06 February 2012

Death Certificate - John Ammon Taylor

Source: State of Utah, Utah Death Certificates, 1904-1956, Entry no. 79583, John Ammon Taylor death certificate, 19 February 1921; digital images, Utah State Archives and Records Service, Utah State Archives (archives.utah.gov : downloaded 2 February 2012); Series no. 81448.


1 Place of Death
County or
Precinct or
City  /  no.  /  ward


Ogden  /  640 22nd Street (4th Ward)
2 Full Name
Residence No. / St.
Length of residence in city or town where death occurred (yrs. mos. ds)
How long in U.S., if foreign birth?
John Ammon Taylor
640 22nd Street (4th Ward)
4 years

3 Sex
4 Color or Race
5 Single, Married, Widowed, or Divorced
If Married, Widowed, or divorced, Husband of (or) wife of

Hannah Poulson
6 Date of Birth
February 18, 1846
7 Age
75 yrs. 0 mos. 1 ds.
8 Occupation
9 Birthplace (City or town)
     (State or Country)

10 Name of Father
John Taylor
11 Birthplace of Father (State or Country)
12 Maiden Name of Mother
Hannah Berkatt
13 Birthplace of Mother (State or Country)
14 Informant
Elmer A. Taylor

15 Filed / Registrar
Feb 3 1921  /  R Wilson
16 Date of Death
February 19, 1921
17 I hereby Certify, That I attended deceased from Feb 9, 1921 to Feb 19, 1921 that I last saw him alive on Feb 18, 1921 and that death occurred, on the date stated above, at 1:20 AM.
The Cause of Death was as follows: Apoplexy  Duration: 10 ds.
18 Where was the disease contracted if not at place of death?
Did an operation precede death?
Was there an autopsy?
What was the confirmed diagnosis?
(Signed), M.D.

No, --
Feb 19, 1921 / Ogden, Utah
19 Place of Burial, Cremation or Removal
     Date of Burial
Plain City Cemetary
Feby 22, 1921
20 Undertaker
[Ija] Lindquist
Ogden, Utah
21 Registered No.
22 no of Burial or Removal Permit


  • John died one day after his 75th birthday.
  • Listed as married but his wife died in 1916, according to his gravestone.
  • His parents birthplaces, in addition to being misspelled, are inverted, maybe. His census records list his Father from Kentucky and his mother from Pennsylvania.
  • ETA - According to Midge - "Apoplexy is the same as a stroke. Test confirming diagnosis looks like paralysis. They had few tests available to them back then but paralysis either complete or one sided is classic. More of a symptom than a test but I think that is what it says."

1 comment:

  1. John Ammon Taylor was married to Martha Jane Burns when he died. It should have been her name given on the death certificate instead of Maren Johanne's, who had died in 1916.