Death Certificate of William Bailey
Feb. 14, 1947
(click to enlarge)
State of Utah
Certificate of Death
1. Place of Death
a. County: Juab
b. City: Nephi
c. Name of hospital or institution:
d. Length of stay: In this community: 83 years
2. Usual Residence of Deceased
a. State: Utah
b. County: Juab
c. City: Nephi
3. a. Full Name: William Bailey
4. Sex: Male
5. Color or race: White
6. a. Single, widowed, married, or divorced: Married
6. b. Name of husband or wife: Chloe Bailey
6. c. Age of wife if alive: 60 yrs.
7. Birth date of deceased: Jan. 29, 1864
8. Age: 83 Years, 0 Months, 15 Days
9. Birthplace: Nephi, Utah
10. Usual occupation: Farmer & Merchant
11. Industry or business:
12. Father Name: Langley A. Bailey
13. Father Birthplace: Whitwick, Lestershire, Eng.
14. Mother Maiden Name: Sarah Andrews
15. Mother Birthplace: Packington, Lestershire, Eng.
16. a. Informant’s own signature: H. Lee Bailey
b. Address: Nephi, Utah
17. a. Burial
b. Date thereof: 2-17-47
c. Place: burial or cremation: Nephi, Utah
18. a. Mortuary: Anderson Funeral Home
b. Signature of funeral directory: Miles G. Anderson
c. Address: Nephi d. License No. 42
e.. Was body embalmed? Yes f. Embalmer’s License No. 255
19. a. Date received: Feb-25-47
Medical Certification
20. Date of Death: 2-14-47
21. I Hereby Certify, That I attended deceased from Feb. 13, 1947, to Feb. 14, 1947; I last saw him alive on Feb. 14, 1947; death occurred on the date stated above, at 2 p.m.
Immediate cause of death: Coronary occlusion
Duration: 12 hrs.
22. If death was due to external causes, fill in the following:
23. Signature: [See Image]
2-17-1947 Address: Nephi, Ut