Death Certificate of Culbert King
Oct. 26, 1909
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State of Utah—Death Certificate
Place of Death
County of Garfield
Precinct of Coyote
City of Coyote
Full Name of Deceased: Culbert King
Former or Usual Residence: Fillmore
How long resident at place of death: 30 years
Personal and Statistical Particulars
Sex: Male
Color: White
Date of Birth: Jan. 31
Age: 73 years, 9 months, 26 days
Single, Married, Widowed, or Divorced: Widowed
Birthplace: Otisco Onondagna Co. N.Y.
Name of Father: Thomas R. King
Birthplace of Father: unknown
Maiden Name of Mother: Matildia Robinson
Birthplace of Mother: New York
Occupation: Farmer
Informant: Volney King
Address: Cowley Big Horn —–
Place of Burial: Coyote Garfield, Ut.
Date of Burial: Oct. 29, 1909
Undertaker: Geo. Black
Address: Coyote, Ut
Medical Certificate of Death
Date of Death: Oct. 26, 1909
I Hereby Certify, That I attended deceased from May 1909 to Oct. 26, 1909 that I last saw him alive on Oct. 26, 1909 and that death occurred, on the date stated above, at 11:30 a.m.
The cause of death was as follows:
Chief Cause: Dropsy
Where Contracted: unknown
Duration: 180 Days
Contributory: none
Signed: Minnie King Reg., M.D.
Date: Oct. 29, 1909 Address: Coyote
Filed: Nov. 4, 1909