State of Utah Death Certificate

Full Name of Deceased Francis M. Simer
Address: 508 31st St., Ogden, Weber, Utah
Date of Birth Sept. 20, 1849
Age 57 years, 4 months and 14 days
Married Yes
Birthplace Kentucky
Name of Father Andrew Simer
Birthplace of Father Kentucky
Maiden Name of Mother Martha A. McKensey
Birthplace of Mother Virginia
Occupation Miner
Date of Death Feb. 4, 1907
Time of Death 9 a.m.
I attended the deceased from Nov. 1906 until Feb. 4, 1907
Cause of Death Asthma and Bright's Disease
Where Contracted Ogden
Duration 3 years?
Informant Mary Simer
Informant Address 508 31st St.
Place of Burial Ogden City Cemetery
Undertaker Geo W. Larkin and Sons