REGISTRATION OF DEATHS

NEILLSVILLE CLARK CO., VOL 1, 1870-1879

(pg. 6)
1. Full name of deceased: Hutchinson, Frederick
2. Color: White
3. Sex: Male
4. Age: 1 yr.
5. Name of the father of deceased: Wm. T. Hutchinson
6. Name of the mother of deceased: Eliza Austin Hutchinson
7. Occupation:
8. Place of Birth: Neillsville, Clark Co., WI
9. Name of wife of deceased:
10. Name of husband of deceased:
11. Date of birth and date of death: Dec. 20, 1874 - Dec. 17, 1876
12. Cause of death: Convulsions
13. Name of the place,
town or township, and county,
in which the person died: Neillsville, Clark Co., WI
14. Name and location of burial ground
in which interred: Pine Valley Cemetery
15. Name of person returning certificate: J. C. Lacey, Jr. M.D.
16. Residence of such person: Neillsville, Clark Co., WI
17. Date of certificate: Dec. 26, 1876
18. Date of Registration: Dec. 26, 1876

Transcribed by Janet.