| Full Name of Deceased |
Cora
Bell Lossier |
| Color |
White |
| Sex |
Female |
| Age |
1 |
| Name of Father of Deceased |
Nelson Lossier |
| Name of Mother of Deceased |
Olive Lossier |
| Occupation |
|
| Place of Birth |
Wis. |
| Name of Wife of Deceased |
|
| Name of Husband of Deceased |
|
| Date of Birth |
|
| Date of Death |
Sept. 15, 1877 |
| Cause of Death |
Cholera Infantum |
| 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 |
Oct. 15, 1877 |
| Date of Registration |
Sept. 23, 1878 |
| Other Information |
|
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