Full Name of Deceased |
Nelson
Payne |
Color |
White |
Sex |
Male |
Age |
22 |
Name of Father of Deceased |
John Payne |
Name of Mother of Deceased |
Sarah Payne |
Occupation |
Farmer |
Place of Birth |
England |
Name of Wife of Deceased |
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Name of Husband of Deceased |
|
Date of Birth |
Oct. 22, 1854 |
Date of Death |
June 23, 1877 |
Cause of Death |
Scarlet Fever |
Name of place, town or township,
and county in which person died |
Peshtigo, Wis. |
Name and location of burial
ground in which interned |
Peshtigo, Wis. |
Name of person returning certificate |
L. J. Smith |
Residence of such person |
Peshtigo |
Date of Certificate |
July 28, 1877 |
Date of Registration |
Oct. 13, 1877 |
Other Information |
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