91st PA: William Burkett

William Burkett

Before the war

He was born on 20 August 1836, in Blair County, Pennsylvania, to Peter H Burket and Nancy Homer. [sources: date: 12, 20, 15; 3 (28 in 1865), 6 (24 in 1860), 7 (44 in 1880), 8 (73 in 1910), 13 (13 in 1850), 14 (32 in 1870). place: 6, 7, 8, 12, 13, 14, 15, 20. parents: 12, 14, 20]

About 1850, he and his parents came to Warriors Mark Township, Huntingdon County, Pennsylvania. He studied in the public schools, and helped his father in the tannery. [source: 12]

In 1850, he was living in Warrior's Mark, Huntingdon County, Pennsylvania. He was living with his parents Peter and Nacy Burket, and others (presumably siblings). [source: 13]

About 1856, he begin studying carpentry with David Eller. [source: 12]

In 1856, he married Miriam A Weston. She was born in 1835/36, to Martin Weston and Sarah Ann Hyskell. They had at least these children:

[sources: 6, 7, 12, 16, 17]

In 1860, he was living in Warriors Mark Township, Huntingdon County, Pennsylvania. He was living with Miriam (presumably his first wife) and Harry (presumably their son). He was a carpenter, and owned $500 in real estate and $50 in personal property. [source: 6]

His brothers James and Melvin also served in the Civil War, and both died. [source: 12]

During the war

He was drafted. He enlisted and was mustered into service on 15 March 1865. He was mustered in as a private, at Hollidaysburg, Pennsylvania. He was a private in company B. [sources: 1, 3, 4, 11]

He may have been charged for lost equipments, perhaps when the regiment mustered out. [source: 2]

He mustered out on 10 July 1865 with his company. He was a private, in company B. [sources: 1, 3, 4, 11]

After the war

On 9 October 1869, his wife Miriam died, of typhoid fever She was buried in Burket Cemetery, Warriors Mark, Huntingdon County, Pennsylvania. [source: 12 (9 Oct 1870), 17 (9 Oct 1869, with a photo of the headstone with that date)]

In 1870, he was living in Warriors Mark Township, Huntingdon County, Pennsylvania. He was living with his parents PH and Nancy Burket, with Eliza and Howard Burket, with his children Harry and Esse Burket, and with Ida Sprote. He was a carpenter. [source: 14]

In 1876/77, he married Ellen Salina Nearhoff. She was born on 2 March 1847, in Warriors Mark, Huntingdon, Pennsylvania, to Jacob Nearhoff and Catherine Grazier. They had at least these children:

[sources: 7, 8 (3 children all alive in 1910), 12, 15 (3 children all alive in 1900), 18, 21]

In 1880, he was living in Warriors Mark Township, Huntingdon County, Pennsylvania. He was living with his wife Ellen, his children Lena, Essa, Clayton, and Nancy, and a laborer. He was a carpenter and farmer. [source: 7]

On 8 January 1892, he successfully applied from Pennsylvania for a pension. [sources: 4, 5]

In 1900, he was living in Warriors Mark Township, Huntingdon County, Pennsylvania. He was living with his wife Ellen, and daughters Mamie and Alice. He was a farmer, and had not been unemployed in the previous year. [source: 15]

He again applied for a pension on 25 February 1907, under the Act of 6 February 1907. He received $15 per month, effective 25 February 1907. The pension certificate was dated 27 [?] June 1907. [sources: 4, 23]

He retired in 1909. [source: 12]

In 1910, he was living in Warriors Mark Township, Huntingdon County, Pennsylvania. He was living with his wife Ellen and daughter Alice. He was a house carpenter. [source: 8]

Effective 7 October 1911, William Burket's pension was increased to $20 per month. [source: 23]

Effective 8 July 1912, William Burket's pension was increased to $21 per month, under the Act of 11 May 1912. The certificate was dated 14 May 1913. [source: 23]

In 1913, he was described as a loyal citizen, who showed 'ardent support of all measures and enterprises projected for the good of progress and improvement', who had an 'exemplary life and straightforward career'. He had erected at least fifty barns, 'all of which are noted for their splendid construction'. He then owned two farms, one the old Burket homestead of 65 acres, and another of 116 acres. He was a Republican, had served as school director for twelve years, and was a member of the Methodist Episcopal Church. [source: 12]

