Death Certificate of Andrew Smith Document Number: 1
Institution: SLGS Call Number: Film #26,556 Classification: ORIGINAL: CivilVitalRecord Location: USA, Utah, Salt Lake, Salt Lake City Date Range: BTWN 1911 and 1911 Death Certificate for SMITH, Andrew Document Entry Number: 1
Information: Entry: 1097
Transcription: Name: Andrew Smith Place of death: Salt Lake City, 1001 South 8 West, 2nd Ward Burial Permit#: E906 1/2 Date of Birth: Mar 8, 1846 Age: 65 years, 5 months, 27 days Occupation: Miner
BirthPlace: Scotland Father: Richard Smith; BirthPlace of Father: England Mother: Tina Martin; BirthPlace of Mother: Scotland Informant: Mrs. Andrew Smith, 1001 South 8 West Date of Death: Sept 5, 1911 Filed: Sept 5, 1911 Cause of Death: I hearby certify that I attended the deceased from Aug 29, 1911 to Sept 4, 1911. That I last saw him alive on Sept 4, 1911, and that death occured on the date stated above at 12:10 a.m. Cause: Chronic Bright's Disease, Asthma. Signed: C.M. Benedict M.D. Duration of Illness: 3 years Burial: Provo City Cemetary