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Vital records and other important documents in the life of Albert Lewis Lyons (1909 - 1981)

A Collection of Vital records and other important documents in the life of Albert Lewis Lyons.



Table of Contents

1 Table of Contents
2 Vital Records Documents
2a Delayed Birth Certificate
2b Request to create delayed Birth Certificate
2c Marriage License and Certificate
2d Death Certificate
3 Church Documents
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Vital Records Documents


Table of Contents

Delayed Birth Certificate


Birth Certificate for Albert Lewis Lyons

Information from the Certificate

STATE OF UTAH
CERTIFICATION OF VITAL RECORD

State Board of Health File No: 1651a

CERTIFICATE OF BIRTH

State of Utah

PLACE OF BIRTH

County of: Salt Lake

Precinct of: ______

Town or Village of: ______

City of: Salt Lake

Street and No.: 1st South bet 5 & 6th West

(If in Hospital or other Institution, give its Name instead of Street and Number)

FULL NAME OF CHILD: Albert Lewis Lyons {If child is not yet named, make supplemental report as directed.}

Sex of Child: M | Twin, Triplet or other: ___ | Number in Order of Birth: ___ (To be ansered in event of plural births) | Premature ___ Full Term ___ | Legitimate: Yes | Date of Birth: July   17, 1909 (Month)   (Day)   (Year)

FATHER

Full Name: George Emery Lyons

Residence (Usual Place of Abode): Salt Lake City

Color or Race: White Age at Last Birthday: 24 (Years)

Birthplace (City or Place): Salt Lake City

(State or Country) Utah

Occupation

Trade, Profession, or Particular kind of work done, as spinner, sawyer, bookkeeper, etc.: Fireman

Industry or business in which work was done, as silk, mill, sawmill, bank, etc.: Steam Railroad

MOTHER

Full Maiden Name: Ruth Hazel Sainsbury

Residence (Usual Place of Abode): Salt Lake City

Color or Race: White Age at Last Birthday: 21 (Years)

Birthplace (City or Place): Salt Lake City

(State or Country) Utah

Occupation

Trade, Profession, or Particular kind of work done, as spinner, sawyer, bookkeeper, etc.: Housewife

Industry or business in which work was done, as silk, mill, sawmill, bank, etc.: Own Home

Number of children of this mother: (At time of this birth and including this child (a) Born alive and now living 3 (b) Born alive but now dead 0 (c) Stillborn 0

CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE*

I hereby cerify that I attended the birth of this child who was born alive at ____m, on the date above stated.

*When there was no attending physician or midwife, then the father, householder, etc. should make this return. A stillborn child is none that neither breathes not shows other evidence of life after birth.

(Signature) Parmelee

Date: Now deceased, 19 __       Physician

Address of Physician or Midwife: Then of Salt Lake City

Filed: Dec. 13, 1940 Registrar T. J. Howell M.D.

Registered No: C-2180


Date Issued: Aug 31 2007       Hologram Seal

This is an exact reproduction of the document registered in the State Office of Vital Statistics. Security features of this official document include: Intaglio Border, V & R images in top cycloids, ultra violet fibers and hologram image of a hawk over the word valid. This document displays the date, seal and signature of the State Registrar of Vital Statistics. Updated Utah State Seal Replaces hawk over valid for authenticity.

'The Great Seal of Utah' is located in both bottom corners.

Preprinted Signature Barry E. Nangle   Preprinted name and title   Barry E. Nangle, State Registar

Barcode *061125605*

Utah Department of Health, Office of Vital statistics and Statistics, Salt Lake City, Utah





Table of Contents

Request to create delayed Birth Certificate


Addendum to Birth Certificate for Albert Lewis Lyons

Information from the Certificate

STATE OF UTAH
CERTIFICATION OF VITAL RECORD

State of: Utah)) SS A F F I D A V I T

County of: Salt Lake

I, George Emery Lyons, being first duly sworn, depose and say that I reside at 56 Van Buren Ave. (Street) Satl Lake City, (City) Utah (state), taht I am the ('mother or' is crossed out father?) of Albert Lewis Lyons, who was born at 1st South bet 5 & 6th West. (street) S.L.C. (city) Utah (state), on July 17, 1909 (date) that the birth was attended by Dr. Parmalee (physician 'or midwife' is crossed out) then of Salt Lake City, Utah (address of physician or midwife), and that (he 'or she?' is crossed out) failed to file with the local registrar of vital statistics a certificate covering said birth, that physician (physician 'or midwife' is crossed out) is now deceased, and that the facts as set forth on the face of the attached certificate are to my knowledge true and correct.

