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BURGUM FAMILY HISTORY SOCIETY


Miscellaneous Documents

(The following Certificate of Death was issued by the State of North Dakota, Bureau of Vital Statistics (Registered No. 0618).

A.T Burgum - Certifiacte of Death

Place of Death Arthur, Cass County.
Full Name Anthony T. Burgum
Sex Male
Color White
Date of Birth October 21st 1834
Age 78 years, 5 months, 3 days.
Status Married
Age at marriage 23
Parent of 12 children, of whom 9 are living
Birthplace England
Name of Father William Burgum
Birthplace of Father England
Maiden name of Mother Edith E. Bowery
Birthplace of Mother England
Occupation Retired Farmer
Informant J.A. Burgum, Arthur, North Dakota
Date of Death March 24th 1913
I HEREBY CERTIFY, That I attended the deceased from March 4th 1913, to March 24th 1913, that I last saw him alive on March 24th 1913, and that death occurred on the date stated above, at 3.30PM. The CAUSE OF DEATH was as follows... Cerebral Embolisim (Duration 6 hours).
Signed T. Campbell, Arthur, N.D.
Filed March 28th 1913

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