Found in 3 Collections and/or Records:
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
Overview Typed letter from C.D Spivak in Denver, Colorado, to Mr. J. Lofton Davidson, Reigstrator Jefferson County in Golden, Colorado. Letter informs that Spivak has enclosed a check for one dollar and fifty cents for the death certificate of Simon Wasserstein who "died at the Sanatorium of the Jewish Consumptives' Relief Society on the 6th inst." Letter is unsigned but "Secretary" is typed at the bottom.
Dates: 1909 January 18
Overview Receipt, handwritten in ink from Golden, Colorado dated January 20, 1909 received from C.D Spivak for $1.50 "one and 50/100 dollars" for the certificate of Simon Wasserstein. Signed by J. Lofton Davidson.
Dates: 1909 January 20