| Full Name of Deceased |
Ross
Johnson |
| Color |
White |
| Sex |
Male |
| Age |
|
| Name of Father of Deceased |
Jas. Johnson |
| Name of Mother of Deceased |
Ida Johnson |
| Occupation |
|
| Place of Birth |
Town of Peshtigo |
| Name of Wife of Deceased |
|
| Name of Husband of Deceased |
|
| Date of Birth |
Feb. 20, 1877 |
| Date of Death |
May 23, 1877 |
| Cause of Death |
Diphtheria |
| Name of place, town or township,
and county in which person died |
Town of Peshtigo |
| Name and location of burial
ground in which interned |
Maple Grove |
| Name of person returning certificate |
L. J. Smith |
| Residence of such person |
Peshtigo, Oconto County, Wis. |
| Date of Certificate |
May 31, 1877 |
| Date of Registration |
Oct. 13, 1877 |
| Other Information |
|
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