Death Certificate of Agnes Ure Pratt
May 25, 1949
(click to enlarge)
Certificate of Death
Utah
1. Place of Death:
County: Utah
City: Provo
Length of Stay: 1 yr. 10 mo.
Full Name of Hospital: Utah State Hospital
2. Usual Residence
a. State: Utah
b. County: Salt Lake
c. City: Salt Lake City, Utah
d. Street Address: 1744 East 3045 South
3. Name of Deceased: Agnes U. Pratt
4. Date of Death: Month: 5 Day: 25 Year: 1949
5. Sex: Female
6. Color or Race: White
7. Married, Never Married, Widowed, Divorced: Widowed
8. Date of Birth: Mo. Nov. Day 4 Year 1870
9. Age: 79
10. Usual Occupation: Housewife
11. Birthplace: Tooele, Utah
12. Citizen of What Country?
13. Father’s Name: James U. Pratt Birthplace: Scotland
14. Mother’s Maiden Name: Elizabeth Jones Birthplace: England
Husband’s or Wife’s Name: Mathoni Wood Pratt
15. Was Deceased ever in U.S. Armed Forces:
16. Social Security: No.
17. Informant: Hospital Records, Utah State Hospital
18. Cause of Death
I. Disease or Condition Directly Leading to Death: Chronic Myocarditis
II. Other Significant Conditions: Seniilty and general debility
20. Autopsy? No.
22. I Hereby Certify that I attended the deceased from 7-15, 1947 to 5-25, 1949. That I last saw the deceased alive on 5-23, 1949, and that death occurred at 5:25 a.m. from the causes and on the date stated above.
23. Signature
24. Burial, Cremation, Removal: Removal
24b. Date: 6/27/49
24c. Name of Cemetery: Wasatch Lawn
24d. Location: Salt Lake Co.
Date Rec’d by Local Reg.: 5-25-49