On 15 February 1917, he died at Warriors Mark, Huntingdon County, Pennsylvania. He died of paralysis, with age contributing. He was a carpenter. His daughter A E Espy (apparently living in or near Altoona) went to the funeral. On 19 February 1917, he was buried in Burket Cemetery, Warriors Mark, Huntingdon County, Pennsylvania. [sources: 4, 10, 16, 19, 20, 23]

On 8 March 1917, his widow, Ellen S Burkett, successfully applied from Pennsylvania for a pension, under the Act of 8 September 1916. She initially received $20 per month, effective 8 March 1917. The pension certificate was dated 11 January 1919. [sources: 4, 5, 22]

Effective 6 October 1917, Ellen Burkett's pension was increased to $25 per month. [source: 22]

On 11 January 1919, an accured order payable to Ellen S Burket was issued, to cover expenses of William Burket's funeral and last illness, from the pension he was owed but had not been paid. [source: 23]

In 1920, his widow, Ellen S Burkett, was living in Warriors Mark Township, Huntingdon County, Pennsylvania. She was living with her daughter Alice. [source: 9]

Effective 1 May 1920, Ellen Burket's pension was increased to $30 per month, under the Act of 1 May 1920. [source: 22]

On 6 November 1922, his widow, Ellen Burket, died, in Warriors Mark Township, Huntingdon County, Pennsylvania. She died o diabetic gangrene (duration 6 months). She was buried in Burket Cemetery, Warriors Mark, Huntingdon County, Pennsylvania. [sources: 18, 21, 22 (5 Nov 1922)]

Sources

1 Bates, Samuel Penniman. History of Pennsylvania volunteers, 1861-5. Harrisburg: B. Singerly, state printer, 1869-71. 5 volumes. 'Ninety-first regiment', volume 3, pages 186-233. (In the roster)

2 list of men who owed money [?] (Wm Burkett)

3 Civil War Veterans' Card File, available at the Pennsylvania State Archives, searched 24 June 2004 (William Burkett)

4 pension index, by regiment (William Burket)

5 pension index, by name (William Burket)

6 1860 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, microfilm series M653, film 1115, page 687 = 19 handwritten (William Burket)

7 1880 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 7, enumeration district 180, microfilm series T9, film 1134, page 16 A = 36 [?] handwritten (Wm Burket)

8 1910 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 13, enumeration district 88, microfilm series T624, film 1349, page 273 B = 4 handwritten (William Burkett)

9 1920 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 14, enumeration districtg 62, microfilm series T625, film 1564, page 125 B = 2 handwritten (Ellen S Burket)

10 Pennsylvania death indices, 1917 ('Burket, William; 14312; Huntingdon Co.; Feb. 15.')

11 index to compiled service records of volunteer Union soldiers who served in organizations from the state of Pennsylvania (William Burkett)

12 John W Jordan, A history of the Juniata Valley and its people, volume III, pages 1289-1291 (William Burket)

13 1850 US census, Pennsylvania, Huntingdon, Warrior's Mark, page 3 verso = 6 handwritten (FamilySearch) (William Burket)

14 1870 US census, Pennsylvania, Huntingdon, Warriors mark township, page 853 recto = 17 handwritten (FamilySearch) (William Burket)

15 1900 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, enumeration district 79, pages 22 = 3 A handwritten to 3 B handwritten (FamilySearch) (William Burket)

16 Find a grave, memorial 54992420, created by Clancy Hassler, added 15 July 2010 (including a picture) (William Burket)

17 Find a grave, memorial 61571355, created by Clancy Hassler, added 13 Nov 2010 (including a photo, and a photo of the headstone) (Miriam A Weston Burket)

18 Find a grave, memorial 54992519, created by Clancy Hassler, added 15 July 2010 (including a photo of the headstone) (Ellen S Burket)

19 death notice, Altoona Tribune 19 February 1917, page 1 (William Burkett)

20 death certificate, Huntingdon Pennsylvania, 15 February 1917, certificate number 14,312 (William Burket)

21 death certificate, Pennsylvania, Huntingdon County, 6 November 1922, file 102331 (Ellen S Burket)

22 Veterans administration, pension payment card (Ellen S Burket widow of William)

23 Veterans administration, pension payment card (William Burket)

Sources checked unsuccessfully

1890 US census, veterans schedule
Ancestry index (accessed February 2006)
1930 US census
Ancestry index (accessed May 2007)
1940 US census
Ancestry index (accessed 16 Aug 15)
Pennsylvania veterans burial cards, 1777-2012
Ancestry index (accessed 16 Aug 15)
headstone applications for US military veterans 1925-1949
FamilySearch index (accessed 16 Aug 15)

