Death Certificate of Agnes Ellen Caine Pratt
May 31, 1926

(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Salt Lake
City: Salt Lake
No. LDS Hospital

2. Full Name: Agnes Ellen Pratt
a. Residence. No. 933 Lincoln St.
Length of residence where death occurred: 74 yrs.

Personal and Statistical Particulars

3. Sex: Female

4. Color or Race: White

5. Single, Married, Widowed, or Divorced: Widowed
5a. Wife of Arthur Pratt

6. Date of Birth: Oct. 1, 1851

7. Age: 74 yrs. 7 mos. 30 ds.

8. Occupation of Deceased: Housewife

9. Birthplace: St. Louis, Mo.

10. Name of Father: John T. Caine

11. Birthplace of Father: England

12. Maiden Name of Mother: Morgan Nightingale

13. Birthplace of Mother: England

14. Informant: P. P. Pratt
Address: 933 Lincoln St.

15. Filed: June 1, 1926

Medical Certificate of Death

16. Date of Death: May 31, 1926

17. I Hereby Certify, That I attended deceased from April 20, 1926, to May 31, 1926, that I last saw her alive on May 31, 1926, and that death occurred, on the date stated above, at 11 a.m. 

The cause of death was as follows:

Diabetes mellitus
Duration: 6 mos.

Contributory: Don’t Know

18. Where was disease contracted if not at place of death?  California
Did an operation precede death? No
Was there an autopsy? No
What test confirmed diagnosis? Clinical

Signed: H.Z. Lund, M.D.
June 1, 1926  Address: Salt Lake City, Utah

19. Place of Burial, Cremation, or Removal: City Cemetery
Date of Burial: June 2, 1926

20. Undertaker: Geo. Wm. Taylor
Address: City

Return to histories of Agnes Ellen Caine