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Death Certificate of Jane Elizabeth Pratt Kesler
Nov. 23, 1912
(click to enlarge)
State of Utah—Death Certificate
1. Place of Death
County: Salt Lake Co.
City: Salt Lake
No. 278 So. 13 East; 5 Ward
2. Full Name: Jane Elizabeth Pratt Kesler
Personal and Statistical Particulars
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Widowed
6. Date of Birth: Oct. 22, 1835
7. Age: 77 yrs. 1 mos. 1 ds.
8. Occupation: Housewife
9. Birthplace: New York State
10. Name of Father: Anson Pratt
11. Birthplace of Father: New York State
12. Maiden Name of Mother: Sarah Barker
13. Birthplace of Mother: New York State
14. Informant: A. A. Kesler
Address: Salt Lake City
15. Filed: 11-25, 1912
Medical Certificate of Death
16. Date of Death: Nov. 23, 1912
17. I Hereby Certify, That I attended deceased from Nov. 23, 1912, to Nov. 23, 1912, that I last saw her alive on Nov. 23, 1912, and that death occurred, on the date stated above, at 6 a.m.
The cause of death was as follows:
Fatty degeneration of the heart
Signed: Harrece Shepherd, M.D.
Nov. 23, 1912 Address: Beaver, Utah
18. Length of Residence
19. Place of Burial or Removal: City Cem.
Date of Burial: Nov. 27, 1912
20. Undertaker: Jos. Wm. Taylor
Address: Salt Lake City
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