1903
Polk County Death
Certificates
Wm Tate
Male White
DOB: 1835
Married
Birthplace: MO
Occupation: Farmer
Informant: Wm S. Cary, MD
DOD: September 10, 1903
Cause: Organic Disease of Heart
Died suddenly without previous illness
Buried: Dallas, OR Sept. 11, 1903
Dallas
William Starr
Male White
Age: 23 years
Single
Birthplace: Polk Co.
DOD: Sept 11, 1903 2am
Cause: Typhoid Fever, extreme Tympaniatis, with internal
hemmorage
Duration 20 days
B.H. McCallon MD
Buried in: Dallas Sept 13, 1903
Dallas
Zennie Lect
Female White
Age: 56 years
Married
DOD: Sept. 13, 1903 2am
Cause: Brights Disease
B.H. McCleallon
Buried: Marion Co.
Independence
Ernest Snyder
Male White
Age: 4 or 5 months
Birthplace: Newberg, OR
Father: Burt Snyder
Birthplace: Buena Vista, OR
Mother: Carrie Lucke
Birthplace: Independence
DOD: Sept. 14, 1903
Cause: Cholera
EL Ketchum, MD
Buried: IooF Cemetery Sept 15, 1903
Undertaker: Josse & Bice, Independence
Falls City
Ole Sampson
Male White
DOB: July 18, 1830
Widowed
Birthplace: Norway
Father: Sampson
Birthplace: Norway
Mother: Unknown
Birthplace: Norway
DOD: Sept 21, 1903 5:30PM
Cause: Organic heart disease
L. Pfandhoefer, MD, Falls City, OR
Dallas
Abbe Harris
Female White
DOB: 1890
Single
Birthplace: Polk Co.
Father: Newton Harris
DOD: Sept. 30, 1903 4pm
Cause: Apendecitus following 6 days after evacuating pus from
abdomen
Duration: 20 days
B. H. McCallon, Dallas, OR
Buried: Dallas
Undertaker: Ch. H. Chapman, Dallas, OR
Lois Finley
Female White
Age: 25
Married
Informant: Sylvester Finley, Salem
DOD: Oct 1, 1903
Cause: Consumption probable cause of death
J. A. Richardson, MD, Salem
Independence
John Thomas Elkins
Male White
DOB: April 27, 1852
Widowed
Birthplace: Polk Co., OR
Father: James Edward Elkins
Birthplace, Cullpepper Co., VA
Mother: Lucy Jane Zumwalt
Birthplace: Warren Co., MO
Occupation: Farmer
Informant: J.E. Elkins, Independence, OR
DOD: Oct. 3, 1903 6:00am
Cause: Tuberculosis
Duration: 2 years
Otis D. Burten, MD, Independence
Orson Wallace Densmore
Male Whige
DOB: 1859
Single
Birthplace: WI
Occupation: Stock Buyer
DOD: Oct, 9, 1903
Cause: Accidental Drowining
Wm S. Cary, MD, Dallas, OR
Buried: Albany, OR
Dallas
Geo Brown
Male White
Age: 80
Married
Occupation: Farmer
DOD: Oct 26, 1903 10:00am
Cause: Paralysis
B.H. McCallon, Dallas, OR
Pedee
Hazel Wormer
Female White
DOB: Sept. 12, 1893
Birthplace: Benton Co.
Father: Alva Wormer
Birthplace: Center Co., PA
Mother: Emma Mitchell
Birthplace: Dane Co., WI
DOD: Oct 30, 1903 6:oopm
Cause: Typhoid Fever
N. R. Luther, MD, Kings Valley
Buried: Addition to the Edwards Grave Yard
Dallas
Clara Gaynor
Female White
DOB: Aug. 24, 1877
Married
Birthplace: Dallas, OR
Father: Abel Uglow
Birthplace: England
Mother: Margaret Hunter
Birthplace: OH
Informant: Robert Gaynor, Dallas, OR
DOD: Nov. 18, 1903
Cause: Tuberculisis
Buried: IOOF Cemetery Dallas
Undertaker R.L. Chapman, Dallas
Monmouth
William McMillen
Male White
DOB: June 14, 1825
Married
Birthplace: Glassco, Scotland
Father: William McMillen
Birthplace: Scotland
Mother: ???Geanttey
Birthplace: Scotland
DOD: Nov 21, 1903 11:00am
Cause: Inflamation of stomach and bowles
Duration: 3 years
Buried: K.P.C. Monmouth
Dallas
Florence A. Adams
Female White
DOB: August 10, 1846
Married
Birthplace: IN
Father: Silas Beutley
Birthplace: Mass
Mother: ???Smith
Birthplace: Mass
DOD: Dec. 3, 1903 7:00am
Cause: Septicaemia
Duration 21 days
Contributory: Eczema
Duration: 9 months
J. C. Taylor MD, Dallas, OR
Independence
Isaac Mattison
Male White
DOB: Oct. 24, 1822
Married
Birthplace: Oswego, NY
Father: Alfred Mattison
Birthplace: NY
Mother: Colly Duboise
Birthplace: NY
Occupation: Cooper
DOD: Dec. 4, 1903 7:00am
Cause: Cancer of Stomach
E.L. Sketchum MD
Buried: IOOF Cemetery
Undertaker: Josse & Bice, Independence
Berincmendes Brown
Female White
DOB: Aug. 8, 1902
Single
Birthplace: CO
Father: George Brown
Birthplace: Norfolk Co. England
Mother: Fannie C. Moore
Birthplace: St. Clair Co. , MO
Informants: Geo. J. & Fannie C. Brown, Salem, OR
DOD: Dec. 16, 1903 4:00pm
Cause Hemmorage
Duration 1 day
Contributory: Catanrel Pneumonia
Duration 1 day
Buried: Eleno Cemetery
Undertaker: W.T. Rigdon, Salem, OR
Oak Grove
Bessie Broom
Female White
Age: 16
Birthplace: MO
Father: George Broom
DOD: Dec. 16, 1903
Monmouth
Mary B. Fenie
Female White
DOB: Aug 8, 1876
Single
Birthplace: Ontario Canada
Father: William Fenie
Birthplace: Ontario Canada
Mother: Lissabeths Balzer
Birthplace: Onterio, Canada
DOD: Dec. 28, 1903 12:15pm
Cause:Pneumonia
Buried: Portland
Last Update Tuesday, 08-Mar-2016 22:47:21 EST
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County Coordinator:
Gayle Triller
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