Death Certificate of Royal Graham Pratt
Dec. 17, 1917

death certificate of royal graham pratt
(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Salt Lake
Township: Farmer’s Ward
No. County Hospital; Farmer’s Ward

2. Full Name: Royal Graham Pratt

Personal and Statistical Particulars

3. Sex: Male

4. Color or Race: White

5. Single, Married, Widowed or Divorced: Single

6. Date of Birth: June 3, 1874

7. Age: 43 yrs. 6 mos. 14 ds.

8. Occupation: Painter & Paper Hanger

9. Birthplace: Salt Lake City

10: Name of Father: Orson Pratt
11. Birthplace of Father: New York
12. Maiden Name of Mother: Marian Ross
13. Birthplace of Mother: Scotland

14. Informant: A.A. Beesley
Address: 241 W. 3rd North

15. Filed: Dec. 19, 1917

Medical Certificate of Death

16. Date of Death: Dec. 17, 1917

17. I Hereby Certify, That I attended deceased from Dec. 12, 1917, to Dec. 17, 1917, that I last saw him alive on Dec. 17, 1917, and that death occurred, on the date stated above, at 2:20 p.m. 

The cause of death was as follows:

Operation for Gastroenterostomy
Duration: 1 ds.

Contributory: Ulcers of Pylones of Stomach

Dec. 17, 1917  Address: Kearns Bldg.

18. Length of Residence
At place of death: 2 ds.
In the State: 43 yrs. 6 mos. 14 ds.

Where was disease contracted if not at place of death? Salt Lake City
Former or usual residence: 345 W. 7th North

19. Place or Burial or Removal: City Cem.
Date of Burial: Dec. 19, 1917

20. Undertaker: Jos. Wm. Taylor
Address: City

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