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Overview Death certificate of Simon Wasserstein from the state of Colorado. Information on the form includes age, sex, date of birth, marital status, birthplace, occupation, information on relatives, date of death which is "Jan 6th, 1909," Cause of death listed as Pulmonary tuberculosis, signed by J. B. Fish January 6, 1909 in Edgewater, Colorado. States filed January 11, 1909 by J. L. Davidson. Place of burial listed as "Rose Hill Cemetary," date of burial was January 8, 1909. The back of the form...
Dates: 1909 January 6