Death Certificate of Alvina Mailahn: Difference between revisions

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(Created page with "From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907) Certificate No 168 (02024) # 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, month...")
 
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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 168 (02024)
Certificate No 168 (02024)
 
{| class="wikitable"
 
|+
 
!#
# Full name of deceased                                 = [[Lizzie Mailahn]]
!Question
# Maiden name (if wife or widow),                      = (blank)
!Answer
# Color and sex,                                        = White . Female
|-
# Race,                                                = Caucasian
|1
# Occupation of deceased                               = Housework
|Full name of deceased
# Age (years, months and days),                         = 14 years, 9 mos, 18 dys
|[[Alvina Mailahn|Miss Vina Mailahn]]
# Name of father,                                      = [[Louis Mailahn]]
|-
# Birthplace of father                                 = Germany
|2
# Name of mother,                                      = [[Augusta Schmidt Mailahn|Augusta Mailahn]]
|Maiden name (if wife or widow)
# Birthplace of mother                                 = Germany
|
# Birthplace of deceased                               = Town of Ellington
|-
# Date of birth of deceased                             = May 19, 1892
|3
# Condition (single, married, widowed, or divorced,    = Single
|Color and sex
# Name of wife or husband of deceased                   = (blank)
|whtie - female
# Date of death,                                       = March 7th 1907
|-
# Cause of Death {Primary, Secondary}                  = Phthisis Heart Failure
|4
# Duration of disease                                   = Several months
|Race
# Place of death                                       = at home
|Caucasian
# Residence at time of death                           = Town Ellington
|-
# Was deceased ever a U. S. solider or sailor?         = (blank)
|5
# Name of physician, coroner or justice,                = E. N. Sartell M.D.
|Occupation of deceased
# Residenc of such person                               = Black Creek, Wis.
|Housework
# Name of undertaker or other person conducting burial = Rev. R. Hinnenthal
|-
# No. and date of burial permit                         = 20 - March 9th 1907
|6
# Place of burial                                       = Town Cemetery Black Creek
|Age (years, months and days)
# Date of certificate                                   = March 8th 1907
|23 yrs, 0 mos, 20 Dys
# Date of registration                                 = Apr 26 1907
|-
# Other important facts not related                     = (blank)
|7
|Name of father
|[[Louis Mailahn|Louie Mailahn]]
|-
|8
|Birthplace of father
|Germany
|-
|9
|Name of mother
|[[Augusta Schmidt Mailahn|Gusta Mailahn]]
|-
|10
|Birthplace of mother
|Dodge Co.
|-
|11
|Birthplace of deceased
|Black Creek
|-
|12
|Date of birth of deceased
|May 13 - 1884
|-
|13
|Condition (single, married, widowed, or divorced)
|single
|-
|14
|Name of wife or husband of deceased
|
|-
|15
|Date of death
|June 14, 1907
|-
|16
|Cause of death {Primary, Secondary
|Tuberculosis of Lunge
|-
|17
|Duration of disease
|about one year
|-
|18
|Place of death
|Center
|-
|19
|Resdience at time of death
|Center
|-
|20
|Was deceased ever a U. S. soldier or sailor?
|No
|-
|21
|Name of physician, coroner or justice.
|J. J. Laird
|-
|22
|Residence of such person
|Black Creek, Wis.
|-
|23
|Name of undertaker or other person conducting burial.
|Strassburger
|-
|24
|No. and date of burial permit
|7 -
|-
|25
|Place of burial
|Black Creek Town Cem.
|-
|26
|Date of certificate
|June 14, 1907
|-
|27
|Date of registration
|Jul 2, 1907
|-
|28
|Other important facts not related
|~
|}

Latest revision as of 20:26, 23 April 2024

Case File: Mailahn Family

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

Certificate No 168 (02024)

# Question Answer
1 Full name of deceased Miss Vina 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) 23 yrs, 0 mos, 20 Dys
7 Name of father Louie Mailahn
8 Birthplace of father Germany
9 Name of mother Gusta Mailahn
10 Birthplace of mother Dodge Co.
11 Birthplace of deceased Black Creek
12 Date of birth of deceased May 13 - 1884
13 Condition (single, married, widowed, or divorced) single
14 Name of wife or husband of deceased
15 Date of death June 14, 1907
16 Cause of death {Primary, Secondary Tuberculosis of Lunge
17 Duration of disease about one year
18 Place of death Center
19 Resdience at time of death Center
20 Was deceased ever a U. S. soldier or sailor? No
21 Name of physician, coroner or justice. J. J. Laird
22 Residence of such person Black Creek, Wis.
23 Name of undertaker or other person conducting burial. Strassburger
24 No. and date of burial permit 7 -
25 Place of burial Black Creek Town Cem.
26 Date of certificate June 14, 1907
27 Date of registration Jul 2, 1907
28 Other important facts not related ~
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