Marie Marthe Jerwan (Death Certificate)

DIVISION OF RECORDS 
BOROUGH OF QUEENS 
CERTIFICATE OF DEATH #156-74-412238 
NAME OF DECEASED: Marie Jerwan
PLACE OF DEATH:  City Hospital at Elmhurst
Queens, New York
USUAL RESIDENCE:  35-42 73 St.
Jackson Heights, Queens, NY
LENGTH OF RESIDENCE: 65 Years
SEX: Female
MARITAL STATUS: Widowed
USUAL OCCUPATION: Housewife
KIND OF BUSINESS: Own Home
DATE OF BIRTH: May 28, 1888
AGE: 86 Years
BIRTHPLACE: Switzerland
ANY OTHER NAME(S) BY WHICH
DECEDENT WAS KNOWN:
Marie Marthe Jerwan
FATHER'S NAME: Jean-Pierre Thuillard
MOTHER'S MAIDEN NAME: Marie Anna Von Niederhausern
INFORMANT:  Noemi Mondon
35-42 73 St.
RELATIONSHIP: Friend
CERTIFICATION:            I hereby certify that a staff physician
of this institution attended the
deceased from June 4, 1974 to Sept. 14,
1974 and last saw her alive at 4:40 P.M.
on Sept. 14, 1974. I further certify that
traumatic injury or poisoning DID NOT
play any part in causing death, and that
death did not occur in any unusual manner
and was due entirely to NATURAL CAUSES.
PHYSICIAN:  Phito Pierre-Louis
Elmhurst General Hospital
CREMATORY:  Garden State Crematory
North Bergen, New Jersey
DATE OF CREMATION: 9-17-74
FUNERAL DIRECTOR:  W. B. Cooke, Inc.
80-20 Roosevelt Ave.

Related Biographies:

Marie Marthe Jerwan

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #20993, published 28 August 2003, generated 18th November 2019 08:36:30 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-20993-155.html