STATE OF NEW YORK DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK BUREAU OF RECORDS STANDARD CERTIFICATE OF DEATH # 23142 |
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FULL NAME: | Marguerite Brown |
PLACE OF DEATH: | 140 East 63rd Manhattan |
CHARACTER OF PREMISE: | Hotel |
SEX: | Female |
COLOR OR RACE: | White |
MARITAL STATUS: | Widowed |
HUSBAND OF: | James J. Brown |
DATE OF BIRTH: | July 10, 1867 |
AGE: | 65 Years, 3 Months, 16 Days |
OCCUPATION: | H.W. |
BIRTHPLACE: | U.S. |
HOW LONG A RESIDENT OF NEW YORK?: | 10 Years |
NAME OF FATHER: | John Tobin |
FATHER'S BIRTHPLACE: | U.S. |
MOTHER'S MAIDEN NAME: | Laura Collins |
MOTHER'S BIRTHPLACE: | U.S. |
USUAL RESIDENCE: | 140 E. 63rd St. |
DATE OF DEATH: | October 26, 1932 |
CERTIFICATION: | I hereby certify that the foregoing particulars are correct as near as the same can be ascertained, and I further certify that I attended the deceased from Jan. 20, 1932 to October 26, 1932, that I last saw her alive on the 26 day of October, 1932, that death occurred on the date stated above at 2 P.M., and that the cause of death was as follows: CEREBRAL HEMORRHAGE |
CONTRIBUTORY: | Arterio-sclerosis Chronic Myocarditis |
DURATION: | 3 Years |
PHYSICIAN: | Herman H. Rubin, MD 34 W. 87 St. |
PLACE OF BURIAL: | St. Bridges Cemetery Westbury, Long Island |
DATE OF BURIAL: | October 31, 1932 |
UNDERTAKER: | James E. Newman 255 9th St. Bldg. |
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