Source Number |
Repository |
Call Number |
|
Wisconsin Historical Society |
|
Indexed |
Condition |
Time Period |
N/A |
Copy |
1883 |
Research Date |
Description of Source |
|
Death Certificate of James DERRICKSON (Dane County, WI) |
Search Subject |
1. Full name of deceased: James DERRICKSON
2. Color: White
3. Age (last birthday): 71 Years
4. Full name of the father of deceased: John Derrickson
5. Full name of the mother of deceased previous to marriage: Mary Packer
7. Occupation of deceased: Retired Farrier
8. Place of birth of deceased: Gloucester County, N.J.
9. Full name of wife of deceased previous to marriage: Sarah Foster Derrickson
10. Full name of husband of deceased:
11. Date of birth of deceased: 20 November 1811
12. Date of death: 24 January 1883
13. Cause of death: Pheumonia
14. Place, town, township, and county in which the person died: Montrose, WI
15. name and location of burial ground in which interred: Oak Hall Cemetery, Fitchberg, Daul Co.
16. Name of person signing certificate or affidavit: N. S. Wheelwright
17. Residence of person last named: Bellevue, WI
18. Date of certificate of affidavit: 2 May 1883
19. Date of registration: 24 October 1883
20. Any additional circumstances
|