Death Certificate – John Ammon Taylor

Posted by jullianalund@gmail.com on 6 February 2012 | 1 Comment

Source: State of Utah, Utah Death Certificates, 1904-1956, Entry no. 79583, John Ammon Taylor death certificate, 19 February 1921; digital images, Utah State Archives and Records Service, Utah State Archives (archives.utah.gov : downloaded 2 February 2012); Series no. 81448.

Transcript:

1 Place of Death

County or

Precinct or

City  /  no.  /  ward

Weber

Ogden  /  640 22nd Street (4th Ward)

2 Full Name

Residence No. / St.

Length of residence in city or town where death occurred (yrs. mos. ds)

How long in U.S., if foreign birth?

John Ammon Taylor

640 22nd Street (4th Ward)

4 years

3 Sex

Male

4 Color or Race

White

5 Single, Married, Widowed, or Divorced

If Married, Widowed, or divorced, Husband of (or) wife of

Married

Hannah Poulson

6 Date of Birth

February 18, 1846

7 Age

75 yrs. 0 mos. 1 ds.

8 Occupation

Farmer

9 Birthplace (City or town)

Texas

     (State or Country)

10 Name of Father

John Taylor

11 Birthplace of Father (State or Country)

Pennsilvania

12 Maiden Name of Mother

Hannah Berkatt

13 Birthplace of Mother (State or Country)

Kentucke

14 Informant

Elmer A. Taylor

     Address

15 Filed / Registrar

Feb 3 1921  /  R Wilson

16 Date of Death

February 19, 1921

17 I hereby Certify, That I attended deceased from Feb 9, 1921 to Feb 19, 1921 that I last saw him alive on Feb 18, 1921 and that death occurred, on the date stated above, at 1:20 AM.

The Cause of Death was as follows: Apoplexy  Duration: 10 ds.

18 Where was the disease contracted if not at place of death?

Did an operation precede death?

Was there an autopsy?

What was the confirmed diagnosis?

(Signed), M.D.

Date/Address

No, —

No

(signed)

Feb 19, 1921 / Ogden, Utah

19 Place of Burial, Cremation or Removal

     Date of Burial

Plain City Cemetary

Feby 22, 1921

20 Undertaker

     Address

[Ija] Lindquist

Ogden, Utah

21 Registered No.

2656

22 no of Burial or Removal Permit

2719


Interesting: 

  • John died one day after his 75th birthday.
  • Listed as married but his wife died in 1916, according to his gravestone.
  • His parents birthplaces, in addition to being misspelled, are inverted, maybe. His census records list his Father from Kentucky and his mother from Pennsylvania.
  • ETA – According to Midge – “Apoplexy is the same as a stroke. Test confirming diagnosis looks like paralysis. They had few tests available to them back then but paralysis either complete or one sided is classic. More of a symptom than a test but I think that is what it says.”

Posted in Death Certificate, Taylor |

One response to “Death Certificate – John Ammon Taylor”

  1. John Ammon Taylor was married to Martha Jane Burns when he died. It should have been her name given on the death certificate instead of Maren Johanne’s, who had died in 1916.

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