| Place of death: County | Monroe Co.
|
| City | Leon Township
|
| Address |
|
| Full name | Perry (Unnamed)
|
| Sex | Male
|
| Color or race | White
|
| Single Married Widowed or Divorced | ----
|
| Date of birth | Nov 12 1915
|
| Age | ----
|
| Occupation | ----
|
| Birthplace | Town of Leon
|
| Name of father | Wm Perry
|
| Birthplace of father | Wis.
|
| Maiden name of mother | Minne McGaury
|
| Birthplace of mother | Wis.
|
| Informant | S.C. Letson
|
| Address | Sparta Wis
|
| Filed | Nov 13 1915
|
| Date of death | Nov 12 1915
|
| Physician attendance dates |
|
| Time of death |
|
| Cause of death | Still Birth
|
| Duration |
|
| Contributory cause of death |
|
| Duration |
|
| Name of physician | S.W. Beebe, MD
|
| Address of physician |
|
| Length of residence |
|
| Place of burial | Town of Leon
|
| Date of burial | Nov 13 1915
|
| Undertaker | S.C. Letson
|
| Address | Sparta Wis
|
| |
|
| Location of record | Monroe County Courthouse, Sparta, WI
|
| Volume | 9
|
| Page | 124
|
| Transcribed by | Bruce E. Kendall
|
| Transcription date | Aug. 24 2005
|
|
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|
