| Full Name of Deceased |
Elizabeth
Jervis |
| Color |
White |
| Sex |
Female |
| Age |
25 |
| Name of Father of Deceased |
Charles Beuitt |
| Name of Mother of Deceased |
Amelia Beuitt |
| Occupation |
House keeper |
| Place of Birth |
U. S. |
| Name of Wife of Deceased |
|
| Name of Husband of Deceased |
Henry Jervis |
| Date of Birth |
Feb. 20, 1855 |
| Date of Death |
May 20, 1877 |
| Cause of Death |
Phthisis duration 2 years |
| Name of place, town or township,
and county in which person died |
Peshtigo, Oconto County, Wis. |
| Name and location of burial
ground in which interned |
Peshtigo, Oconto County, Wis. |
| Name of person returning certificate |
L. J. Smith |
| Residence of such person |
Peshtigo, Oconto County, Wis. |
| Date of Certificate |
May 30, 1877 |
| Date of Registration |
Oct. 13. 1877 |
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