Signature:   George Emery Lyons

Subscribed and sworn to before me this 13day of December, A.D., 19 40.

Signature:   GMaybe $nbsp Notary Public


Date Issued: Aug 31 2007       Hologram Seal

This is an exact reproduction of the document registered in the State Office of Vital Statistics. Security features of this official document include: Intaglio Border, V & R images in top cycloids, ultra violet fibers and hologram image of a hawk over the word valid. This document displays the date, seal and signature of the State Registrar of Vital Statistics. Updated Utah State Seal Replaces hawk over valid for authenticity.

'The Great Seal of Utah' is located in both bottom corners.

Preprinted Signature Barry E. Nangle   Preprinted name and title   Barry E. Nangle, State Registar

Barcode *061125607*

Utah Department of Health, Office of Vital statistics and Statistics, Salt Lake City, Utah





Table of Contents

Marriage License and Certificate


Addendum to Birth Certificate for Albert Lewis Lyons

Information from the Certificate

MARRIAGE LICENSE

THE STATE OF UTAH,           COUNTY OF SALT LAKE

You are hereby Authorized to Join in Holy Matrimony

Mr. Albert L. Lyons of Salt Lake City

in the County of Salt Lake and State of Utah over the age of 27 years, and

Miss Mary Cleo Hansen of Salt Lake City

in the County of Salt Lake and State of Utah over the age of 20 years.

Witness my hand and official seal this 29 day of Jan 1937

By Johna Harter Deputy Clerk


THE STATE OF UTAH

COUNTY OF SALT LAKE} ss.     I hereby certify that on the 29th day of January in the year of our Lord one thousand nine hundred and thirty seven at Salt Lake city, in said County,I, the undersigned, a Bishop of the LDS Church did join in the Holy Bonds of Matrimony according to law Albert L. Lyons of the County of Salt Lake State of Utah and Mary Cleo Hansen of the County of Salt Lake State of Utah The nature of the ceremony was according to law, and was a present mutual agreement of marriage between the parties for all time.

We were married as stated in this Certificate, and are now husband and wife.

Signed, Albert L Lyons Groom.}

Signed, Mary Cleo Hansen Bride.}       Fred W. Schwendiman

In the presence of Mrs. Ruth Lyons Witness.}

Mrs A. N. Hansen Witness.}       Bishop Whittier Ward, LDS Church





Table of Contents

Death Certificate


Death Certificate for Albert Lewis Lyons

Information from the Certificate

STATE OF UTAH
CERTIFICATION OF VITAL RECORD

8 1 0 5 8 5 0

Certificate of Death

3 1981 Local File number 18-3006         State pf Utah - Division of Health         143 81 005847 State File Number

1. NAME of DECEDENT First Middle LastALBERT LEWIS LYONS   |   2. SEX MALE   |   3. RACE (white, Black, Am. Indian, etc.) Specify WHITE   |   4. DATE of DEATH (Mo., Day, Year) SEPTEMBER 1, 1981

5. WAS DECEDENT of SPANISH ORIGIN? YES ___ NO X If yes, indicate type: Mexican __ Puerto Rican __ cuban __ Other __ (If other, Specity):   |   6; DATE of BIRTH (Mo., Day, Year) JULY 17, 1909   |   7. AGE (Last Birthday) 72 Yrs.   |   IF UNDER 1 YEAR Months __ Days __   |   IF UNDER 24 HOURS Hours __ Minutes __

8. BIRTHPLACE (State or foreign Country) UTAH   |   8. CITIZEN of What Country U.S.A.   |   10. Married X Never Married __ Divorced __ Widowed __ Other __   |   11. EDUCATION -- (Specify only highest grade completed) Elementary or Secondary (0-12) College (15-16 or 17+) SECONDARY (12)   |   12. SOCIAL SECURITY NUMBER CONFIDENTIAL

13a. USUAL OCCUPATION (Give kind of work done during most of working life, even if retired.) CLERK   |   13b. KIND of BUSINESS or INDUSTRY RAILROAD   |   14. NAME of Surviving Spouse (If, wife, enter maiden name) MARY CLEO HANSEN

15. NAME of FATHER GEORGE EMERY LYONS   |   16. MAIDEN NAME of MOTHER RUTH HAZEL SAINSBURY   |   17. Was decedent ever in U.S. Armed Forces? Yes __ No X

18a. USUAL RESIDENCE -- (Street and Number or Location and zip code) 2004 Stratford Dr.     84109   |   18b. INSIDE CITY LIMITS? Yes X No __

