Adāl Najīb Qiyāmah (Death Certificate)

STATE OF NEW YORK 
DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK 
BUREAU OF RECORDS 
BOROUGH OF BRONX 
STANDARD CERTIFICATE OF DEATH 
NAME OF DECEASED: Adenne (sic) Kiamie
PLACE OF DEATH: 587 Walton Ave.
CHARACTER OF PREMISES: Tenement
SEX: Female
COLOR OR RACE: White
MARITAL STATUS: Married
OCCUPATION: Housewife
DATE OF BIRTH: November 14, 1896
AGE: 27 Years, 2 Months, 24 Days
BIRTHPLACE: Assyria
HOW LONG IN U.S.?: 12 Years
HOW LONG IN CITY OF NEW YORK?: 12 Years
NAME OF FATHER: Najeeb Kiamie
FATHER'S BIRTHPLACE: Assyria
MAIDEN NAME OF MOTHER: Merion Nasias
MOTHER'S BIRTHPLACE: Assyria
DATE OF DEATH: February 8, 1924
CAUSE OF DEATH: Melanoma of Breast
DURATION: 1 Year
CONTRIBUTORY:  Metastasis to liver
Mediastinum
DURATION: 2 Months
CERTIFICATION:          I hereby certify that the foregoing
particulars are correct as near as
the same can be ascertained, and I
further certify that I attended the
deceased from Sep. 15, 1922 to Feb.
8, 1924, that I last    saw her alive
on the 6th day of Feb. 1924, that
death occurred on the date stated
above at 2:30 A.M.
PHYSICIAN:  G. Allen Robinson, M.D.
166 West 72nd St.
PLACE OF BURIAL: Mt. Olivet Cemetery
DATE OF BURIAL: February 10, 1924
UNDERTAKER:  J. J. Cronin
115 Atlantic Ave.

Related Biographies:

Adāl Najīb Qiyāmah

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21047, published 28 August 2003, generated 18th November 2019 04:25:01 PM)
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