Death Certificate of Milson Ross Pratt
Jan. 22, 1936

death certicate of milson ross pratt
(click to enlarge)

State of Utah
Certificate of Death

1. Place of Death
County: Utah
City: Provo
No. Utah State Hospital

2. Full Name: Milson Ross Pratt

3. Residence: No. Salt Lake City, Utah
a. Length of residence in city where death occurred: 3 Months 4 Days

Personal and Statistical Particulars

4. Sex: Male

5. Color or Race: White

6. Single, Married, Widowed, or Divorced: Divorced
6a. Husband of Mary Tuttle Pratt

7. Date of Birth: Nov. 4th, 1859

8. Age:  76 Years, 2 Months, 18 Days

9. Occupation of Deceased: Painter, Wallpaper hanger

10. Birthplace: Salt Lake City, Utah

11. Name of Father: Orson Pratt, Sr.
12. Birthplace of Father: Connecticut
13. Maiden Name of Mother: Marian Ross
14. Birthplace of Mother: Scotland

15. Informant: —- Beesley

16. Burial, Cremation, or Removal: City Cemetery
Date: Jan. 26th, 1936

17. Undertaker: The White Chapel, Inc.
Address: Salt Lake City, Utah

18. Filed: Jan 30, 1936

19. Date of Death: January 22nd, 1936

20. I Hereby Certify, That I attended deceased from October 18, 1935 to January 22, 1936; I last saw him alive on January 22, 1936; death occurred on the date stated above, at 6:05 p.m. 

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

Myocarditis, chronic
Anemia
Duration: 3 mos.

Other contributory causes of importance:

General Debility Senility
Duration: 1 yr.

Signed: Jesse J. Wright
Jan. 22, 1936  Address: Provo, Utah