Lily May Futrelle (Death Certificate)

1967
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THE COMMONWEALTH OF MASSACHUSETTS 
STATE DEPARTMENT OF PUBLIC HEALTH 
REGISTRY OF VITAL RECORDS AND STATISTICS 
MEDICAL EXAMINER'S CERTIFICATE OF DEATH # 665527 
NAME OF DECEASED: May Peel Futrelle
PLACE OF DEATH:   Jessie MacDougall Nursing Home
Scituate, Plymouth County
PERMANENT RESIDENCE: 33 Circuit Street
LENGTH OF RESIDENCE: 60 Years
SEX: Female
COLOR: White
USUAL OCCUPATION: Author
MARITAL STATUS: Widowed
SPOUSE'S NAME: Jacques Futrelle
SOCIAL SECURITY #: 025-16-5902
AGE: 91 Years
PLACE OF BIRTH:   Georgia
NAME OF FATHER: David G. Peel
FATHER'S BIRTHPLACE: Georgia
MAIDEN NAME OF MOTHER: Molly Thompson
MOTHER'S BIRTHPLACE: Georgia
INFORMANT:   Mrs. Virginia Raymond
33 Circuit Ave.
Scituate, MA.
DATE OF DEATH: October 29, 1967
CAUSE OF DEATH: Acute Broncho Pneumonia
CERTIFICATION:      I hereby certify that a satisfactory
standard certificate of death was
filed with me before the burial or
transit permit was issued.
PHYSICIAN:  Frederick F. O'Brien
Scituate, Mass.
PLACE OF BURIAL:  St. Mary's Cemetery
Scituate, Mass.
DATE OF BURIAL: November 2, 1967
FUNERAL DIRECTOR:   Sparrell Funeral Service, Inc
30 Central St.
Norwell, Mass.

(Note: No birth date is given, Mrs. Futrelle was born in Atlanta on May 26, 1876]

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Lily May Futrelle

Acknowledgements

Phillip Gowan

Citation

Encyclopedia Titanica (2003) Lily May Futrelle (Death Certificate) ( ref: #20914, published 1 August 2003, generated 19th September 2021 01:13:16 AM); URL : https://www.encyclopedia-titanica.org/death-certificate-20914-76.html