Death Certificate of Eltha Pratt Edwards
May 16, 1928

(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Salt Lake
City: Salt Lake
No. 1975 View Street

2. Full Name: Eltha Pratt Edwards
a. Residence. No. 1975 View
Length of residence in city where death occurred: 68 yrs. 5 mos. 4 ds.

Personal and Statistical Particulars

3. Sex: Female

4. Color or Race: White

5. Single, Married, Widowed, or Divorced: Widow
5a. Wife of John S. Edwards

6. Date of Birth: Dec. 12th, 1859

7. Age: 68 yrs. 5 mos. 4 ds.

8. Occupation of Deceased: At Home

9. Birthplace: Salt Lake City, Utah

10. Name of Father: Orson Pratt
11. Birthplace of Father: New York State
12. Maiden Name of Mother: Adelia Bishop
13. Birthplace of Mother: New York State

14. Informant: J. Paul Edwards
Address: 523 Nor. 5 West

15. Filed: May 19, 1928

Medical Certificate of Death

16. Date of Death: May 16th, 1928

17. I Hereby Certify, That I attended deceased from March 29th, 1928, to May 16th, 1928, that I last saw her alive on May 16th, 1928, and that death occurred, on the date stated above, at 10:10 p.m. 

The cause death was as follows:

Myocarditis
Duration: 2 mos.

Contributory: Lobar Pneumonia

18. Did an operation precede death? No.
Was there an autopsy? No.
What test confirmed diagnosis? Clinical

Signed: R. Middleman, M.D.
May 17th, 1928  Address: 925 Boston Bldg.

19. Place of Burial, Cremation, or Removal: City Cemetery
Date of Burial: May 20th, 1928

20. Undertaker: Eddington Und. Co.
Address: City

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