1904
Polk County Death
Certificates
Lucretin Nelson
Female White
Widow
Informant: W.T. May
DOD: Jan 5, 1904
Buried: McMinnville, OR Jan 7, 1904
Undertaker: W.T. May
Simon George Howard
Male White
DOB: June 30, 1904
Single
Birthplace: Monmouth, OR
Father: Claude G. Skinner
Birthplace: Tole co. Kentucky
Mother: Ethel E. Hall
Birthplace: Dallas, OR
Informant: Claude G. Skinner Independence, OR
DOD: Jan 5, 1904 12:30am
Cause: Pneumonia Oedema of lungs
Duration: 14 days
Buried: Independence June 6, 1904
Undertaker W. L. Bird??
5 miles SW of Dallas
Mary Bailey Wright
Female White
DOB: Nov. 30, 1848
Married
Birthplace: IL
Father: George Haworth
Birthplace: TN
Mother: Mary Thornton
Birthplace: OH
Occupation: Tailor
Informant: Levi Wright Dallas, OR
DOD: Jan 14, 1904 5pm
Cause: acute appeudicitus
Duration: 6 days
MD Wm S. Cary of Dallas, OR
Falls City 2 miles NE
Esaac Hughes
Male White
DOB: May 20, 1881
Single
Birthplace: Falls City, OR
Father: Isaac Hughes
Birthplace: Wales
Mother: Mary Roberts
Birthplace: Wales
Occupation: Farmer
Informant: L Pfandhoefer, MD Falls City, OR
DOD: January 15, 1904 10pm
Cause: Shooting himself
(accidently as much as can be ascertained
Duration: 2 days
Buried: Ioof Cemetery Falls City, OR January 17,1904
Independence
Ann Macaulay
Female White
DOB: September 7, 1830
Widow
Birthplace: Chester England
Father: Joseph Fodess
Birthplace: Chester England
Mother: Auria Lightfoot
Birthplace: Chester England
Occupation: House Keeping
DOD: January 31, 1904 12:15 am
Cause: Intenstinal Obstruction
Duration 4 days
EL Ketchewer MD
Buried: Portland, OR Feb 5 or 6 1904
Undertaker: Josse & Bice Independence, OR
Weril ??
Male White
DOB: July 22, 1831
Single
Birthplace: Rome, NY
Father: Wm Norton
Occupation: Minister of the Gospel
Informant: Jas R. Shepard Salem, OR RFD #1
DOD: February 7,1904 approx: 6:30 am
Cause: Consumption
Duration: about 1 year
Buried: Zena, OR 2/8/1904
Henry Lturges
Male White
Married
Occupation: Printer
DOD: February 13,1904
Cause: Chronic Brights Disease
FE Smith MD, Salem, OR
Perrydale
Ebenejer C Keyat
Male White
DOB: November 15, 1827
Married
Birthplace: New York
Father: Gideon Keyt
DOD: February 1, 1904 4:15 am
Cause: Senile Decay
Duration: about 1 year
RC Hunter MD
Buried: Bethel February 19, 1904
Undertaker: W. Chapman, Dallas
Dallas
David Cosper
Male White
DOB: October 29, 1828
Married
Birthplace: OH
Father: Daniel Cosper
Birthplace: PA
Mother: Margaret Marr
Birthplace: PA
Informant: H.B. Cosper, Dallas OR
DOD: February 18, 1904 11 am
Cause: Pneumonia
Duration: 8 days
Wm S Cary MD, Dallas OR
Falls City
Maggie M Mervin
Female White
Married
Birthplace: Kansas
Father: Matthews Miller
Birthplace: OH
Mother: Sarah Hamar
Brthplace: Indiana
DOD: February 16, 1904
Cause: Embolism
Duration: 14 days
L. Pfandhoefer MD Falls City OR
Usual residence: Watkiins’ Mill
Buried: IOOF Cemetery
Independence
Gilbert Mc Cabe
