Death Certificate of Lizzie Mailahn: Difference between revisions
DaleSheldon (talk | contribs) (Created page with "From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907) Certificate No 120 (01860) # Full name of deceased = Lizzie Mailahn # Maiden name (if wife or widow), = (blank) # Color and sex, = White . Female # Race, = Caucasian # Occupation of deceased = Housework # Age (years, months...") |
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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 120 (01860) | Certificate No 120 (01860) | ||
# Full name of deceased | {| class="wikitable" | ||
|+ | |||
!# | |||
!Question | |||
!Answer | |||
|- | |||
|1 | |||
|Full name of deceased | |||
|[[Alvina Mailahn|Lizzie Mailahn]] | |||
|- | |||
|2 | |||
|Maiden name (if wife or widow) | |||
| | |||
|- | |||
|3 | |||
|Color and sex | |||
|whtie - female | |||
|- | |||
|4 | |||
|Race | |||
|Caucasian | |||
|- | |||
|5 | |||
|Occupation of deceased | |||
|Housework | |||
|- | |||
|6 | |||
|Age (years, months and days) | |||
|14 yrs, 9 mos, 18 Dys | |||
|- | |||
|7 | |||
|Name of father | |||
|[[Louis Mailahn|Louie Mailahn]] | |||
|- | |||
|8 | |||
|Birthplace of father | |||
|Germany | |||
|- | |||
|9 | |||
|Name of mother | |||
|[[Augusta Schmidt Mailahn|Augusta Mailahn]] | |||
|- | |||
|10 | |||
|Birthplace of mother | |||
|Germany | |||
|- | |||
|11 | |||
|Birthplace of deceased | |||
|Town of Ellington | |||
|- | |||
|12 | |||
|Date of birth of deceased | |||
|May 19, 1892 | |||
|- | |||
|13 | |||
|Condition (single, married, widowed, or divorced) | |||
|Single | |||
|- | |||
|14 | |||
|Name of wife or husband of deceased | |||
| | |||
|- | |||
|15 | |||
|Date of death | |||
|March 7th, 1907 | |||
|- | |||
|16 | |||
|Cause of death {Primary, Secondary | |||
|Phthisis, Heart Failture | |||
|- | |||
|17 | |||
|Duration of disease | |||
|Several months | |||
|- | |||
|18 | |||
|Place of death | |||
|at home | |||
|- | |||
|19 | |||
|Resdience at time of death | |||
|Town Ellington | |||
|- | |||
|20 | |||
|Was deceased ever a U. S. soldier or sailor? | |||
| | |||
|- | |||
|21 | |||
|Name of physician, coroner or justice. | |||
|E. N. Sartell, M.D. | |||
|- | |||
|22 | |||
|Residence of such person | |||
|Black Creek, Wis. | |||
|- | |||
|23 | |||
|Name of undertaker or other person conducting burial. | |||
|Rev. R. Hinnenthal | |||
|- | |||
|24 | |||
|No. and date of burial permit | |||
|20 - March 9th 1907 | |||
|- | |||
|25 | |||
|Place of burial | |||
|Town Cemetery Black Creek | |||
|- | |||
|26 | |||
|Date of certificate | |||
|March 8th 1907 | |||
|- | |||
|27 | |||
|Date of registration | |||
|Apr 26 1907 | |||
|- | |||
|28 | |||
|Other important facts not related | |||
| | |||
|} |
Latest revision as of 20:26, 23 April 2024
From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907)
Certificate No 120 (01860)
# | Question | Answer |
---|---|---|
1 | Full name of deceased | Lizzie Mailahn |
2 | Maiden name (if wife or widow) | |
3 | Color and sex | whtie - female |
4 | Race | Caucasian |
5 | Occupation of deceased | Housework |
6 | Age (years, months and days) | 14 yrs, 9 mos, 18 Dys |
7 | Name of father | Louie Mailahn |
8 | Birthplace of father | Germany |
9 | Name of mother | Augusta Mailahn |
10 | Birthplace of mother | Germany |
11 | Birthplace of deceased | Town of Ellington |
12 | Date of birth of deceased | May 19, 1892 |
13 | Condition (single, married, widowed, or divorced) | Single |
14 | Name of wife or husband of deceased | |
15 | Date of death | March 7th, 1907 |
16 | Cause of death {Primary, Secondary | Phthisis, Heart Failture |
17 | Duration of disease | Several months |
18 | Place of death | at home |
19 | Resdience at time of death | Town Ellington |
20 | Was deceased ever a U. S. soldier or sailor? | |
21 | Name of physician, coroner or justice. | E. N. Sartell, M.D. |
22 | Residence of such person | Black Creek, Wis. |
23 | Name of undertaker or other person conducting burial. | Rev. R. Hinnenthal |
24 | No. and date of burial permit | 20 - March 9th 1907 |
25 | Place of burial | Town Cemetery Black Creek |
26 | Date of certificate | March 8th 1907 |
27 | Date of registration | Apr 26 1907 |
28 | Other important facts not related |