DATE OF DEATH: PLACE OF DEATH:
AGE: 50
BIRTH DATE:
BIRTHPLACE: Ohio
RESIDENCE AT DEATH: Clayton Twp, WI
RACE:
GENDER:
OCCUPATION:
MARITAL STATUS:
SPOUSE:
FATHER: Ebenezer Hartley
BIRTH DATE:
BIRTHPLACE: Ohio
MOTHER: Hannah Hartley
BIRTH DATE:
BIRTHPLACE: Ohio
PHYSICIAN:
OF:
INFORMANT:
OF:
CAUSE OF DEATH:
ADDITIONAL CIRCUMSTANCES:
AUTOPSY?:
PLACE OF BURIAL: North Clayton Cemetery, Crawford Co, WI
MY NOTES: Mother nee Gilbert. Rebecca born 1852, died July 16, 1909. Wife of James Hill