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1903-1915 DEATH REGISTER OF DOUGLAS COUNTY, OREGON 1. Name 2. Date of death 3. Sex 4. Color 5. Marital Status 6. Age (Yrs/ Mos/Days) 7. Place of Death 8. Birthplace 9. Occupation 10. Father’s Name 11. Father’s Birthplace 12. Mother’s Maiden Name 13. Mother’s Birthplace 14. Cause of Death 15. Contributory Cause 16. By Whom Reported 17. Place of Burial 18. Date of Burial 19. Undertaker 20. Informant TIPTON, NANCY 2. 1/11/1914 3. FEMALE 4. INDIAN 5. MARRIED 6. BLANK 7. MT. SCOTT, OREGON 8. OREGON 9. HOUSEWIFE 10. JOHN WALGAR 11. OREGON 12. BLANK 13. BLANK 14. PARALYSIS 15. BLANK 16. N.T. JEWETT 17. ROCK CREEK 18. 1/12/1914 19. BLANK 20. MACE TIPTON Notify Administrator about this message?
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