Editing Death Certificate of Alvina Mailahn

<b>[[Case File: Mailahn Family]]</b>

From Death Records of Outagamie County, Wisconsin - Vol 3 (Pre Oct 1907)

Certificate No 168 (02024)
{| class="wikitable"
|+
!#
!Question
!Answer
|-
|1
|Full name of deceased
|[[Alvina Mailahn|Miss Vina Mailahn]]
|-
|2
|Maiden name (if wife or widow)
|
|-
|3
|Color and sex
|whtie - female
|-
|4
|Race
|Caucasian
|-
|5
|Occupation of deceased
|Housework
|-
|6
|Age (years, months and days)
|23 yrs, 0 mos, 20 Dys
|-
|7
|Name of father
|[[Louis Mailahn|Louie Mailahn]]
|-
|8
|Birthplace of father
|Germany
|-
|9
|Name of mother
|[[Augusta Schmidt Mailahn|Gusta Mailahn]]
|-
|10
|Birthplace of mother
|Dodge Co.
|-
|11
|Birthplace of deceased
|Black Creek
|-
|12
|Date of birth of deceased
|May 13 - 1884
|-
|13
|Condition (single, married, widowed, or divorced)
|single
|-
|14
|Name of wife or husband of deceased
|
|-
|15
|Date of death
|June 14, 1907
|-
|16
|Cause of death {Primary, Secondary
|Tuberculosis of Lunge
|-
|17
|Duration of disease
|about one year
|-
|18
|Place of death
|Center
|-
|19
|Resdience at time of death
|Center
|-
|20
|Was deceased ever a U. S. soldier or sailor?
|No
|-
|21
|Name of physician, coroner or justice.
|J. J. Laird
|-
|22
|Residence of such person
|Black Creek, Wis.
|-
|23
|Name of undertaker or other person conducting burial.
|Strassburger
|-
|24
|No. and date of burial permit
|7 -
|-
|25
|Place of burial
|Black Creek Town Cem.
|-
|26
|Date of certificate
|June 14, 1907
|-
|27
|Date of registration
|Jul 2, 1907
|-
|28
|Other important facts not related
|~
|}