Martha Stephenson (Death Certificate)

THE COMMONWEALTH OF MASSACHUSETTS 
OFFICE OF THE SECRETARY 
DIVISION OF VITAL STATISTICS 
STANDARD CERTIFICATE OF DEATH # 269 
NAME OF DECEASED: Martha Eustis Stephenson
PLACE OF DEATH:  Ocean Avenue
Marblehead, Essex County
USUAL RESIDENCE: Haverford, Penn.
LENGTH OF RESIDENCE IN MASSACHUSETTS: 2 Days
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Widow
NAME OF HUSBAND: Walter B. Stephenson
USUAL OCCUPATION: None
AGE: 74 Years, 9 Months, 11 Days
BIRTHPLACE: Boston, Mass.
NAME OF FATHER: William Tracey Eustis
FATHER'S BIRTHPLACE: Boston, Mass.
MOTHER'S MAIDEN NAME: Martha B. Dutton
MOTHER'S BIRTHPLACE: Boston, Mass.
INFORMANT:   George E. Stephenson
Ocean Ave.
Marblehead, Massachusetts
DATE OF DEATH: December 24, 1934
CAUSE OF DEATH: Coronary Embolism
DATE OF ONSET: December 22, 1934
CERTIFICATION:        I hereby certify that I attended
deceased from December 22, 1934
to December 24, 1934. I last saw
her alive on December 24, 1934.
Death is said to have occurred
on the date stated above at
10:50 A.M.
PHYSICIAN:   Malcolm M. Restall, MD
66 Pleasant St.
Marblehead, Massachusetts
PLACE OF CREMATION:  Mt. Auburn Crematory
Cambridge, Massachusetts
DATE OF BURIAL: December 27, 1934
NAME OF UNDERTAKER:  B. S. Eastman
Boston, Massachusetts

Related Biographies:

Martha Stephenson

Acknowledgements

Phillip Gowan

Comment and discuss

500
Leave a comment...

Citation

Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20964, published 28 August 2003, generated 12th November 2019 03:36:28 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20964-126.html