
357 stamped in upper right corner
13939 stamped on left above name
Place of Death: County of Tippecanoe, Township of Perry
Indiana State Board of Health / Certificate of Death / Registered No. 115
PERSONAL AND STATISTICAL PARTICULARS
Full Name: Edwin M. JoslinMEDICAL CERTIFICATE OF DEATH
Sex: Male
Color or Race: White
Widowed
Name of Wife: Sareph A.
Date of Birth: Dec 17, 1829
Age: 86 years 3 months 20 days
Occupation: Retired Farmer
Birthplace: Ohio
Name of Father: --- Joslin
Birthplace of Father: unknown
Maiden Name of Mother: Mabethy Goodrich
Birthplace of Mother: unknown
Informant: Mrs. Ed Gunkle
Address: La Fayette, R.R.L.
Health Officer: Dwight R. Baker
Date of Death: April 3, 1916
Cause of Death: Arterio Sclerosis
Duration: two years
Signed: J. E. McCabe, M.D.
4/6, 1916
Address: Buck Creek
Place of Burial or Removal: Isley
Date of Burial: 4-9 1916
Undertaker: Dwight R. Baker
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