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State of Utah—Death Certificate 1. Place of Death 2. Full Name: Willard Erastus Weihe Personal and Statistical Particulars 3. Sex: Male 4. Color or Race: White 5. Single, Married, Widowed, or Divorced: Married 6. Date of Birth: October 17, 1856 7. Age: 69 yrs. 7 mos. 18 ds. 8. Occupation of Employer 9. Birthplace: Christiania, Norway 10. Name of Father: Andreas Weihe 14. Informant: Mrs. Jean C. Weihe 15. Filed: June 8, 1926 Medical Certificate of Death 16. Date of Death: June 5, 1926 17. I Hereby Certify, That I attended deceased from June 5, 1926, to June 5, 1926, that I last saw him alive on June 5, 1926, and that death occurred, on the date stated above, at 3:20 p.m. The cause of death was as follows: Mitral + Aortic Insufficiency 18. Did an operation precede death? No. Signed: H.Z. Lund, M.D. 19. Place of Burial, Cremation or Removal: City Cemetery 20. Undertaker: S.M. Taylor & Co. |
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