KEY: 1 Family # on Schedule 1. 2 Name of deceased. 3 Age. 4 Sex. 5 Color. 6, 7, 8 Single, Married, Widowed/Divorced. 9 Place of birth. 10 Birthplace of father.
11 Birthplace of mother. 12 Profession, trade, or occupation. 13 Month of death. 14 Disease or cause of death. 15 Length of residence in the county.
16 Where disease contracted. 17 Attending physician.
1
| 2
| 3
| 4
| 5
| 6, 7, 8
| 9
| 10
| 11
| 12
| 13
| 14
| 15
| 16
| 17
| S.D. 10, E.D. 89
| Enumerator: Wm. C. Wygant BLOOMING VALLEY BORO
| 1.
| 30
| Flora Oakes
| 19
| F
| W
| single
| PA
| PA
| PA
| no trade
| Nov.
| Consumption
|
|
| Dr. Nason
| Note: Family of S. L. & Melissa Thompson, with step-daughter Amantha Oakes, aged 17.
| 2.
| 11
| George Clark
| 8/12
| M
| W
| single
| PA
| PA
| PA
|
| April
| Brain fever
|
|
| " Jacob. Wilson
| 3.
| 14
| Harry Hess
| 5
| M
| W
| single
| PA
| PA
| PA
|
| May
| Dysentery
|
|
| "
| Remark: It is impossible to get the Report of any of the Physicians Named In this Report Except Dr Weter who has already made a Report and Sent to Census office signed: W. C. Wygant
| next E.D. |
|