Full Name of Deceased |
Ross
Johnson |
Color |
White |
Sex |
Male |
Age |
|
Name of Father of Deceased |
Jas. Johnson |
Name of Mother of Deceased |
Ida Johnson |
Occupation |
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Place of Birth |
Town of Peshtigo |
Name of Wife of Deceased |
|
Name of Husband of Deceased |
|
Date of Birth |
Feb. 20, 1877 |
Date of Death |
May 23, 1877 |
Cause of Death |
Diphtheria |
Name of place, town or township,
and county in which person died |
Town of Peshtigo |
Name and location of burial
ground in which interned |
Maple Grove |
Name of person returning certificate |
L. J. Smith |
Residence of such person |
Peshtigo, Oconto County, Wis. |
Date of Certificate |
May 31, 1877 |
Date of Registration |
Oct. 13, 1877 |
Other Information |
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