Death Certificate of Mary Ellen Cragen
Oct. 28, 1930

Mary Cragen
(click to enlarge)

State of Utah
Certificate of Death

1. Place of Death
County: Salt Lake
City or town: Salt Lake
No: Salt Lake County Infirmary

2. Full Name: Mary Ellen Jensen
a. Residence No.: County Infirmary
Length of residence in city or town where death occurred: 50 yrs

3. Sex: Female

4. Color or race: White

5. Single, widowed, married or divorced: Widowed
5a. Wife of: Lars Jensen

6. Date of birth: February 24, 1848

7. Age: 82 yrs, 8 mos., 4 ds.

8. Occupation of deceased: None

9. Birthplace: Bonnie County, Indiana

10. Name of Father: James Cragun
11. Birthplace of Father: Indiana
12. Maiden Name of Mother: Eleanor Lane
13. Birthplace of Mother: Indiana

14. Informant: Levi M. North
Address: 3521 So. 13th East, Salt Lake City

15. Filed: 11-2 1930 W. Christopher

16. Date of Death: October 28th, 1930

17. I Hereby Certify, That I attended deceased from Sept. 1, 1930 to Oct. 28, 1930, that I last saw her alive on Oct. 28, 1930, and that death occurred, on this date stated above at 5:45 p.m.

The Cause Death was as follows: Primary cancer of uterus
Duration: 6 mos.

18. Where was disease contracted if not at place of death? No.
Did an operation precede death? No.
Was there an autopsy? No.
What test confirmed diagnosis?
Signed: M. Rockwell, M.D., 11/1, 1930
Address: Murrary, Utah

19. Place of Burial, Cremation or Removal: Millcreek, Utah
Date of Burial: Nov. 2nd, 1930

20. Undertaker: Deseret Mortuary Co
Address: 36 E. 7th So.

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