VITALS - Death Certificate of: Lovina Hayes Dame; Meadow, Millard co., Utah

Transcribed by Stephen D. Robison (kinseeker @ hotmail.com)
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FHL Film # 2229072, State of Utah, Death Certificates, Millard County:
              
Certificate Number:  0500734
              Death place:  Meadow
              Name:  Lovina Hayes Dame
              Usual residence:  Fillmore Utah
              How long resident:  34 years
              
PERSONAL AND STATISTICAL PARTICULARS
              Sex:  Female
              Color:  White 
              Birth date:  Dec 3 1826
              Age:  78 y 11 m 27 d
              Marital status:  Widow
              Birth place:  Union Co., Penn. U.S.A.
              Father:  Ezra Hayes
              Father's birth place:  unknown
              Mother:  Catherine Hayes
              Mother's birth place:  unknown
              Occupation:  Weaver
              Informant:  Joseph Smith Dame
              Informant's address:  Meadow
              Burial place:  Meadow Cemetary
              Burial date:  Dec 3rd 1905
              Undertaker:  
              Undertaker's address:  
              
MEDICAL CERTIFICATE OF DEATH
              Death date:  Nov. 30th 1905
              Cause:  Old age
              Where contracted:  Meadow
              Duration:  11 days
              Contributory:  
              Where contracted:  
              Duration:  
              Doctor:  Joseph Smith Dame
              Dated:  
              Filed:  
              Registrar: Neil M. Stewart