Male White
Single
Father: P.H. Mc Cabe
Occupation: Laborer
Informant: Thos Pomeroy
DOD: March 5, 1904
Buried: IOOF Cemetery
Undertaker: H. St. Jasperson, Independence, OR
Independence
Curtis Herbert Baker
Male White
DOB: September 27, 1882
Single
Birthplace: Neosho MO
Father: Marcus A. Baker
Birthplace: Dayton, OH
Mother: Lizzie Roeden
Birthplace: Near Mt. Vernon MO
Occupation: Labor
Informant: Arthur G. Baker, Independence, OR
DOD: March 5 1904
Buried: IOOF Cemetary
Undertaker: H H Jasperson, Independence
Independence
Alfred Henderson Simpson
Male White
DOB: January 30, 1841
Married
Birthplace: Lawraence Co. AR
Father: R. William Simpson
Birthplace: Germany
Mother: Rebbecca Lasiter
Occupation: Farmer
Informant: Reuben H. Simpson, Monmouth OR
DOD: April 11, 1904 9 pm
Cause: Brights Disease Paralysis
Monmouth
Leah Nichols
Female White
DOB: December 25, 1823
Widow
Birthplace: Kambridge Maryland
Father: Heny Treago
Birthplace: England
Mother???
Birthplace: England
Informant: Lala Nichols, Monmouth, OR
DOD: March 14, 1904 1 am
Cause: Bronchitis
Duration: 10 years
Contributory: Old age
Buried: Monmouth March 15, 1904
Undertaker: Jasperson, Independence
Independence
10 Miles SW
Anna M Bigler
Female White
DOB: March 10, 1828
Widowed
Birthplace: Switzerland
Father: John Lehsnew
Birthplace: Switzerland
Mother: ??? Yoggi
Birthplace: Switzerland
Occupation:House Work
DOD: March 20, 1904 8am
Cause: Chronic Asthma, liver & Kidney disease
Buried: Amity, OR March 23, 1904
Undertaker: HH Jasperson, Indp
Independence
Hawisah Miller
Female White
Widow
Birthplace: IN
Father: ??? Maharr
Birthplace: IN
Mother ???
Birthplace: England
DOD: March 23, 1904 6 am
Cause: Dropsey & heart
Mers Samuel T. Lobach
DOB: Feb 14, 1826
Married
Birthplace: NY
Father: Joseph ?unison
Birthplace: New Jersey
Mother: Margaret Galtry
Informant: S.T. Lobach
DOD: March 28, 1904 8 am
Cause: Pneumonia
Buried: Zena, OR March 29, 1904
Undertaker: W Rigdon, Salem
Lerm E. Ketchum
Male White
DOB: Jan 10, 1832
Married
Birthplace: NY
Father: Joes Ketchum
Birthplace: NY
Mother: M Hodges
Birthplace: NY
Occupation: Farmer
DOD: March 29, 1904 2 am
Cause: Permicious Annersia
Buried: IOOF Cemetery, Independance, OR
Undertaker: H. H. Jasperson, Independance
Dallas
Elsie Pierce
Female White
DOB: 1886
Single
Informant: B. H. CcCallon MD
DOD April 7, 1904
Cause: Pneumonia Complications & Measles
Dallas
Enoch L. Ingalls
Male White
DOB: July 11, 1831
Married
Birthplace: Bangor Maine
Occupation: Mechanic
Informant: Mrs Ingalls, Dallas
DOD: April 7, 1904
Cause: Hemaplegia
Dallas
Leta Peirce
Female White
DOB: 1896
Single
Informant: B H McCallon MD, Dallas
DOD: April 10, 1904 4:00am
Cause: Pneumonia Complicating Measels
Michigan
Maria Haase
Female White
DOB: April 1, 1815
Married
Birthplace: Germany
DOD: April 10, 1904
Buried: Zena April 11, 1904
Undertaker: W. Rigdon, Salem
Dallas--2 miles N.
