Death Certificate of William Jared Pratt
June 16, 1909

death certificate of william jared pratt
(click to enlarge)

State of Utah—Death Certificate

Place of Death
County of Salt Lake
City of Salt Lake
Hospital: L.D.S. Hospital (10 days)

Full Name of Deceased: William Jared Pratt

Former or Usual Residence: Burley, Idaho
How long resident at place of death: 10 days

Personal and Statistical Particulars

Sex: Male

Color: White

Date of Birth:

Age: about 65 years

Single, Married, Widowed or Divorced: Married

Birthplace: Ohio

Name of Father: William Pratt
Birthplace of Father: England
Maiden Name of Mother: Unknown
Birthplace of Mother: Unknown

Occupation: Farmer

Informant: William O. Pratt
Address: Albion, Idaho

Place of Burial: Burley, Ida.
Date of Burial: on arrival of body

Undertaker: S.M. Taylor & Co.
Address: City

Medical Certificate of Death

Date of Death: June 16, 1909

I Hereby Certify, That I attended deceased from June 10, 1909 to June 16, 1909 that I last saw him alive on June 16, 1909 and that death occurred, on the date stated above, at 7:10 a.m. 

The cause of death was as follows:

Chief Cause: Uremia poisoning
Where Contracted: In Idaho   Duration: 50 Days

Contributory: (See Image)
Where contracted: Idaho & Utah

Signed: Chris F. Wilcox, M.D.
Date: 6-16-1909  Address: Templeton

Filed: 6-16-1909

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