Full Name of Deceased |
Cora
Bell Lossier |
Color |
White |
Sex |
Female |
Age |
1 |
Name of Father of Deceased |
Nelson Lossier |
Name of Mother of Deceased |
Olive Lossier |
Occupation |
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Place of Birth |
Wis. |
Name of Wife of Deceased |
|
Name of Husband of Deceased |
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Date of Birth |
|
Date of Death |
Sept. 15, 1877 |
Cause of Death |
Cholera Infantum |
Name of place, town or township,
and county in which person died |
Peshtigo, Oconto County, Wis. |
Name and location of burial
ground in which interned |
Peshtigo, Oconto County, Wis. |
Name of person returning certificate |
L. J. Smith |
Residence of such person |
Peshtigo, Oconto County, Wis. |
Date of Certificate |
Oct. 15, 1877 |
Date of Registration |
Sept. 23, 1878 |
Other Information |
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