Death Certificate of Agnes Ellen Caine Pratt
May 31, 1926
(click to enlarge)
State of Utah—Death Certificate
1. Place of Death
County: Salt Lake
City: Salt Lake
No. LDS Hospital
2. Full Name: Agnes Ellen Pratt
a. Residence. No. 933 Lincoln St.
Length of residence where death occurred: 74 yrs.
Personal and Statistical Particulars
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed, or Divorced: Widowed
5a. Wife of Arthur Pratt
6. Date of Birth: Oct. 1, 1851
7. Age: 74 yrs. 7 mos. 30 ds.
8. Occupation of Deceased: Housewife
9. Birthplace: St. Louis, Mo.
10. Name of Father: John T. Caine
11. Birthplace of Father: England
12. Maiden Name of Mother: Morgan Nightingale
13. Birthplace of Mother: England
14. Informant: P. P. Pratt
Address: 933 Lincoln St.
15. Filed: June 1, 1926
Medical Certificate of Death
16. Date of Death: May 31, 1926
17. I Hereby Certify, That I attended deceased from April 20, 1926, to May 31, 1926, that I last saw her alive on May 31, 1926, and that death occurred, on the date stated above, at 11 a.m.
The cause of death was as follows:
Diabetes mellitus
Duration: 6 mos.
Contributory: Don’t Know
18. Where was disease contracted if not at place of death? California
Did an operation precede death? No
Was there an autopsy? No
What test confirmed diagnosis? Clinical
Signed: H.Z. Lund, M.D.
June 1, 1926 Address: Salt Lake City, Utah
19. Place of Burial, Cremation, or Removal: City Cemetery
Date of Burial: June 2, 1926
20. Undertaker: Geo. Wm. Taylor
Address: City