Kathrina Chaloupka Death Registry Entry
Jones County Register of Deaths, Book 1: 92, County Recorder's Office, Anamosa, IA
No. |
Date of Report
|
1. Name 2. Sex and Color |
1. Age 2. Occupation |
Date of Death |
Single, Married, Widower or Widow |
1. Nationality 2. Where Born |
|||
Month | Day | Year | A. M. or P. M. | ||||||
1081 | 10-3-95 [3 Oct 1895] | 1. Kathrina Chaloupka |
1. Year Month Days 78 - 1 - |
5 | 30 | 95 |
1 P.M. |
M | 1. |
2. Sex, F Color, W | 2. Housewife | 2. Bohemia |
No. Years Resident in this State |
1. Place of Death 2.Cause of Death |
1. Complication 2. Duration of Disease |
1. Place of Burial 2. Date of Burial |
Name and Residence of Physician Returning Certificate |
37 | 1. Madison Twp. | 1. Erysipelas | 1. Wyoming | M H Calkins |
2. Dropsy | 2. 17 Mos. | 2. 1-2-95 [2 Jan 1895]* |
* Date is 2 Jan 1895. The 1 could also be a 6. June would be the appropriate month of burial based on the death date of 30 May 1895. 30 May 1895 has been confirmed as the date of death per her obituary.*
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