REGISTRATION OF DEATH


 1. Full name of deceased   William Zimmerman                                             
 2. Color   white                                                                         
 3. Sex   Masculine                                                                       
 4. Age (last birthday)   55 yrs.                                                         
 5. Name of father of deceased   Jerard Zimmerman                                         
 6. Name of mother of deceased   Elizabeth Krug                                           
 7. Occupation of deceased   Farmer                                                       
 8. Place of birth of deceased   Germany                                                  
 9. Name of wife of deceased   Mary Hoffman                                               
10. Name of husband of deceased                                                           
11. Date of birth of deceased   28th Aug, 1834                                            
12. Date of death   4th March, 1890                                                       
13. Cause of death   Felo de se                                                           
                                                                                          
14. Place, town or township, and county in which the person died   Town of                
   Edson, Chippewa Co.                                                                    
15. Name and location of burial ground in which interred   Protestant                     
   Cemetery, Town of Edson, Chippewa Co.                                                  
16. Any additional circumstances                                                          
                                                                                          

     I HEREBY CERTIFY, That the above is a true return of the death and of the other facts
there recorded.

Dated at       Boyd            
                                                                  A. R. McDonald          
Wisconsin, this   4th    day of                                Attending Physician.

      March              , 1890                           Residence,        Boyd          

NOTE: Transcribed from copy of original document on file at State of Wisconsin Vital Records, P.O. Box 309, Madison WI 53701-0309.


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