Jarl Family - John Theodore Jarl - County Death Record - page 8

This is the "official" documentation of John Theodore Jarl's death. I retrieved it from the Crawford County at Dennison, Crawford County, Iowa, during Brian and my "Family History Tour" in the summer of 2012.

Script of Deaths in the County of

 1. Place of Death - Stockholm
 2. Full Name of Descendant - Jarl, John Theodore
 3. Sex - Male
 4. Color - White
 5. Single, Married Widowed or Divorced -            [empty]
 6. Date of Birth - Mo. Sept, Dy. 29 Yr. 1904
 7. Age - Yrs13 Mos.5 Dys.27
 8. [Empty]
 9. Birthplace of Decedent - Crawford County
10. Name of Father - Alben Jarl
11. Birthplace of Father - Sweeden
12. Maiden Name of Mother - Carrie Johnson
13. Birthplace of Mother - Sweeden
14. Informant Address - Mrs. A. Jarl
      Boze, Ia.

[Book 2 page 190]

State of Iowa, for the Fiscal Year Ending June 30, 1918
16. Date of Death - Mo. Mar. Dy.27 Yr 1919
17. Cause of Death - Lobar Pneumonia. Valvular heart disease
18. Attending Physician Address - Where was disease contracted, if not at place of Death - W. A. Garner, Kiron, Ia.
19. Place of Burial, Cremation, or Removal  - Date of Burial - Kiron Cemetery, Mar. 29, 1918.
20. Undertaker Address - E. E. Clauson, Kiron, Ia.

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