Display



William Burkett in the 91st PA database

1850 census

[1850 US census, Pennsylvania, Huntingdon, Warrior's Mark, page 3 verso = 6 handwritten (FamilySearch)]
[the FamilySearch indexer read the family name as 'Barket']
[identification is likely, since the family matches the information in the biographical note transcribed below]
line323334353637383940
Dwellings visited39        
Families visited43        
NamePeter H BurketNancy "William "James "David "Adaline "Mahlon "John B "C E Geist "
Age34321311964110/12
SexMFMMMFMMM
Color         
Occupation of males over 15 yearsFarmer        
Real estate owned4500        
Birthplace" [sc. Penna]""""""""
Married within year         
Attended school within year         
Over 20 & can't read/write         
Deaf, dumb, blind, etc.         

1860 census

[1860 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, microfilm series M653, film 1115, page 687 = 19 handwritten]
[I did not transcribe the other family at this residence]
[identification is likely, since the family matches the information in the biographical note transcribed below]
line789
Dwelling number[129]  
Family number130  
NameWilliam BurketMiram [sic] BurketHarry B
Age24243
Sexmfm
Color   
OccupationCarpenter  
Value of real estate owned500  
Value of personal estate50  
Place of birth" [sc. Penna]""
Married within year   
Attended school within year   
Cannot read & write   
Deaf, dumb, blind, etc.   

1870 census

[1870 US census, Pennsylvania, Huntingdon, Warriors mark township, page 853 recto = 17 handwritten (FamilySearch)]
[the FamilySearch indexer read the family name as 'Busker']
[identification is likely, since the family matches the information in the biographical note transcribed below]
line1516171819202122
Dwelling-house number112       
Family number112       
NameBurket P. H- Nancy- Eliza J- Howard- William- Harry- EsseSprote Ida
Age55531714321438
SexMFFMMMFF
ColorWWWWWWWW
OccupationFarmerKeeping houseHome Carpenter   
Real estate value9600       
Personal estate value1985       
BirthplacePennaPenna""""""
Father foreign born        
Mother foreign born        
Birth month if born within year        
Marriage month if married within year        
Attended school past year  11 1  
Can't read        
Can't write        
Deaf, dumb, blind, etc.        
Male US citizen at least 21 years old1   1   
Male US citizen at least 21 years old who can't vote ...        

1880 census

[1880 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 7, enumeration district 180, microfilm series T9, film 1134, page 16 A = 36 [?] handwritten]
[identification is probable, since (1) the family matches the information in the biographical note transcribed below, and (2) Ellen matches the name of the widow who applied for a pension
line2345678
street name       
house number       
dwelling visit #293      
family visit #293      
nameBurket Wm- Ellen- Lena- Essa- Clayton- Nancy CWynn [?] Coleman
colorWWWWWWW
sexMFFFMFM
age443316147147
month born if born in year       
relationship WifeDaughterdoSonDaughterLaborer
single  11111
married11     
widowed/divorced       
married during year       
occupationCarpenter & FarmerKeeping HouseAt Housedo  Laborer
months unemployed       
currently ill?       
blind       
deaf/dumb       
idiotic       
insane       
disabled       
school this year  111  
can't read       
can't write       
birthplacedo [sc. Penna]dodododododo
father's birthplacedo [sc. Penna]dodododododo
mother's birthplacedo [sc. Penna]dodododododo

1900 census

[1900 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, enumeration district 79, pages 22 = 3 A handwritten to 3 B handwritten (FamilySearch)]
[identification is probable, since (1) the family matches the information in the biographical note transcribed below, and (2) Ellen matches the name of the widow who applied for a pension
line49505152
street 
house number    
dwelling number61   
family number63   
nameBurket William-, Ellen S- Mamie K- Alice
relationshipHeadWifeDaughterDaughter
colorWWWW
sexMFFF
birth dateAug 1836Mar 1843Mar 1879July 1882
age63572117
married?MMSS
# years married2525  
mother of how many children? 300
# of children living 300
birthplacePennsylvaniaPennsylvaniaPennsylvaniaPennsylvania
father's birthplacePennsylvaniaPennsylvaniaPennsylvaniaPennsylvania
mother's birthplacePennsylvaniaPennsylvaniaPennsylvaniaPennsylvania
immigration year    
# years in USA    
naturalized citizen?    
occupationFarmer   
# months not employed0   
# months in school    
can readYesYesYesYes
can writeYesYesYesYes
speaks EnglishYesYesYesYes
owned/rentedO   
free or mortgagedF   
farm/houseF   
# of farm schedule36   

