For my first attempt I chose a rather difficult document to read. It is the death certificate of Amelia Jane Sullivan Patton.
Amelia Jane Sullivan Patton
1845-1900
death certificate
In the top left hand corner: County Miami Township Pipecreek town or city ----- name of decadent Amalia Jane Patton
In the top center: Indiana State Board Of Health Certificate and Record of Death
In the top right corner: #247 Health Officer's Record number 3 Date of Death Month May Day 7th Year 1900
Center portion of certificate: This blank to be filled by the physician, if any, otherwise by health officer or coroner MEDICAL CERTIFICATE OF DEATH I hereby certify that I attended the deceased from March 17 to May 6, that I last saw her alive on May 6, that she died on 7th about 7 o'clock AM, and that to the best of my knowledge and belief the CAUSE OF DEATH was as hereunder written
Disease causing death Uroseptic Toxemia (?) Duration 7 (?) weeks
Immediate cause of death anconthosis (?) Duration March progression (?)
Contributing causes or complications if any Softening of Brain (?) Duration Known beginning (something) of 8 months (?)
Post mortem none
Witness my hand this 9th day of May 1900
Signature of physician, coroner or health officer Wilber Brantien (?)
Address Peru Indiana
Bottom portion of certificate: This blank to be filled by householder of any competent person.
RECORD OF DEATH Age 54 years 11 months and 6 days
Full name of deceased Amelia Jane Patton Sex Female Color White
Residence 5 1/5 miles so west of Peru married
Occupation Housewife Birthplace Miami County Ohio
Place of Death 5 1/5 miles so west of Peru Father's name in full Cornelius H Sullivan
Father's birthplace Maryland Mother's maiden name in full Mariah L Morris
Mother's birthplace Miami Co O Date of Burial May 9, 1900
Place of Burial Pipe Creek Cemetery Signature of undertaker Jake (?) H Fetter
Reported by Samuel S Patton Address of undertaker Peru Ind
Address Nead Indiana
I attempted to look up the number on the upper right hand corner to see if it would help me with the cause of death and it did not. HERE is where you look if you have a number on a death certificate in 1900. But I think the number would have been written in near the cause of death.
This is a good source document to go back and check the information I have on her parents names and birth locations and her death and birth dates and locations. When I saw her name at the top I thought maybe I had been mis-spelling it but it is spelled like I spell it on the bottom of the form.
The Samuel Patton that is Amelia's husband on this form is the nephew of the Samuel Patton that was in the story a couple of posts ago for my May writing group post.
I think if you click on the picture the death certificate should get bigger for you in case you want to try to read it yourself.
This was a difficult but worth while exercise.
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