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 | Nilsson, Jonas Alfred - Død-Begravelse (Death Certificate, Michigan)
State of Michigan - Certificate of Death
- Place of Death: Menominee County, Township of Stephenson, Village of Dagget
- Full Name: Jonas Alfred Nilsson
Personal and statistical particulars
- Sex: Male
- Color: White
- Date of birth: September 2, 1863
- Age: 41 years, 11 months, 20 days
- Marital Status: Married
- Birthplace: Sweden
- Name of Father: Unknown
- Birthplace of Father: Sweden
- Maiden name of Mother: Unknown
- Birthplace of Mother: Unknown
- Occupation: ??ordsman
The above stated personal particulars are true to the best of my knowledge and belief.
(Informant) David Remillard
(Address) Dagget
Medical Certificate of Death
- Date of death: August 21, 1905
- I hereby certify, That I attended deceased from aug. 12, 1905, to aug 21, 1905, that I last saw him alive on aug 21, 1905, and that death occurred, on the date stated above, at 5:30 P.M..
The Cause of Death was as follows:
Nephritis & Cystitis
(Duration) 10 Days
Contributory Valvulae Lesion of Hearth
(Signed) ??, M.D.
Aug 22, 1905, Dagget
- Place of Burial: Swedish Bap. Church
- Date of Burial: Aug 22, 1905 |
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