Editing Death Certificate of Annie Mailahn

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

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

Certificate No 90 (01135)
{| class="wikitable"
|+
!#
!Question
!Answer
|-
|1
|Full name of deceased
|[[Anna Mailahn|Annie Mailahn]]
|-
|2
|Maiden name (if wife or widow)
|
|-
|3
|Color and sex
|White . Female
|-
|4
|Race
|Caucasian
|-
|5
|Occupation of deceased
|Housework
|-
|6
|Age (years, months, days)
|25 years, 7 mo, 16 dys
|-
|7
|Name of father
|[[Louis Mailahn]]
|-
|8
|Birthplace of father
|Germany
|-
|9
|Name of mother
|[[Augusta Schmidt Mailahn|Gustie Schmidt]]
|-
|10
|Birthplace of mother
|Wisconsin
|-
|11
|Birthplace of deceased
|Town Black Creek
|-
|12
|Date of birth of deceased
|July 20 - 1880 
|-
|13
|Condition (single, married, widowed, or divorced)
|Single
|-
|14
|Name of wife or husband of deceased
|
|-
|15
|Date of death
|Mar.16, 1906
|-
|16
|Cause of Death (Primary, Secondary)
|Phthisis Pulmonalis (Consumption), Heart Failure
|-
|17
|Duration of disease
|One year
|-
|18
|Place of death
|At home
|-
|19
|Residence at time of death
|Town Center
|-
|20
|Was deceased ever a U.S. soldier or sailor
|
|-
|21
|Name of physician, coroner or justice
|E. N. Lartell, M.D.
|-
|22
|Residence of such person
|Black Creek, Wis.
|-
|23
|Name of undertaker or other person conducting burial
|Rev. Hinnenthal
|-
|24
|No. and date of burial permit
|11 - March 17th 1906
|-
|25
|Place of burial
|Tome Cemetery Black Creek
|-
|26
|Date of certificate
|March 18th 1906
|-
|27
|Date of registration
|March 21st 1906
|-
|28
|Other important facts not related
|
|}