1910 census

[1910 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 13, enumeration district 88, microfilm series T624, film 1349, page 273 B = 4 handwritten]
[identification is probable, since (1) the family matches the information in the biographical note transcribed below, and (2) Ellen matches the name of the widow who applied for a pension
line727374
street   
house nr   
dwelling nr80  
family nr80  
nameBurkett William- Ellen S- Alice
relationshipHeadWifeDaughter
sexMFF
colorWWW
age736724
marital statusM2M1S
#years present marriage3333 
mother of # children 3 
mother of # living children 3 
birthplacePennsylvaniaPennsylvaniaPennsylvania
father's birthplacePennsylvaniaPennsylvaniaPennsylvania
mother's birthplacePennsylvaniaPennsylvaniaPennsylvania
immigrated   
naturalized/alien   
speaks EnglishEnglishEnglishEnglish
occupationCarpenterNoneLaborer
nature of industry etc.House [illegible] Work
employer etc.OA W
out of work 15 Apr 1910?No No
# weeks out of work 19090 0
can readYesYesYes
can writeYesYesYes
school since 1 Sep 09   
owned/rentedO  
owned free or mortagagedF  
farm/houseH  
nr on farm schedule   
civil war vetUA [?]  
blind   
deaf & dumb   

1920 census

[1920 US census, Pennsylvania, Huntingdon County, Warriors Mark Township, supervisor's district 14, enumeration districtg 62, microfilm series T625, film 1564, page 125 B = 2 handwritten]
[identification is probable, since (1) the family matches the information in the biographical note transcribed below, and (2) Ellen matches the name of the widow who applied for a pension
line9899
street  
house numberX 
dwelling visit number53 
family visit number55 
nameBurket Ellen S- Alice C
relationshipHeadDaughter
own/rentO 
free/mortgaged (if owned)F 
sexFF
raceWW
age at last birthday7238
marital statusWdS
year of immigration  
naturalized/alien  
year of naturalization  
attended school since Sept 1919  
can readyesyes
can writeyesyes
birth placePennsylvaniaPennsylvania
native language  
father's birthplacePennsylvaniaPennsylvania
father's native language  
mother's birthplacePennsylvaniaPennsylvania
mother's native language  
can speak EnglishYesYes
occupationNoneNone
industry, business  
employment status  
number of farm schedule  

index to compiled service records

[index to compiled service records of volunteer Union soldiers who served in organizations from the state of Pennsylvania]
[transcribed 16 Mar 2014, from Fold3]


Burkett, William
Co. B, 91 Pennsylvania Inf.
Pvt | Pvt.
See also [blank]

GENERAL INDEX CARD.

Veterans administration, pension payment card

[Veterans administration, pension payment card, Ellen S Burket widow of William]
[transcribed from FamilySearch, 20 August 2015]
[I did not transcribe the payment information on the verso of the card]


NAME: Burket, Ellen S.
Certificate No. 858.509
ARMY WIDOW.
Law: ACT OF MAY 1, 1920
ACT OF APRIL 19, 1908.
ACT SEPTEMBER 8, 1916
Name of Soldier: William.
Service: Priv B 91st Pennsylvania Inf
70:
ISSUES.
CLASS.RATE.DATE OF COMMENCEMENT.DATE OF CERTIFICATE.
Orig20March 8, 1917January 11, 1919
 25October 6, 1917 
Inc30May 1, 1920 
MINORS--$2 PER MONTH ADDITIONAL. [blank]

Transferred from: GROUP 1
Transferred to: [blank]
Died Nov. 5, 1922
Bureau notified: NOV 21 1922
Former Roll No. [blank]
JAN 28 1919

Veterans administration, pension payment card

[Veterans administration, pension payment card, William Burket]
[transcribed 20 August 2015, from FamilySearch]
[I did not transcribe the payment information on the verso of the card]


