Lorum Pratt
Oct. 7, 1935

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Arizona State Board of Health
Bureau of Vital Statistics
Standard Certificate of Death

Place of Death
County: Coconino
State: Arizona
Township or Village: Fredonia

Length of Residence
In city of town where death occurred:

Full Name: Lorum Pratt Sr.

How long in state where death occurred: 49 yrs. 10 mos.
A. Residence: No. Fredonia Ariz.

Personal and Statistical Particulars

3. Sex: Male
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Widowed
6. Husband of Francis L. Theabauld

7. Date of Birth:
Age: 83 Years, 9 Months, 7 Days

8. Trade, profession or particular kind of work done: Farmer
9. Industry or Business:
10. Date deceased last worked at this occupation:
11. Total time (years) spent in this occupation:

12. Birthplace: Salt Lake City, Salt Lake County, Utah
13. Father Name: Orson Pratt
14. Father Birthplace: N.Y. Hartford
15. Mother Maiden Name: Adelia Ann Bishop
16. Mother Birthplace:

17. Informant: N. N. Seegmiller
Address: Salt Lake City

18. Burial, Cremation or Removal:

19. Embalmer:
Funeral Director: Warren D. Judd
Address: Fredonia, Arizona

20. Filed: Oct. 12, 1935

Medical Certificate of Death

21. Date of Death: 10-7, 1935
22. I Hereby Certify, that I attended deceased from 9-23, 1935, to 10-7, 1935; I last saw him alive on 10-5, 1935; death is said to have occurred on the date stated above, at 2 a.m.

The principal cause of death and related causes of importance were as follows:

Senile Debility
Myocardial degeneration

What test confirmed diagnosis? Clinical
Was there an autopsy? No

23. If death was due to external causes (violence) fill in also the following:

24. Was disease or injury in any way related to occupation of deceased? No.

Signed: U.H. Norris, M.D.
Address: Kanab, Utah

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