STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS RHODE ISLAND DEPARTMENT OF HEALTH CERTIFICATE OF DEATH 70-04767 |
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NAME OF DECEASED: | Lulu Thorne Opie |
PLACE OF DEATH: | Watch Hill Rd. Nursing Home Westerly, Washington County |
MAILING ADDRESS: | R.D.#3 Old Post Rd. Westerly, Rhode Island |
OCCUPATION: | Housewife |
KIND OF BUSINESS: | At home |
SEX: | Female |
RACE: | White |
DATE OF BIRTH: | March 19, 1878 |
PLACE OF BIRTH: | New York |
AGE: | 92 Years |
CITIZEN OF WHAT COUNTRY?: | USA |
MARITAL STATUS: | Widow |
FATHER'S NAME: | Henry P. Christian |
MOTHER'S MAIDEN NAME: | Louise Fisher |
INFORMANT: | Marshall Drew Old Post Rd. R.D. #3 Westerly, Rhode Island |
DATE OF DEATH: | June 2, 1970 |
CAUSE OF DEATH: | Pulmonary Edema & Cardiac Failure |
INTERVAL FROM ONSET: | 10-12 hours |
DUE TO: | Arteriosclerotic Heart Disease and Cerebral Arteriosclerosis |
INTERVAL FROM ONSET: | Years |
DUE TO: | Chronic Brain Disease |
INTERVAL FRO ONSET: | Several months |
SIGNIFICANT CONDITION: | Cancer of Breast (Post-Surgical) |
CERTIFICATION: | I attended the deceased from Mar. 25, 1970 to June 2, 1970 and last saw her alive on June 1, 1970. I did not view the body after death (Seen by another doctor). Death occurred at 10:40 PM at the place, on the date, and to the best of my knowledge due to the causes stated.
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PHYSICIAN: | D. F. Chimento, MD 59 Elm St. Westerly, Rhode Island 02891 |
PLACE OF BURIAL: | Oak Grove Cemetery Hopkinton, Rhode Island |
DATE OF BURIAL: | June 5, 1970 |
FUNERAL HOME: | Harvey W. Buckler Funeral Home, Inc. 121 Main St. Westerly, Rhode Island |
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