The medallion was placed by the Daughters of the Utah Pioneers showing that he was a Mormon Pioneer. Leah's full name is Rachael Leah Smith Radford.
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BillionGraves.com record for Leah Radford (30 November 1822 - 20 December 1894), BillionGraves Record Ririe-Shelton Cemetery, Ririe, Bonneville, Idaho, United States, North America