Annie Eliza Pratt
Jan. 18, 1937
State of Utah
Certificate of Death
1. Place of Death
County: Salt Lake
City: Salt Lake
No. S.L. General Hospital
2. Full Name: Annie Eliza Pratt
3. Residence: No. 858 Montague Ave.
a. Length of residence in city where death occurred: Years. 35
Personal and Statistical Particulars
4. Sex: Female
5. Color or Race: White
6. Single, Married, Widowed, or Divorced: Widowed
6a. Wife of Teancum Pratt
7. Date of Birth: August 13, 1855
8. Age: Years: 81 Months: 5 Days: 5
9. Occupation of Deceased: Housewife
10. Birthplace: Salt Lake City, Utah
11. Name of Father: Arlando Fish Mead
12. Birthplace of Father: Connecticut
13. Maiden Name of Mother: L.O. Presley
14. Birthplace of Mother: Ohio
15. Informant: [See image]
Address: 47 West 5th So. St.
16. Burial, Cremation, or Removal: Salt Lake City
Place: S.L. City Cem. Date: 1/24/37
17. Undertaker: Lindquist-Carlquist
Address: 2128 So. State Street
18. Filed: Jan. 23, 1937, T.J. Howell, M.D.
19. Date of Death: January 18th, 1937
20. I Hereby Certify, That I attended deceased from Jan. 17, 1937, to Jan. 18, 1937, I last saw her alive on Jan. 18, 1937, death occurred on the date stated above at 3:07 p.m.
The principal cause of death and related causes of importance were as follows:
Bronchopneumonia Duration: 7 days
Other contributory causes of importance: Senility
Was disease or injury to any way related to occupation of deceased? No.
Signed: C.S. Evans, M.D.
Jan. 20, 1937