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State of Utah 1. Place of Death 2. Full Name: Joseph Kimball 3. Residence: No. 615 First Avenue Personal and Statistical Particulars 4. Sex: Male 5. Color or Race: White 6. Single, Married, Widowed, or Divorced: Married 7. Date of Birth: December 22, 1851 8. Age: 84 Years, 3 Months, 7 Days 9. Occupation of Deceased 10. Birthplace: Salt Lake City, Utah 11. Name of Father: Heber C. Kimball 15. Informant: Ethel K. Sargent 16. Burial: Salt Lake City 17. Undertaker: Joseph Wm. Taylor, Inc. 18. Filed: Apr. 1, 1936 19. Date of Death: March 29, 1936 20. I Hereby Certify, That I attended deceased from Feb. 18, 1936, to Mar. 29, 1936; I last saw him alive on Mar. 29; death occurred on the date stayed above, at 7:50 p.m. The principal cause of death and related causes of importance were as follows: Cerebral hemorrhages Other contributory causes: Fall on pavement followed by cerebral hemorrhage Signed: Harren Shepherd, M.D. |
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