Mary Conover Lines (Death Certificate)

THE COMMONWEALTH OF MASSACHUSETTS 
DIVISION OF VITAL STATISTICS 
STANDARD CERTIFICATE OF DEATH # A678448 
NAME OF DECEASED: Mary C. (Lines) Wellman
PLACE OF DEATH:  103 Salem Road
Topsfield, Essex County
USUAL ADDRESS:  103 Salem Road
Topsfield, Mass. 01983
SEX: Female
COLOR: White
MARITAL STATUS: Widowed
HUSBAND'S NAME: Sargent H. Wellman
USUAL OCCUPATION: Housewife
INDUSTRY OR BUSINESS: At Home
AGE:  80 Years, 3 Months, 24 Days 
[Note: Massachusetts Death records
do not request dates of birth - Mary
Lines Wellman was born July 27, 1895]
PLACE OF BIRTH: Mt. Vernon, New York
NAME OF FATHER: Ernest H. Lines
FATHER'S BIRTHPLACE: USA
MAIDEN NAME OF MOTHER: Elizabeth James
MOTHER'S BIRTHPLACE: USA
INFORMANT:  Mrs. Bradford Wellman
Bangor, Maine
DATE OF DEATH: November 23, 1975
CAUSE OF DEATH: Cerebral Hemorrhage
INTERVAL FROM ONSET: 3 Days
DUE TO: Arteriosclerosis
SIGNIFICANT CONDITION: Cancer of Breast
TEST CONFIRMING DIAGNOSIS: Clinical
CERTIFICATION:       I hereby certify that I attended
deceased from Nov. 5 1975 to Nov.
23, 1975. I last saw her alive on
Nov. 23 1975. Death is said to
have occurred on the date stated
above, at 11:55 AM.
PHYSICIAN:   Cornelius J. Driscoll, MD
5 Alden St.
Danvers, Massachusetts
PLACE OF BURIAL:  Pine Grove Cemetery
Topsfield, Massachusetts
DATE OF BURIAL: November 26, 1975
FUNERAL DIRECTOR:   Robert A. Peterson
167 Maple St.
Danvers, Massachusetts

Related Biographies:

Mary Conover Lines

Acknowledgements

Phillip Gowan

Comment and discuss

500
Leave a comment...

Citation

Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20935, published 28 August 2003, generated 17th November 2019 04:10:19 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20935-97.html