Sarah Ann Dunlap
Female White
DOB: June 11, 1843
Married
Birthplace: Winchicomb, England
Father: Elisha Hughes
Birthplace: Winchicomb, England
Mother: Martha Philkuos
Birthplace: Winchibomcb, England
Informant: Elisha Phillips
DOD: April 14, 1904 4:00am
Cause: Accute Tuberculosis
L.S. Woods MD, Dallas, OR
Buried: Dallas Cemetery April 15, 1904
Undertaker: L. Chapman, Dallas, OR
Mary Ann Anderson
Female White
1829
Widow
Birthplace Missiour
Mother: Mary A. Riggs
DOD April 15, 1904
Cause: Apoxley
Addrew Podvin
Male White
1885
Single
Birthplace MN
Father: Jos Podvin
Birthplace US
Mother: Nettie Polly
Birthplace: Italy
DOD: May 15, 1904 2 am
Cause: Peritonitis
Claud D. Simpson
Male White
DOB: May 22, 1880
Single
Birthplace: Polk Co. OR
Father R. H. Simpson
Birthplace: Polk Co., OR
Mother: Miram A. Hener
Birthplace: Polk Co., OR
Occupation: School Teacher
DOD May 21, 1904 7 pm
Cause: Typhoid Feaver
F.R. Weiden
Male White
DOB: Jan 28, 1839
Married
Birthplace: Ireland
Occupation: Farmer
DOD: May 21, 1904 5 am
Cause: Rhemotism
Monmouth
John A. Knower
Male White
DOB Nov 25, 1824
Father: John A. Knower
Occupation: Minister
DOD: June 10, 1904 6am
Cause: La Grippe
Falls City
Mary J. Syron
Female White
DOB: May 10, 1827
Married
Birthplace: Albana, OH
Father: William Franklin
Birthplace NJ
Mother: Ackermann
DOD: June 19, 1904 7pm
Cause: Paralysis
Buried: Odd Fellows Cemetery
Falls City, OR
Ettia Mather
Female White
DOB: January 19, 1880
Married
Birthplace: Cadillac, Mich
Father: W.H. Livingston
Birthplace: NY
Mother: Addie Micnatt
Birthplace: IL
DOD:
June 25, 1904 6pm
Cause: Puerperal Septicaemia
Buried: City
Falls City
Not Named
Female White
DOB: July 2, 1904
Birthplace: Coast Range Mill
Father: John H. Vernon
Birthplace: Linn Co. OR
Mother: Minnie Piatt
Birthplace: Linn Co., OR
DOD: July 2, 1904 11pm
Cause: Inanition
Monmouth
Mary White
Female White
Widow
Birthplace: Aberden Co. Scotland
Father: John Wilson
Birthplace: Aberden Co. Scotland
Mother: Mary Yongson
Birthplace: Aberden Co. Scotland
DOD: July 7, 1904 3 pm
Cause: Uremic poisoning and Arthroma
Contributory: Brights Disease
Mathias Kubin
Male White
DOB: Dec 8, 1821
Married
Birthplace: Bohemia Aus
Fathr Moseph Kubin
Birthplace: Bohemia Aus
Occupation: Farmer
DOD: July 15, 1904 6pm
Cause: Heart and Kidney disease
Dallas
Un named
Female White
May 23, 1904
Birthplace Dallas, OR
Father: Sam Ray
Birthplace: Missouri
Mother: Boyd
Birthplace: Indiana
DOD: July 23, 1904
Cause: Unable to retain Nourshment from birth
Polk Station
Angenetta Querring
Female White
June 20, 1901
Birthplace: Polk Station
Father: J.W. Quering
Birthplace: Russia
Mother: Susie Reddekoph
Birthplace: Alberta Canada
DOD: Aug 1, 1904 4pm
Cause: Arsenical Poisoning
Dallas
Catherine Shelton
Female White
Sept 6, 1820
Widow
Birthplace: Smith Co., VA
