Henry Blank (Death Certificate)

STATE DEPARTMENT OF HEALTH OF NEW JERSEY   
NAME OF DECEASED: Henry Blank
PLACE OF DEATH: Glen Ridge, Essex County
ADDRESS: 138 Ridgewood Avenue
SEX: Male
COLOR OR RACE: White
MARITAL STATUS: Widowed
DATE OF BIRTH: Sept. 17, 1872
DATE OF DEATH: Mar. 17, 1949
AGE: 76 Years
USUAL OCCUPATION: Manufacturing Jeweler
BIRTHPLACE: Providence, R.I.
CITIZEN OF WHAT COUNTRY?: USA
FATHER'S NAME: Henry Blank
MOTHER'S MAIDEN NAME: Hortense Lowerather
SOCIAL SECURITY #: 148-01-5379
INFORMANT:   Henry M. Blank
70 Meadowbrook Road
Short Hills, N.J.
CERTIFICATION:        I hereby certify that I attended
the deceased from Feb. 27, 1949
to Mar. 17, 1949, that I last saw
the deceased alive on Mar. 17,
1949, and that death occurred at
12:50 a.m. from the causes and on
the date stated above.
PHYSICIAN:   Wallis E. Lunablad, M.D.
75 Tempest ST.
E. Orange, N.J.
PLACE OF BURIAL:  Arlington Cemetery
Drexel Hills, Pa.
DATE OF BURIAL: Mar. 19. 1949
FUNERAL DIRECTOR:   Smith and Smith
160 Clinton Avenue
Newark, New Jersey
 
[Note: New Jersey does not release causes of death except to members of the immediate family]

Related Biographies:

Henry Blank

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20879, published 1 August 2003, generated 18th November 2019 10:24:42 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20879-41.html