Archibald Gracie (Death Certificate)

STATE OF NEW YORK 
DEPARTMENT OF HEALTH 
THE CITY OF NEW YORK BUREAU OF RECORDS 
CERTIFICATE OF DEATH # 33988 
NAME OF DECEASED: Archilbald Gracie
PLACE OF DEATH:   Hotel St. Louis
34 East 32nd St.
Manhattan
SEX: Male
COLOR OR RACE: White
MARITAL STATUS: Married
DATE OF BIRTH: January 17, 1858
AGE: 54 Years, 10 Months, 17 Days
OCCUPATION: Historian
BIRTHPLACE: [Mobile] Alabama
HOW LONG A RESIDENT OF NEW YORK: 1 Year
NAME OF FATHER: Archibald Gracie
FATHER'S BIRTHPLACE: US
MAIDEN NAME OF MOTHER: Josephine Mayo
MOTHER'S BIRTHPLACE: US
FORMER OR USUAL RESIDENCE:Washington, D.C.  
DATE OF DEATH: December 4, 1912
CERTIFICATION:               I hereby certify that the foregoing
particulars (Nos. 1 to 14 inclusive)
are correct as near as the same can
be ascertained, and I further certify
that I attended the deceased from
December 2, 1912 to December 4, 1912,
that I last saw her (sic) alive on
the 3 day of December 1912, that death
occurred on the date stated above at
7 A.M., and that the cause of death
was as follows:
CAUSE OF DEATH: Diabetic Coma
DURATION: 2 Days
CONTRIBUTORY: Diabetes Mellitus
DURATION: 8 Years
PHYSICIAN:  Richard Ewell Brown, M.D.
111 West 55th St.
PLACE OF BURIAL: Woodlawn Cemetery
DATE OF BURIAL: December 6, 1912
UNDERTAKER:  J. Aldred & Son
364 Madison Ave.

Related Biographies:

Archibald Gracie IV

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20916, published 28 August 2003, generated 13th November 2019 06:51:23 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20916-78.html