1903 Polk County Death Certificates Wm Tate Male White DOB: 1835 Married Birthplace: MO Occupation: Farmer Informant: Wm S. Cary, MD DOD: September 10, 1903 Cause: Organic Disease of Heart Died suddenly without previous illness Buried: Dallas, OR Sept. 11, 1903 Dallas William Starr Male White Age: 23 years Single Birthplace: Polk Co. DOD: Sept 11, 1903 2am Cause: Typhoid Fever, extreme Tympaniatis, with internal hemmorage Duration 20 days B.H. McCallon MD Buried in: Dallas Sept 13, 1903 Dallas Zennie Lect Female White Age: 56 years Married DOD: Sept. 13, 1903 2am Cause: Brights Disease B.H. McCleallon Buried: Marion Co. Independence Ernest Snyder Male White Age: 4 or 5 months Birthplace: Newberg, OR Father: Burt Snyder Birthplace: Buena Vista, OR Mother: Carrie Lucke Birthplace: Independence DOD: Sept. 14, 1903 Cause: Cholera EL Ketchum, MD Buried: IooF Cemetery Sept 15, 1903 Undertaker: Josse & Bice, Independence Falls City Ole Sampson Male White DOB: July 18, 1830 Widowed Birthplace: Norway Father: Sampson Birthplace: Norway Mother: Unknown Birthplace: Norway DOD: Sept 21, 1903 5:30PM Cause: Organic heart disease L. Pfandhoefer, MD, Falls City, OR Dallas Abbe Harris Female White DOB: 1890 Single Birthplace: Polk Co. Father: Newton Harris DOD: Sept. 30, 1903 4pm Cause: Apendecitus following 6 days after evacuating pus from abdomen Duration: 20 days B. H. McCallon, Dallas, OR Buried: Dallas Undertaker: Ch. H. Chapman, Dallas, OR Lois Finley Female White Age: 25 Married Informant: Sylvester Finley, Salem DOD: Oct 1, 1903 Cause: Consumption probable cause of death J. A. Richardson, MD, Salem Independence John Thomas Elkins Male White DOB: April 27, 1852 Widowed Birthplace: Polk Co., OR Father: James Edward Elkins Birthplace, Cullpepper Co., VA Mother: Lucy Jane Zumwalt Birthplace: Warren Co., MO Occupation: Farmer Informant: J.E. Elkins, Independence, OR DOD: Oct. 3, 1903 6:00am Cause: Tuberculosis Duration: 2 years Otis D. Burten, MD, Independence Orson Wallace Densmore Male Whige DOB: 1859 Single Birthplace: WI Occupation: Stock Buyer DOD: Oct, 9, 1903 Cause: Accidental Drowining Wm S. Cary, MD, Dallas, OR Buried: Albany, OR Dallas Geo Brown Male White Age: 80 Married Occupation: Farmer DOD: Oct 26, 1903 10:00am Cause: Paralysis B.H. McCallon, Dallas, OR Pedee Hazel Wormer Female White DOB: Sept. 12, 1893 Birthplace: Benton Co. Father: Alva Wormer Birthplace: Center Co., PA Mother: Emma Mitchell Birthplace: Dane Co., WI DOD: Oct 30, 1903 6:oopm Cause: Typhoid Fever N. R. Luther, MD, Kings Valley Buried: Addition to the Edwards Grave Yard Dallas Clara Gaynor Female White DOB: Aug. 24, 1877 Married Birthplace: Dallas, OR Father: Abel Uglow Birthplace: England Mother: Margaret Hunter Birthplace: OH Informant: Robert Gaynor, Dallas, OR DOD: Nov. 18, 1903 Cause: Tuberculisis Buried: IOOF Cemetery Dallas Undertaker R.L. Chapman, Dallas Monmouth William McMillen Male White DOB: June 14, 1825 Married Birthplace: Glassco, Scotland Father: William McMillen Birthplace: Scotland Mother: ???Geanttey Birthplace: Scotland DOD: Nov 21, 1903 11:00am Cause: Inflamation of stomach and bowles Duration: 3 years Buried: K.P.C. Monmouth Dallas Florence A. Adams Female White DOB: August 10, 1846 Married Birthplace: IN Father: Silas Beutley Birthplace: Mass Mother: ???Smith Birthplace: Mass DOD: Dec. 3, 1903 7:00am Cause: Septicaemia Duration 21 days Contributory: Eczema Duration: 9 months J. C. Taylor MD, Dallas, OR Independence Isaac Mattison Male White DOB: Oct. 24, 1822 Married Birthplace: Oswego, NY Father: Alfred Mattison Birthplace: NY Mother: Colly Duboise Birthplace: NY Occupation: Cooper DOD: Dec. 4, 1903 7:00am Cause: Cancer of Stomach E.L. Sketchum MD Buried: IOOF Cemetery Undertaker: Josse & Bice, Independence Berincmendes Brown Female White DOB: Aug. 8, 1902 Single Birthplace: CO Father: George Brown Birthplace: Norfolk Co. England Mother: Fannie C. Moore Birthplace: St. Clair Co. , MO Informants: Geo. J. & Fannie C. Brown, Salem, OR DOD: Dec. 16, 1903 4:00pm Cause Hemmorage Duration 1 day Contributory: Catanrel Pneumonia Duration 1 day Buried: Eleno Cemetery Undertaker: W.T. Rigdon, Salem, OR Oak Grove Bessie Broom Female White Age: 16 Birthplace: MO Father: George Broom DOD: Dec. 16, 1903 Monmouth Mary B. Fenie Female White DOB: Aug 8, 1876 Single Birthplace: Ontario Canada Father: William Fenie Birthplace: Ontario Canada Mother: Lissabeths Balzer Birthplace: Onterio, Canada DOD: Dec. 28, 1903 12:15pm Cause:Pneumonia Buried: Portland