NAME:Burket William
Certificate No. 927603
ARMY INVALID.
Law: ACT MAY 11, 1912
Act of Feb. 6, 1907
Service: Pvt B 91 Pa. Inf.
Disability: [blank]
ISSUES.
CLASS.RATE.DATE OF COMMENCEMENT.DATE OF CERTIFICATE
Reis1525 [sic] Feb 190727 [?] June 1907
Inc207 Oct 191117 Oct 1911
Reis218 July 191214 May 1913
Died Feb 15 1917 Accrued order dated Jan 11, 1919
payable to widow Ellen S Burket
Warrior's Mark Pa.
Fees: [blank]
Transferred from: Pittsburgh
Transferred to: [blank]
Died: 2/15/17 (3-888)
Bureau notified: MAR 26 1917
Remarks: Check No. 3910738 Dated APR 4 1917 Canceled.
JAN 28 1919
Former Roll No. 2238 AJ
Home: Warriors Mark. Pa.

biographical note

[John W Jordan, A history of the Juniata Valley and its people, volume III, pages 1289-1291. New York: Lewis Historical Publishing Company, 1913]
[transcribed from Google Books, 16 August 2015]

BURKET

William Burket, of Warriors Mark, Pennsylvania, is now living virtually retired from active participation in business affairs. He is the owner of two fine farms in Warriors Mark township, Huntingdon county, Pennsylvania, and for over fifty years he was engaged in the work of his trade, that of carpenter. His citizenship has been characterized by loyalty and an ardent support of all measures and enterprises projected for the good of progress and improvement, and his exemplary life and straightforward career have won him the unqualified confidence and esteem of all with whom he has come in contact.

A native of the old Keystone commonwealth, William Burket was born in Blair county, Pennsylvania, August 20, 1836, son of Peter H. and Nancy (Homer) Burket, both of whom are now deceased, the former having died in 1893 and the latter in 1894. Peter H. Burket was born in Sinking Valley, Pennsylvania, in the year 1809, son of Jacob Burket. who for many years was a tavern keeper at Brookville and later at Punxsutawney, Pennsylvania, in which latter place he died. Jacob [page 1290] Burket was twice married, Peter H. having been a son of the first union. Peter H. Burket was a tanner by trade, and in 1840 he established the family home at Warriors Mark, where he purchased a tannery and where he continued to reside until his death. In addition to the tanning business he also conducted a small farm. He was a fervent member of the Methodist Episcopal church, in which he was an officer and class leader for many years. He was a stalwart Republican, and he was a member of the school board at Warriors Mark. He married Nancy, daughter of Peter Homer, who was of German descent and who came to Warriors Mark township from Lancaster county, Pennsylvania. Mr. and Mrs. Burket had eight children, as follows: William, of whom further; James, killed at the battle of Chaplain Farm, near Richmond, during the civil war; David, married Harriet ---, engaged in the general merchandise business at Altoona, Pennsylvania; John, married Ellen McFarland, lives in Warriors Mark, a carpenter by trade, but now retired; Adaline, wife of Jerry Ike, who is engaged in the real estate business; Eliza, wife of H. H. Waite, an attorney at Huntingdcn, Pennsylvania; Howard, a farmer in the vicinity of Sinking Valley, this state, married Sarah Livingston; Melvin, died in the army during the civil war.

William Burket came to Warriors Mark with his parents when but four years of age and here he was educated in the public schools. As a youth he helped his father in the tannery, and when in his twentieth year began to learn the trade of carpenter under the tutelage of David Eller. In 1863 he manifested his intrinsic loyalty to the cause of the Union by enlisting for service as a member of Company B, Ninety-first Pennsylvania Volunteer Infantry, serving until the close of the war. He was the only one of his three brothers who served in the war to survive. For fully half a century he worked diligently at his trade of carpenter and he has erected at least fifty barns in this part of the country, all of which are noted for their splendid construction. He owns the old Burket homestead in Warriors Mark township, the same comprising sixty-five acres, and he has another farm of one hundred and sixteen acres in the same locality. Since 1909 he has lived in retirement at Warriors Mark. He is a Republican in politics, and for twelve years served as school director, most of that time as secretary of the board. In religious matters he is a devout member of the Methodist Episcopal [page 1291] church, in whose faith he has reared his children. He is a broad-minded man and a warm-hearted friend, helping all who are in need of his assistance.

