Death Certificate of Lizzie Mailahn: Difference between revisions

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|1
|1
|Full name of deceased
|Full name of deceased
|[[Alvina Mailahn|Miss Vina Mailahn]]
|[[Alvina Mailahn|Lizzie Mailahn]]
|-
|-
|2
|2
Line 31: Line 31:
|6
|6
|Age (years, months and days)
|Age (years, months and days)
|23 yrs, 0 mos, 20 Dys
|14 yrs, 9 mos, 18 Dys
|-
|-
|7
|7
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|9
|9
|Name of mother
|Name of mother
|[[Augusta Schmidt Mailahn|Gusta Mailahn]]
|[[Augusta Schmidt Mailahn|Augusta Mailahn]]
|-
|-
|10
|10
|Birthplace of mother
|Birthplace of mother
|Dodge Co.
|Germany
|-
|-
|11
|11
|Birthplace of deceased
|Birthplace of deceased
|Black Creek
|Town of Ellington
|-
|-
|12
|12
|Date of birth of deceased
|Date of birth of deceased
|May 13 - 1884
|May 19, 1892
|-
|-
|13
|13
|Condition (single, married, widowed, or divorced)
|Condition (single, married, widowed, or divorced)
|single
|Single
|-
|-
|14
|14
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|15
|15
|Date of death
|Date of death
|June 14, 1907
|March 7th, 1907
|-
|-
|16
|16
|Cause of death {Primary, Secondary
|Cause of death {Primary, Secondary
|Tuberculosis of Lunge
|Phthisis, Heart Failture
|-
|-
|17
|17
|Duration of disease
|Duration of disease
|about one year
|Several months
|-
|-
|18
|18
|Place of death
|Place of death
|Center
|at home
|-
|-
|19
|19
|Resdience at time of death
|Resdience at time of death
|Center
|Town Ellington
|-
|-
|20
|20
|Was deceased ever a U. S. soldier or sailor?
|Was deceased ever a U. S. soldier or sailor?
|No
|
|-
|-
|21
|21
|Name of physician, coroner or justice.
|Name of physician, coroner or justice.
|J. J. Laird
|E. N. Sartell, M.D.
|-
|-
|22
|22
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|23
|23
|Name of undertaker or other person conducting burial.
|Name of undertaker or other person conducting burial.
|Strassburger
|Rev. R. Hinnenthal
|-
|-
|24
|24
|No. and date of burial permit
|No. and date of burial permit
|7 -
|20 - March 9th 1907
|-
|-
|25
|25
|Place of burial
|Place of burial
|Black Creek Town Cem.
|Town Cemetery Black Creek
|-
|-
|26
|26
|Date of certificate
|Date of certificate
|June 14, 1907
|March 8th 1907
|-
|-
|27
|27
|Date of registration
|Date of registration
|Jul 2, 1907
|Apr 26 1907
|-
|-
|28
|28
|Other important facts not related
|Other important facts not related
|~
|
|}
|}
# 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 and days),                        = 14 years, 9 mos, 18 dys
# Name of father,                                      = [[Louis Mailahn]]
# Birthplace of father                                  = Germany
# Name of mother,                                      = [[Augusta Schmidt Mailahn|Augusta Mailahn]]
# Birthplace of mother                                  = Germany
# Birthplace of deceased                                = Town of Ellington
# Date of birth of deceased                            = May 19, 1892
# Condition (single, married, widowed, or divorced,    = Single
# Name of wife or husband of deceased                  = (blank)
# Date of death,                                        = March 7th 1907
# Cause of Death {Primary, Secondary}                  = Phthisis Heart Failure
# Duration of disease                                  = Several months
# Place of death                                        = at home
# Residence at time of death                            = Town Ellington
# Was deceased ever a U. S. solider or sailor?          = (blank)
# Name of physician, coroner or justice,                = E. N. Sartell M.D.
# Residenc of such person                              = Black Creek, Wis.
# Name of undertaker or other person conducting burial  = Rev. R. Hinnenthal
# No. and date of burial permit                        = 20 - March 9th 1907
# Place of burial                                      = Town Cemetery Black Creek
# Date of certificate                                  = March 8th 1907
# Date of registration                                  = Apr 26 1907
# Other important facts not related                    = (blank)

Revision as of 01:24, 22 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
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