18c.CITY or TOWN SALT LAKE CITY   |   18d. COUNTY SALT LAKE   |   18e. STATE UTAH   |   19. NAME & MAILING ADDRESS of INFORMANT CLEO LYONS   2004 STRATFORD DR.   SALT LAKE CITY, UTAH 84109

20a. NAME of Hospital, nursing home or other institution where death occurred. (If outside an institution, give street address or location) L.D.S. HOSPITAL       X In patient   __ E.O. Patient   __ DOA   |   20b. CITY or TOWN SALT LAKE CITY   |   20c. COUNTY SALT LAKE

21a. MEDICAL EXAMINER: I hereby certify that to the best of my knowledge the death occurred at the hour, date and place stated above from the causes stated below based on examination of the body and/or investigation of the circumstances. Decedent was pronounced dead at: HOUR __ DATE __   |   21b. PHYSICIAN OR MEDICAL EXAMINER SIGNATURE G H Curtis   |   21C. TIME of Death (24 hr. clock) 0920

22. PHYSICIAN: I hereby certify that to the best of my knowledge the death occurred at the hour, date and place stated above from the causes stated below, that I attended the decedent, and I last saw the decendentalive on: month 9 day 1 year 81   |   21e. CERTIFIER'S name and title (Type and Print) G. H. Curtis MD   |   21f. DATE SIGNED (Mo., Day, Year) 9-2-81

23a. Burial X Removal __ Entombent __ Cremation __ Other __   |   23d. DATE SEP. 4, 1981   |   24. SIGNATURE of Funeral Director M A BEARD Printed MICHAEL A. BEARD   |   25. FUNERAL HOME--Name, address and license number DESERET NORTUARY * S.L.C., UTAH

26. NAME AND LOCATION OF CEMETERY OR CREMATIORY LAKE HILLS MEMORIAL PARK * SANDY, UTAH   |   27. LOCAL REGISTRAR--Signature Harry D Talebous m.D.m.PH (mm)   |   28. Date accepted for registration by local registrar Sept. 2, 1981

29. PART I. DEATH WAS CAUSED BY: (Conditions if any which gave riSe to the immediate cause (A), Stating the underlying cause last.) IMMEDIATE CAUSE: (Enter only one cause per line for A, B and C)   (A) Cardiac Arrest   |   Interval between onset and death 1 minute   |  
DUE TO, OR AS A CONSEQUENCE OF Arteriosclerotic Heart Disease   |   Interval between onset and death 10 Years
DUE TO OR AS A CONSEQUENCE OF (c) ____   |   Interval between onset and death ____

30. PART II. OTHER SIGNIFICANT CONDITIONS -- CONTRIBUTING TO DEATH, BUT NOT RELATED TO THE IMMEDIATE CAUSE GIVEN IN PART 1 Polymyoritis   |   31a. AUTOPSY YES __ NO x   |   IF YES, were findings considered in determining cause of death? YES __ NO __

32. Accident __   Suicide __   Homicide __   Pending investigation __   Undetermined if injured Accidently or Purposely __   |   33a. DATE of Injury (Mo., Day, Year) ___   |   33b. TIME OF INJURY (24 Hour Clock) ___   |   34. INJURY AT WORK? YES __ NO __   |   35. PLACE OF INJURY (Specify home, fram, factory, freeway, street, office buildings, etc.) ___

36a. LOCATION OF INJURY -- STREET AND NUMBER OR LOCATION AND CITY OR TOWN. ____   |   36B. Distance from place of Injury to usual residence (Item 18) ____ Miles   |   37. Were laboratory tests done for drugs or toxic chemicals? YES __ NO __   |   38. Were laboratory tests done for alcohol? YES __ NO __

39. DESCRIBE HOW INJURY OCCURRED (enter sequence of events whichresulted in injury, NATURE OF INJURY SHOULD BE ENTERED IN ITEM 29) ____   |   40. If motor vehicle accident, specity if decedent was driver, passenger or pedestrian.


Date Issued: Sep 20 2007       Hologram Seal

This is an exact reproduction of the document registered in the State Office of Vital Statistics. Security features of this official document include: Intaglio Border, V & R images in top cycloids, ultra violet fibers and hologram image of a hawk over the word valid. This document displays the date, seal and signature of the State Registrar of Vital Statistics. Updated Utah State Seal Replaces hawk over valid for authenticity.

'The Great Seal of Utah' is located in both bottom corners.

Preprinted Signature Barry E. Nangle   Preprinted name and title   Barry E. Nangle, State Registar

Barcode *061131963*

Utah Department of Health, Office of Vital statistics and Statistics, Salt Lake City, Utah






Church Documents

Table of Contents