Janus F. Lund - Death Certificate

Source: State of Utah, Utah Death Certificates, 1904-1956, entry no. 18282, Janus F. Lund, 8 September 1908; digital images, Utah State Archives and Records Service, Utah State Archives (archives.utah.gov : downloaded 30 May 2011); Series no. 81448.

Transcription:

Janus F. Lund – Death Certificate

State Board of Health File No.	314
Place of Death County or Precinct or City  /  no.  /  ward	Weber Ogden  /  Ogden Medical Hosp.
Sex	Male
Color	White
Date of Birth	Jan 22, 1852
Age	56 years, 7 months, 16 days
Single, Married, Widowed, or Divorced	Married
Birthplace (State or country)	Denmark
Name of Father	Didrick J Lund
Birthplace of Father (State or Country)	Denmark
Maiden Name of Mother	Karen C. Hansen
Birthplace of Mother (State or Country)	Denmark
Occupation	Blacksmith
Informant	Lorenzo Lund
Address	Plain City
Place of Burial, Cremation or Removal      Date of Burial	Plain City Sept, 10 1908
Undertaker      Address	Lindquist Ogden
Full Name Former or Usual Residence Length of resident at place of death	Janus F. Lund Plain City, Utah 2 days
Date of Death	Sept 8, 1908
I hereby Certify, That I attended deceased from Sept 4, 1908 to Sept 8, 1908 that I last saw [blank] alive on [blank] and that death occurred, on the date stated above, at 7:36 PM. The Cause of Death was as follows: internal injuries. Where contracted: home Duration: 4 days. Contributory: Fracture scull Where contracted: home Duration: 4 days.
(Signed), M.D. Date/Address	(signed) Sev. W. Baxtor 9/9/8, Ogden
Filed / Registrar	Sept 9, 1908  /  N. J. Browning
Registered No.	301
no of Burial or Removal Permit	301