DEATH CERTIFICATE: Cecil Tweedy; Beaver co., Utah

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State Board of Health File No.: 15
Stamped File No.: 0400016

Place of Death
County of: Beaver
City, Town or Village: Milford
Street and No.: 
If in Hospital or Institution, give name: 

Full name of Deceased: Cecil Tweedy
Former or Usual Residence: Burbank
Sex: male
Color: white
Date of Birth: 21 Nov 1901
Age: 2y 6m 6d
Single, Married, Widowed, Divorced: single
Birthplace: Burbank
Name of Father, Birthplace: Sylvest Tweedy, America
Maiden Name of Mother, Birthplace: Eva Christopherson, America

Occupation: 
Informant: S. Tweedy
Address: Burbank

Place of Burial: Burbank
Date of Burial: 29 May 1904
Undertaker: themselves & neighbors
Address: Burbank

Medical Certificate of Death
Date of Death: 27 May 1904
Time: one am 
Chief cause: pneumonia
Where contracted: Burbank
Duration: 7 days
Contributory if any: 
Where contracted: 
Duration: 
Signed Doctor: W. W. Cook, M.D.
Date: 27 May 1904
Address: Milford