Death Certificate of Sarah Ann Pratt
Mar. 20, 1922
(click to enlarge)
State of Utah—Death Certificate
1. Place of Death
County: Millard
City: Fillmore
2. Full Name: Sarah Ann Pratt
a. Residence. 1st Ward
Length of residence in city where death occurred: 52 yrs
How long in U.S., if of foreign birth? 52 yrs
Personal and Statistical Particulars
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed, or Divorced: Widowed
5a. Wife of Lehi Pratt
6. Date of Birth: Oct. 30, 1843
7. Age: 78 Years, 4 Months, 21 Days
8. Occupation: Housewife
9. Birthplace: Cambridge Marsh, England
10. Name of Father: Is— Mitchel
11. Birthplace of Father: England
12. Maiden Name of Mother: Mary Ann Green
13. Birthplace of Mother: England
14. Informant: Heber Mitchell
Address: Fillmore, Ut.
15. Filed: April 1, 1922
Medical Certificate of Death
16. Date of Death: March 20, 1922
17. I Hereby Certify, That I attended deceased from March 1, 1922, to March 18, 1922, that I last saw her alive on March 18, 1922, and that death occurred, on the date stated above, at 12:01 a.m.
The cause of death was as follows:
(See Image)
18. Did an operation precede death? No.
Was there an autopsy? No.
What test confirmed diagnosis? Clinical
Signed: Earl D. Maxon, M.D.
March 20, 1922 Address: Fillmore, Ut.
19. Place of Burial, Cremation, or Removal: Fillmore, Ut.
Date of Burial: Mar. 21, 1922
20. Undertaker: John. H. Davis
Address: Fillmore