Death Certificate of Juliaetta Phelps Pratt
Mar. 13, 1919

death certificate of juliaetta phelps pratt
(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Utah
City: Provo
No. State Mental Hosp.

2. Full Name: Juliaetta Phelps Pratt
Length of residence in city or town where death occurred: 2 yrs. 10 mo. 5 ds.

Personal and Statistical Particulars

3. Sex: Female

4. Color or Race: Caucasian

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

6. Date of Birth: April 19, 1839

7. Age: 79 Years, 10 Months, 24 Days

8. Occupation: None

9. Birthplace: Indiana

10: Name of Father: Alva Phelps
11. Birthplace of Father: Indiana
12. Maiden Name of Mother: Margaret Robinson
13. Birthplace of Mother: Pennsylvania

14. Informant: Commitment paper

15. Filed: Apr 4, 1919

Medical Certificate of Death

16. Date of Death: March 13, 1919

17. I Hereby Certify, That I attended deceased from Feb. 1916, to March 13, 1919, that I last saw her alive on March 12, 1919, and that death occurred, on the date stated above, at 5:45 a.m. 

The cause of death was as follows:

Exhaustion of Senile Dementia
Duration: Don’t know

18. Did an operation precede death? No.
Was there an autopsy? No.

Signed: Geo. Hyde, M.D.
Mch 13, 1919  Address: Provo

19. Place of Burial, Cremation, or Removal: City Cemetery, Salt Lake City, Ut
Date of Burial: Mar. 19, 1919

Undertaker: Berg Son Co.
Address: Provo, Ut

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