Transcription
Issuing Body: State of Minnesota, Division of Vital Statistics
Certificate No. 1???6
No. in Registration Book: 3
Place of Death: Spring Lake [Township], Scott County, Minnesota
Full Name: Sophia Klingberg
Sex: Fem.
Color or Race: wht
Marital Status: married
Date of Birth: Sept 7, 1866
Age: 52 yrs, 6 mos. 17 ds.
Occupation: housewife
Birthplace: Germany
Name of Father: J. Jastram
Birthplace of Father: Germany
Maiden Name of Mother: Auguste Kättelhohn
Birthplace of Mother: Germany
Informant: E. Ulbright [of] Prior Lake, Minnesota
Filing date: June 4, 1919
Registrar: Wm. Geister [of] Shakopee, Minn.
Date of Death: March 24, 1919
Cause of Death: Exhaustion due to chronic arthritis [illegible]
Duration of Illness: 12 years
Medical Doctor: [illegible - ?E.E. Connaly?]
Place of Burial or Removal: Fish Lake Cemt.
Date of Burial: 3-27-1919
Undertaker: G? Strait [of] Jordan, Minn
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