THE COMMONWEALTH OF MASSACHUSETTS REGISTRY OF VITAL RECORDS AND STATISTICS STANDARD CERTIFICATE OF DEATH # A680318 | |
NAME OF DECEASED: | Caroline Lamson Brown |
PLACE OF DEATH: | Emerson Hospital Concord, Middlesex County |
PLACE OF RESIDENCE: | State Highway Acton, Massachusetts |
SEX: | Female |
COLOR OR RACE: | White |
MARITAL STATUS: | Widow |
HUSBAND'S NAME: | J. Murray Brown |
OCCUPATION: | At Home |
AGE: | 75 Years, 11 Months, 18 Days |
BIRTHPLACE: | New York, New York |
NAME OF FATHER: | Charles Lamson |
FATHER'S BIRTHPLACE: | Boston, Massachusetts |
MAIDEN NAME OF MOTHER: | Elizabeth R. Marshall |
MOTHER'S BIRTHPLACE: | New York, New York |
INFORMANT: | Murray Brown Acton, Massachusetts |
DATE OF DEATH: | June 26, 1928 |
CAUSE OF DEATH: | Carcinoma of Pancreas |
CERTIFICATION: | I hereby certify that I attended deceased from April 9, 1928 to June 26, 1928 and that I last saw her alive on June 26, 1928 and that death occurred on the date stated above at 10:40 A.M. |
PHYSICIAN: | Henry J. Walcott 92 Main St. Concord, Massachusetts |
PLACE OF BURIAL: | Mt. Auburn Cambridge, Massachusetts |
DATE OF BURIAL: | June 29, 1928 |
UNDERTAKER: | Joseph Dee Concord, Massachusetts |
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