Mary Alice Holverson (Death Certificate)

1918
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STATE OF NEW YORK 
DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK 
BUREAU OF RECORDS 
CERTIFICATE OF DEATH # 14996
NAME OF DECEASED: Mary Aline Holverson
PLACE OF DEATH:   N.Y. Post Grad Hosp.
Borough of Manhattan
USUAL RESIDENCE: 509 W. 122 St.
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Widowed
AGE: 41 Years
DATE OF BIRTH: Not given
OCCUPATION: Housewife
BIRTHPLACE: U.S.
HOW LONG IN CITY OF NEW YORK: 12 Years
NAME OF FATHER: Harry Luther Towner
FATHER'S BIRTHPLACE: U.S.
MAIDEN NAME OF MOTHER: Ella Newall
MOTHER'S BIRTHPLACE: U.S.
DATE OF DEATH: May 2nd, 1918
CAUSE OF DEATH:   Acute Exacerbation of Chronic
Nephritis

CERTIFICATION:           

I hereby certify that the
foregoing particulars are
correct as near as the same can
be ascertained, and I further
certify that deceased was
admitted to this institution on
Apr. 29, 1918, that I last saw
her alive on the 2 day of May
1918, and that she died on the
2 day of May, 1918, about 1
o'clock a.m.
PHYSICIAN:   F. C. Costen, M.D.
House Physician
PLACE OF BURIAL: Woodlawn Cemetery
DATE OF BURIAL: May 4, 1918
UNDERTAKER:   Stephen Menett
161 8 Ave.

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Mary Alice Holverson

Acknowledgements

Phillip Gowan

Citation

Encyclopedia Titanica (2003) Mary Alice Holverson (Death Certificate) ( ref: #20927, published 28 August 2003, generated 22nd September 2021 05:29:48 PM); URL : https://www.encyclopedia-titanica.org/death-certificate-20927-89.html