DOD: Aug 2, 1904 6 am
Cause: Pulmonary obstruction
Monmouth
Essie Edna Simpson
Female White
DOB: May 12, 1882
Single
Birthplace: Lewisville, Polk Co., OR
Father: Ruben H. Simpson
Birthplace: Lewisville Polk Co. OR
Mother: Mirum A. Herren
Birthplace: Benton Co., OR
DOD: Aug 4, 1904 11pm
Cause: Pulmonary Tuberculosis
Buried: IOOF Independence
Buena vista
William M. Cooper
Male White
age 32 years
Married
Occupation: Logger
DOD: Aug 8, 1904 4pm
Buried: city View Cemetery
Dallas
un named
Male White
DOB: Aug 7, 1904
Birthplace: Dallas
Father: Frank V. Brown
Birthplace: Dallas, OR
Mother: Mabel Myers
Birthplace: Schuyller Co., PA
DOD: Aug 24, 1904 3 am
Cause: Hepatetis
Dallas
Florence Gerturde Simonton
Female White
DOB: May 15, 1883
Single
Birthplace: Lawrence co. PA
Father: James Simonton
Birthplace: Lawrence Co., PA
Mother: Malinda Kozer
Birthplace Mifflin Co. PA
DOD: Sept 3, 1904 6pm
Cause Cerebral Congestion
Independance
Joseph Roner
Male White
DoB 1847
Married
Birthplace: Bohemia
Father: Joseph Roner
Birthplace: Bohemia
Mother: Teressa
Birthplace: Bohemia
Occupation: Farmer
DOD: Sept 6, 1904
Cause: Accidental drowning Will River
Buried Albany, OR
Dallas
Mary E. Gibson
Female White
DOB: Oct 25, 1839
Widowed
Birthplace Pike Co., IL
Father ???Hirans
Mother: Mary E. Hirans
DOD: Sept 2, 1904 7:30 am
Cause: Uninary Suppression
Monmouth
Jessie Gross
Male White
DOB: March 8, 1830
Married
Birtholace: Randolph Co., MO
Father: J.M. Gross
Birthplace: IL
Mother: Rachel White
Birthplace: IN
Occupation: Wagonmaker
DOD: Sept 21, 1904 4am
Independence
Paloma Mae Clodfelter
Female White
DOB: July 3, 1904
Birthplace: Independence
Father: Clarence Clodfelter
Birthplace: Iowa
Mother: Amanda Griffa
Birthplace: Kansas
DOD: Sept 25, 1904 3:45 am
Cause: Cholera Infautum
Buried: IOOF Cemetery
Independence
Henry Hill
Male White
DOB: Jan 20, 1824
Married
Birthplace: NY
Father: Ladue Hill
Mother: Eliza Aurelia Taylor
Occupation: Farmer
DOD: Oct 17, 1904 12
Buried: Rickerall, OR
Falls City
Dorothea M. McGinnis
Female White
DOB: Oct 7, 1902
Birthplace: Falls City, OR
Father: Wm McGinnis
Birthplace: New Lisbon, OH
Mother: Elma Campbell
Birthplace Muscatina, IA
DOD: Oct 7, 1904 1:00am
Entero Colitis
Independence
Leonard Honna
Male White
DOB: June 5, 1904
Birthplace: Independence
Father: James L. Honna
Birthplace: PA
Mother: Elsie Irvine
Birthplace: Polk Co, OR
DOD: Oct. 4, 1904 9pm
Buried IOOF Cemetery
3 mi NW of Salem
Hidde G. Stonebrink
Male White
DOB: Feb 7, 1812
Widower
Birthplace: Holland
Father: Gerben Stonebrink
Birthplace: Holland
Mother: Bauwkje Fisher
Birthplace: Holland
Occupation: Farmer
DOD: Oct, 9, 1904 3pm
Cause: Senility
Independence
Grace L. Gillispie
Female White
age 7 years
Birthplace: Monroe Co. Mich
Father: E.B. GIllispie
Birthplace: Birmingham, Mich
Mother: Orilla Grace Miller
