Full Name of Deceased: Mary Mott
Maiden Name: Mary Schueison
Color: White
Sex: Female
Race:
Occupation: Housekeeper
Age: 47 years
Name of Father of Deceased:
Christian Schueison
Birthplace of father:
Germany
Name of Mother of Deceased:
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Birthplace of mother:
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Place of Birth: Columbus, Wis
Condition: Married
Name of Wife of Deceased:
Name of Husband of Deceased:
Albert Mott
Date of Birth :
Date of Death: Sept. 18, 1904
Cause of Death: Pulmonary Tuberculosis
Duration of disease: about 3 years
Place of death: Oconto, Wis.
Residence at time of death : Oconto, Wis.
Military service: No
Name of Physician, coroner or justice:
CW Stoeltuig
Name of undertaker: Donald McQueen
No & date of burial permit:
Sept 20, 1904 #101
Interred: Evergreen Cemetery
Date of Certificate: Sept 19, 1904
Date of Registration: Oct 14, 1904 |