Alice Jerome Pratt
Dec. 14, 1923
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State of Utah—Death Certificate
1. Place of Death
County: Salt Lake
City: Salt Lake
No. 479 South 6th East
2. Full Name: Alice Jerome Pratt
a. Residence. No. 479 So. 6th East.
Length of residence in city where death occurred: 6 yrs.
Personal and Statistical Information
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Widow
5a.Wife of Nephi Pratt
6. Date of Birth: Dec. 14, 1852
7. Age: 71 yrs
8. Occupation of Deceased
a. Merchant
b. Retail Grocery Store
9. Birthplace: Texas
10. Name of Father: John Alexander Ray
11. Birthplace of Father: Va.
12. Maiden Name of Mother: Mary Young
13. Birthplace of Mother: Texas
14. Informant: Dr. A.N. Hanson
Address: 1385 Hale Ave.
15. Filed: Dec. 16, 1923
Medical Certificate of Death
16. Date of Death: Dec. 14, 1923
17. I Hereby Certify, That I attended deceased from Oct. 11, 1912, to Dec. 14, 1923, that I last saw her alive on Dec. 13, 1923 and that death occurred, on the date stated above, at 12 p.m., noon.
The cause of death was as follows: Chronic Myocarditis
Duration: 5 yrs
Contributory: Diabetes Mellitus
Duration: 14 yrs
18. Did an operation precede death? No.
Was there an autopsy? No.
What test confirmed diagnosis? Laboratory.
Signed: Dr. Hanson, M.D.
12-15-1923
19. Place of Burial, Cremation, or Removal: City Cemetery
Date of Burial: Dec. 16, 1923
20. Undertaker: Qualtrough-Allcott Co.
Address: City