Annie Eliza Pratt
Jan. 18, 1937

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State of Utah
Certificate of Death

1. Place of Death
County: Salt Lake
City: Salt Lake
No. S.L. General Hospital

2. Full Name: Annie Eliza Pratt

3. Residence: No. 858 Montague Ave.
a. Length of residence in city where death occurred: Years. 35

Personal and Statistical Particulars

4. Sex: Female

5. Color or Race: White

6. Single, Married, Widowed, or Divorced: Widowed
6a. Wife of Teancum Pratt

7. Date of Birth: August 13, 1855

8. Age: Years: 81   Months: 5   Days: 5

9. Occupation of Deceased: Housewife

10. Birthplace: Salt Lake City, Utah

11. Name of Father: Arlando Fish Mead

12. Birthplace of Father: Connecticut

13. Maiden Name of Mother: L.O. Presley

14. Birthplace of Mother: Ohio

15. Informant: [See image]
Address: 47 West 5th So. St.

16. Burial, Cremation, or Removal: Salt Lake City
Place: S.L. City Cem.  Date: 1/24/37

17. Undertaker: Lindquist-Carlquist
Address: 2128 So. State Street

18. Filed: Jan. 23, 1937, T.J. Howell, M.D.

19. Date of Death: January 18th, 1937

20. I Hereby Certify, That I attended deceased from Jan. 17, 1937, to Jan. 18, 1937, I last saw her alive on Jan. 18, 1937, death occurred on the date stated above at 3:07 p.m. 

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

Bronchopneumonia    Duration: 7 days

Other contributory causes of importance:  Senility

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

Signed:  C.S. Evans, M.D.
Jan. 20, 1937

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