(Certified Copy of Death Record)

Certificate of Death Record

  1. Name of deceased: Jens Nelsen
  2. Date of death: December 4, 1903
  3. Place of death: Des Moines River Township, Murray County, Minnesota
  4. Usual residence: ----
  5. Date of birth: June 3, 1853
  6. Place of birth: Denmark
  7. Name of spouse: ----
  8. Name of father: Neils Larsen
  9. Maiden name of mother: Eliz. Marie Hansen
  10. Sex: M
  11. Color or race: white
  12. Marital Status: Married
  13. Social Security Number: ----
  14. Date of filing: December 18, 1903

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