Death Certificate of Lizzie Mailahn

Case File: Mailahn Family

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