Death Certificate of Sarah Ann Pratt
Mar. 20, 1922

(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Millard
City: Fillmore

2. Full Name: Sarah Ann Pratt

a. Residence. 1st Ward
Length of residence in city where death occurred: 52 yrs
How long in U.S., if of foreign birth?  52 yrs

Personal and Statistical Particulars

3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed, or Divorced: Widowed
5a. Wife of Lehi Pratt
6. Date of Birth: Oct. 30, 1843
7. Age: 78 Years, 4 Months, 21 Days
8. Occupation: Housewife
9. Birthplace: Cambridge Marsh, England
10. Name of Father: Is--- Mitchel
11. Birthplace of Father: England
12. Maiden Name of Mother: Mary Ann Green
13. Birthplace of Mother: England

14. Informant: Heber Mitchell
Address: Fillmore, Ut.

15. Filed: April 1, 1922

Medical Certificate of Death

16. Date of Death: March 20, 1922

17. I Hereby Certify, That I attended deceased from March 1, 1922, to March 18, 1922, that I last saw her alive on March 18, 1922, and that death occurred, on the date stated above, at 12:01 a.m. 

The cause of death was as follows:

(See Image)

18. Did an operation precede death? No.
Was there an autopsy? No.
What test confirmed diagnosis? Clinical

Signed: Earl D. Maxon, M.D.
March 20, 1922  Address: Fillmore, Ut.

19. Place of Burial, Cremation, or Removal: Fillmore, Ut.
Date of Burial: Mar. 21, 1922

20. Undertaker: John. H. Davis
Address: Fillmore

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