Annie May Stengel (Death Certificate)

CONNECTICUT STATE DEPARTMENT OF HEALTH 
PUBLIC HEALTH STATISTICS SECTION 
HARTFORD, CONNECTICUT, U.S.A. 
CERTIFIED COPY OF DEATH RECORD 
NAME OF DECEASED: Annie Stengel
PLACE OF DEATH: Newtown, Fairfield County
NAME OF HOSPITAL: Fairfield State Hospital
LENGTH OF STAY: 4 Days
USUAL RESIDENCE:  Norwalk, Fairfield County
Connecticut
SEX: Female
RACE: White
MARITAL STATUS: Widowed
HUSBAND'S NAME: Charles Stengel
USUAL OCCUPATION: Housewife
INDUSTRY OR BUSINESS: Own Home
DATE OF BIRTH: May 2, 1867
AGE: 88 Years
PLACE OF BIRTH: Brooklyn, New York
NAME OF FATHER: Charles Morris
FATHER'S BIRTHPLACE: Danbury, Connecticut
MOTHER'S MAIDEN NAME: Amanda Ripley
MOTHER'S BIRTHPLACE: Connecticut
INFORMANT: Fairfield State Hospital Records
DATE OF DEATH: January 22, 1956
CAUSE OF DEATH: Bronchopneumonia
INTERVAL FROM ONSET: 1 Day
DUE TO:  General and cerebral
arterio-sclerosis.
INTERVAL FROM ONSET: Years
WAS AUTOPSY PERFORMED?: Yes
CERTIFICATION:       I hereby certify that I attended the
deceased from January 18, 1956 to
January 22, 1956, that I last saw the
deceased alive on January 21, 1956
and that death is said to have
occurred on January 22, 1956 at 1:30 AM.
PHYSICIAN:  H. L. Clow, MD
Newtown, Connecticut
UNDERTAKER:   Milton Kiely
70 N. Main St.
South Norwalk, Conn.
PLACE OF BURIAL:  Fairmont Cemetery
Newark, New Jersey
DATE OF REMOVAL: January 23, 1956

Related Biographies:

Annie May Stengel

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20963, published 28 August 2003, generated 13th November 2019 06:10:14 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20963-125.html