Death Certificate of Mrs. Bertha Welch: Difference between revisions

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(Created page with "From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907) Certificate No 01062 # Full name of deceased = Mrs. Bertha Welch # Maiden name (if wife or widow), = Bertha Mailahn # 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 01062
Certificate No 01062


# Full name of deceased                                 = Mrs. Bertha Welch
{| class="wikitable"
# Maiden name (if wife or widow),                      = Bertha Mailahn
|+
# Color and sex,                                        = White . Female
!#
# Race,                                                = Caucasian
!Question
# Occupation of deceased                               = Housework
!Answer
# Age (years, months and days),                        = 25 years, 4 mo, 1 day
|-
# Name of father,                                      = [[Louis Mailahn]]
|1
# Birthplace of father                                 = Germany
|Full name of deceased
# Name of mother,                                      = [[Augusta Schmidt Mailahn|Gusta Mailayn]]
|Mrs. Bertha Welch
# Birthplace of mother                                 = Wisconsin
|-
# Birthplace of deceased                               = Black Creek
|2
# Date of birth of deceased                             = July 20 1880
|Maiden name (if wife or widow)
# Condition (single, married, widowed, or divorced,    = Married
|[[Bertha Mailahn]]
# Name of wife or husband of deceased                   = Jessie Welch
|-
# Date of death,                                        = Nov 21 1905
|3
# Cause of Death {Primary, Secondary}                   = Tubercular abcess - Tuberculosis of lungs
|Color and sex
# Duration of disease                                   = about 2 months
|White Female
# Place of death                                       = Black Creek
|-
# Residence at time of death                           = Black Creek
|4
# Was deceased ever a U. S. solider or sailor?         = (blank)
|Race
# Name of physician, coroner or justice,                = J. J. Laird
|Caucasian
# Residenc of such person                               = Black Creek
|-
# Name of undertaker or other person conducting burial = Gus Strassburger
|5
# No. and date of burial permit                         = 6 - Nov 21 1905
|Occupation of deceased
# Place of burial                                       = Black Creek Cemetery
|Housework
# Date of certificate                                   = Nov 21 1905
|-
# Date of registration                                 = Nov 24 1905
|6
# Other important facts not related                     = (blank)
|Age (years, months and days)
|25 years, 4 mo, 1 day
|-
|7
|Name of father
|[[Louis Mailahn]]
|-
|8
|Birthplace of father
|Germany
|-
|9
|Name of mother
|[[Augusta Schmidt Mailahn|Gusta Mailayn]]
|-
|10
|Birthplace of mother
|Wisconsin
|-
|11
|Birthplace of deceased
|Black Creek
|-
|12
|Date of birth of deceased
|July 20 1880
|-
|13
|Condition (single, married, widowed, or divorced)
|Married
|-
|14
|Name of wife or husband of deceased
|Jessie Welch
|-
|15
|Date of death
|Nov 21 1905
|-
|16
|Cause of Death {Primary, Secondary}
|Tubercular abcess - Tuberculosis of lungs
|-
|17
|Duration of disease
|about 2 months
|-
|18
|Place of death
|Black Creek
|-
|19
|Resident at time of death
|Black Creek
|-
|20
|Was deceased ever a U.S. soldier or sailor?
|
|-
|21
|Name of physician, coroner or justice
|J. J. Laird
|-
|22
|Residence of such person
|Black Creek
|-
|23
|Name of undertaker or other person conducting burial
|Gus Strassburger
|-
|24
|No. and date of burial permit
|6 - Nov 21 1905
|-
|25
|Place of burial
|Black Creek Cemetery
|-
|26
|Date of certificate
|Nov 21 1905
|-
|27
|Date of registration
|Nov 24 1905
|-
|28
|Other important facts not related
|
|}

Latest revision as of 20:25, 23 April 2024

Case File: Mailahn Family

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

Certificate No 01062

# Question Answer
1 Full name of deceased Mrs. Bertha Welch
2 Maiden name (if wife or widow) Bertha Mailahn
3 Color and sex White Female
4 Race Caucasian
5 Occupation of deceased Housework
6 Age (years, months and days) 25 years, 4 mo, 1 day
7 Name of father Louis Mailahn
8 Birthplace of father Germany
9 Name of mother Gusta Mailayn
10 Birthplace of mother Wisconsin
11 Birthplace of deceased Black Creek
12 Date of birth of deceased July 20 1880
13 Condition (single, married, widowed, or divorced) Married
14 Name of wife or husband of deceased Jessie Welch
15 Date of death Nov 21 1905
16 Cause of Death {Primary, Secondary} Tubercular abcess - Tuberculosis of lungs
17 Duration of disease about 2 months
18 Place of death Black Creek
19 Resident at time of death Black Creek
20 Was deceased ever a U.S. soldier or sailor?
21 Name of physician, coroner or justice J. J. Laird
22 Residence of such person Black Creek
23 Name of undertaker or other person conducting burial Gus Strassburger
24 No. and date of burial permit 6 - Nov 21 1905
25 Place of burial Black Creek Cemetery
26 Date of certificate Nov 21 1905
27 Date of registration Nov 24 1905
28 Other important facts not related
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