|
|
|
 |
|
|
| ELIZABETH MEAD'S DEATH RECORD |
|
| Full Name: Elizabeth Mead |
| Maiden Name: Widow |
| Color: Red |
| Sex: Female |
| Race: Indian |
| Occupation of Deceased: None |
| Age: 60 yrs. |
| Name of Father: - |
| Birthplace of Father: - |
| Name of Mother: - |
| Birthplace of Mother: - |
| Birthplace of Deceased: - |
| Name of Wife of Deceased: - |
| Name of Husband of Deceased: - |
| Date of Birth of Deceased: - |
| Condition (single, married, widowed): Widowed |
| Date of Death: Jan 1st, 1899 |
| Residence at time of Death: Rice Lake, Wisc. |
| Cause of Death: Primary: Erysipelas in whole left arm |
| Secondary: General Blood Poison |
| Place of Death: Barron, Wisc. |
| Duration of Disease: Fourteen Days |
| Soldier/Sailor: No |
| Place of Burial: Rice Lake Wisc. |
| Name of Undertaker: C.E. Holtz |
| Date of Certificate: Jan 2, 1899, Transportation Permit to |
| City of Rice Lake, Wisc. |
| No. Burial Permit: 34 |
| Date of Burial Permit: - |
| Other Important Facts Not Related: The deceased was an American Indian and the answers of the questions from 7-15 were not known. signed: C Post - Physician |
|
|
