
|Birthplace of mother
|Wisconsin
|-
|11
|Birthplace of deceased
|Town Black Creek
|-
|12
|Date of birth of deceased
|July 20 - 1880  
|-
|13
|Condition (single, married, widowed, or divorced)
|Single
|-
|14
|Name of wife or husband of deceased
|
|-
|15
|Date of death
|Mar.16, 1906
|-
|16
|Cause of Death (Primary, Secondary)
|Phthisis Pulmonalis (Consumption), Heart Failure
|-
|17
|Duration of disease
|One year
|-
|18
|Place of death
|At home
|-
|19
|Residence at time of death
|Town Center
|-
|20
|Was deceased ever a U.S. soldier or sailor
|
|-
|21
|Name of physician, coroner or justice
|E. N. Lartell, M.D.
|-
|22
|Residence of such person
|Black Creek, Wis.
|-
|23
|Name of undertaker or other person conducting burial
|Rev. Hinnenthal
|-
|24
|No. and date of burial permit
|11 - March 17th 1906
|-
|25
|Place of burial
|Tome Cemetery Black Creek
|-
|26
|Date of certificate
|March 18th 1906
|-
|27
|Date of registration
|March 21st 1906
|-
|28
|Other important facts not related
|
|}

Latest revision as of 20:36, 23 April 2024

Case File: Mailahn Family

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

Certificate No 90 (01135)

# Question Answer
1 Full name of deceased Annie Mailahn
2 Maiden name (if wife or widow)
3 Color and sex White . Female
4 Race Caucasian
5 Occupation of deceased Housework
6 Age (years, months, days) 25 years, 7 mo, 16 dys
7 Name of father Louis Mailahn
8 Birthplace of father Germany
9 Name of mother Gustie Schmidt
10 Birthplace of mother Wisconsin
11 Birthplace of deceased Town Black Creek
12 Date of birth of deceased July 20 - 1880
13 Condition (single, married, widowed, or divorced) Single
14 Name of wife or husband of deceased
15 Date of death Mar.16, 1906
16 Cause of Death (Primary, Secondary) Phthisis Pulmonalis (Consumption), Heart Failure
17 Duration of disease One year
18 Place of death At home
19 Residence at time of death Town Center
20 Was deceased ever a U.S. soldier or sailor
21 Name of physician, coroner or justice E. N. Lartell, M.D.
22 Residence of such person Black Creek, Wis.
23 Name of undertaker or other person conducting burial Rev. Hinnenthal
24 No. and date of burial permit 11 - March 17th 1906
25 Place of burial Tome Cemetery Black Creek
26 Date of certificate March 18th 1906
27 Date of registration March 21st 1906
28 Other important facts not related