Mr. Burket married (first) in 1856, Miriam Weston, who died October 9, 1870; (second) Ellen Salina Nearhoff. Children of Mr. Burket: Clayton, a carpenter in Warriors Mark, married Mary Kinch ; Grace, who is the widow of --- Kibbel, is now a resident of Florida; Nannie, wife of William Kinch at the time of her demise in the spring of 1913; Essa, married, and lives at Juniata, Pennsylvania.

newspaper death notice

[death notice, Altoona Tribune 19 February 1917, page 1]
[transcribed 18 August 2015, from newspapers.com]

Mr. and Mrs. A. E. Espy, of 719 Fifth avenue, have been called to Warriorsmark by the death of Mrs. Espy's father, the late William Burkett. The funeral will be held at 10 o'clock this morning.

death certificate, William Burket

[death certificate, Huntingdon Pennsylvania, 15 February 1917, certificate number 14,312 (William Burket)]
[transcribed 20 August 2015, from Ancestry]


CERTIFICATE OF DEATH

COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
File No. 14312
Registered No. 7
Registration District No. 534
Primary Registration District No. 2728
1. PLACE OF DEATH.
County of Huntingdon
Township of Warriors Mark
2. FULL NAME William Burket

PERSONAL AND STATISTICAL PARTICULARS
3. SEX Male
4. COLOR OR RACE White
5. Married
6. DATE OF BIRTH Aug 20 1836
7. AGE yrs. 80 mos. 5 ds. 25
OCCUPATION
(a) Trade, profession, or, particular kind of work Carpenter
(b) General nature of industry, business, or establishment in which employed (or employer) [blank]
9. BIRTHPLACE Blair Co Pa
10. NAME OF FATHER Peter Burket
11. BIRTHPLACE OF FATHER Blair Co Pa
12. MAIDEN NAME OF MOTHER Nancy Hoomer
13. BIRTHPLACE OF MOTHER Hunt Co
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE.
(Informant) C [?] G Burkett
(Address) Warriors Mark Pa
15. Filed Feb 20 1917 W H Lyons Local Registrar

MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH Feb 15 1917
17. I HEREBY CERTIFY, That I attended deceased from Aug 1916 1916 [sic], to Feb 15 1917, that I last saw him alive on Feb 15 1917, and that death occurred, on the date stated above, at 10 P.M. The CAUSE OF DEATH was as follows:
Paralysis (Duration) [blank]
Contributory Age (Duration) [blank]
(Signed) HC. Wilson M.D.
Feb 16 1917 (Address) Warriors Mark
18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients or Recent Residents). [blank]
19. PLACE OF BURIAL OR REMOVAL Burket Cemetery
DATE OF BURIAL Feb 19 1917
20. UNDERTAKER W. E. Cox
ADDRESS Warriors Mark

death certificate, Ellen S Burket

[death certificate, Pennsylvania, Huntingdon County, 6 November 1922, file 102331, Ellen S Burket]
[transcribed from Ancestry, 20 August 2015]


CERTIFICATE OF DEATH
623
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
File No. 1023331
Registered No. 22
Registration District No. 534
Primary Registration District No. 2728
1. PLACE OF DEATH
County of Hunt.
Township of Warriors Mark
2. FULL NAME Ellen S Burket

PERSONAL AND STATISTICAL PARTICULARS.
3. SEX Female
4. COLOR OR RACE White
5. Widow
6. DATE OF BIRTH March 2 1847
7. AGE yrs 75 mos 8 ds 3
8. OCCUPATION
(a) Trade, profession, or, particular kind of work House keeper
(b) General nature of industry, business, or establishment in which employed (or employer)
9. BIRTHPLACE Warriors Mark
10. NAME OF FATHER Jacob Nearhoof
11. BIRTHPLACE OF FATHER Warriors Mark Pa
12. MAIDEN NAME OF MOTHER Catherine Grazier
13. BIRTHPLACE OF MOTHER Tyrone Pa
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE.
(Informant) G C Burkett
(Address) Warriors Mark
15 Filed Nov 18 1922
W H Lyons
Local Registrar
PJ [illegible]

MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH Nov 6 1922
17. I HEREBY CERTIFY, That I attended deceased from May 15 1922, to Nov 5 1922, that I last saw her alive on Nov 4 1922, and that death occurred, on the date stated above, at 2 30 AM. The CAUSE OF DEATH was as follows:
Diabetic Gangrene (Duration) [blank] yrs. 6 mos. [blank] ds.
Contributory [blank]
(Signed) H. C. Wilson M.D.
Nov 6 1922 (Address) Warrior's Mark Pa.
18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients or Recent Residents). [blank]
19. PLACE OF BURIAL OR REMOVAL Burket Cem
DATE OF BURIAL Nov 8 1922
20. UNDERTAKER W E Cox
ADDRESS Warriors Mark

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revised 20 Aug 15
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