Birthplace: Lansing, Mich
DOD: Oct 17, 1904 11pm
Cause: Pneumonia
Buried: IOOF Cemetery
Independence
Harris L. Wing
Male White
Single
Birthplace: Russia
Father: Lewis Wing
Birthplace: Russia
Mother: Sivia Wing
Birthplace: Russia
Occupation: Farmer
DOD: Nov 6, 1904 7:30am
Cause: Heart
Buried Ahonia Sholom Cemetery
Dallas
Veita E. yron
Female White
DOB: Oct 30, 1898
Birthplace: OR
Father: Marion Syron
Birthplace: OR
Mother: Mollie Stakely
Birthplace: OR
DOD: November 28, 1904
Cause: Pnuemonia
Buried: IOOF Cemetery
Ballstom
John McCollough
Male White
Father: George Mc Collough
Birthplace: Scotland
Mother: Jane Holmes
Birthplace: Scotland
Occupation: Farmer
DOD: Dec 9, 1904
Buried Plesant Hill Cemetery
Monmouth
Ruby Fay Denney
Female White
DOB: Nov 14, 1904
Birthplace: Monmouth, OR
Father: S.C. Denney
Birthplace:McCoy OR
Mother M.P. ???
Birthplace: McCoy OR
DOD: Dec 17, 1904 2pm
Cause: Pneumonia
Buried: Monmouth
McCoy
Maggie E. ToziesrFemale White
DOB: Nov 2, 1852
Married
Birthplace: IA
Father: Solomon Bishop
Birthplace: KY
Mother: Sabitha Miller
Birthplace: OH
Informant A.R. Tozier
DOD: Dec, 22, 1904 3am
Dallas
Charles Robert Farley
Male White
DOB July 18m 1858
Married
Birthplace: Polk Co., OR
Father: Robert Farley
Birthplace: Campbell Co., TN
Mother: Lydia Cooper
Birthplace: Hamilton Co. OH
Occupation: Farmer
Informant: May Farley
DOD: Dec 23, 1904
Cause: Pneumonia
John A Williams
Male White
DOB: March 7, 1865
Married
Birthplace
IN
Father: John A. Williams
Birthplace: IN
Mother: Lucinda Price
Birthplace: IN
Occupation: Farmer
Informant: Martha Williams
DOD: Dec 23, 1904 4pm
Cause: Pneumonia
Monmouth
Hennery J. Butler
Male White
DOB: Sept 27, 1844
Birthplace: Pitsfield, IL
Father J.B.V. Butler
Birthplace: NH
Mother: Elizabeth Ingals
Birthplace: Madison O.
Informant: J. B. Butler
DOD: Dec 25, 1904 9pm
Cause: Organic Heart Disease
Independence
Female White
Baby Iliff
DOB: Dec 18, 1904
Birthplace: Independence
Father: Charles S. Iliff
Birthplace: Washbern, IL
Mother: Lila Henrietta Butler
Birthplace: Washbern, IL
DOD: Dec 26, 1904 1:00[,
Cause: Premature birth (7 months)
Dallas
Elizabeth May Whiteham
Female White
DOB: May 9, 1868
Married
Birthplace: Nebraska
Father: David Boals
Birthplace: PA
Mother: Hannah J. Boyd
Birthplace: PA
Informant: Harvey Boals
DOD: December 27, 1904 3am
Cause: Pneumonia
Buried: IOOF Cemetery
Independence
E.G.Heath
Male White
DOB: July 6, 1842
Married
Birthplace: Pleasaant Mills IN
Father: George Heath
Birthplace: IN
Mother: Rachel Robuck Heath
Birthplace: IN
Occupation: Potter
DOD: December 30, 1904 3 pm
Died suddenly and alone with his wife.
Buried: IOOF Cemetery
Last Update Tuesday, 08-Mar-2016 22:47:22 EST
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County Coordinator:
Gayle Triller
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