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Vital records and other important documents in the life of Caroline Jensen (Jensdatter) Andersen (1843 - 1907)

A Collection of Vital records and other important documents in the life of Caroline Jensen (Jensdatter) Andersen.


Table of Contents

1 Table of Contents
2 Vital Records Documents
2a Certificate of Birth
2b Death Certificate
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Vital Records Documents


Table of Contents

Certificate of Birth


Birth Certificate for Caroline Jensen Andersen

Den danske Folkekirke

The Danish National Church

Fødsels- og dåbsattest

Birth and baptism certificate

for

for

Slægtsnavn:Jensen

Family name: Jensen

Fornavne: Caroline

First name: Caroline

Fødested (på landet: by,sogn, herred og amt: i købstæder: købstaden og sognet): Lynkrog, Vejrum, Hjerm, Ringkøbing
Birthplace (at,parish, judicial district and county: in købstæder: burroughs and parishes Lynkrog, Vejrum, Hjerm, Ringkøbing county
Fødeslsår og -dag: 1843 - 30. september.
Birthyear and -day: 1843 - 30 September
Kirken, hvori barnet er døbt eller fremstillet efter hjemmedåb: Vejrum kirke.
The child at the font is baptized or else performed after baptism at home Vejrum church
Dåbsår ot dåbsdag samt - hvis barnet er hjemme-døbt - år og dag for fremstillingen i kirken: 1843 - 8. oktober.
Christening year and christening day plus - whose child is home baptized - year and day for performing in church: 1843 - 8 October
Forældrenes eller adoptiv-forældrenes stilling og fulde navne: Husmand Jens Davidsen og hustru Maren Andersdatter.
Parents or else adoptive-parents occupation and complete name Small farmer Jens Davidsen and wife Maren Andersdatter
Anmærkning angående op-tagelse i eller udtrædelse af folkekirken:
Note regarding inclusion in or secession by church people:

Overensstemmelsen med minist erialbogen bevidnes

agreement with the ministerial book certified

Stamp: Vejrum Pastorat Pr. Struer End of Stamp                     Vejrum, den 12. juli 1967.

Stamp: Vejrum Pastorat Pr. Struer End of Stamp                     Vejrum, the 12 July 1967.

Signature: Niel K. Jensen

Signature: Niel K. Jensen

Præstens navn.

Priest's name

Embedastempei eller segl.

Official stamp or seal

Nr. 1500 A/S Provins-Førlag. Randers

No. 1500 A/S Provins-Publisher Randers





Table of Contents

Death Certificate


Death Certificate for Caroline Jensen Andersen

State Board of Health File No. 96

STATE OF UTAH -- DEATH CERTIFICATE

This certificate must be forwarded by county clerk to the state board of health, Salrt Lake City, on or before the 5th of the following month, after first having been promptly registered.

PLACE OF DEATH

County of Weber

City, Town or Village of Huntsville

Street and No. ___________

If in a hospital or institution, give its name and how long deceased was an inmate./p>

_____________________________

Full Name of Deceased (Initials only will not be accepted)

Caroline Anderson

_____________________________

Special information for Hospitals, Institutions, Transients or Recent Residents:

Former or Usual Residentce ______________

How long resident 39 years

PERSONAL AND STATISTICAL PARTICULARS

SEX Female   |   4   COLOR White

DATE OF BIRTH      September 20, 1843

                                     (Month)   (Day)   (Year)

AGE 63 years. 5 months. 22 days

SINGLE MARRIED, WIDOWED, OR DIVORCED married

BIRTHPLACE   (State or Countr) Denmark

NAME OF FATHER Jenton Davisen                     Note: birth certificate has name as Jens Davidsen

BIRTHPLACE OF FATHER (State or Country) Denmark

NAME OF MOTHER Marion Hansen                     Note: birth certificate has name as Maren Andersdatter

BIRTHPLACE OF MOTHER (State or Country) Denmark

OCCUPATION House Wife (Return remunerative employment for all persons 10 years of age and over.)

The above stated personal particulars are true to the best of my knowledge andfelief.

Informant   Peter A. Anderson

        (Address) Huntsville

PLACE OF BURIAL Huntsville Cemetry

DATE OF BURIAL March 24, 1907

UNDERTAKER Lindquist

Address Ogden, Utah

Filed March 24th 1907        C. C. Wangsgaard

                                                  Registrar

MEDICAL CERTIFICATE OF DEATH

DATE OF DEATH   March 22 1907

                             (Month)   (Day)   (Year)

I HEREBY CERTIFY, that death occurred on the date stated above at 12:20 a.m. To the best of my knowledge and belief cause of the death was, viz.:

The CAUSE OF DEATH was as follows:Have not seen him since that time. Death was apparently to general debility.

Chief CauseMeningitis

Where ContractedHuntsville Duration 6 Days

Contributory (if any) ________________

Where Contracted ________________ Duration ____ Days

(Signed)C U Wherry, M. D.

Date Mar 22, 1907 (Address) Ogden City

Permission is hereby granted to {bury/ship} the body of the person above described.

(Signed) ________________

                                    Health Officer.

(Address) ________________ No. of record 5

(Date) _____________190___ No. of Burial Permit 5

State of Utah     )

County of Salt Lake)

The foregoing is a true and correct copy of the original certificate on file in the Utah State Department of Health

Date none shown Signature: John W. Wright