| STATE OF CONNECTICUT DEPARTMENT OF HEALTH MEDICAL CERTIFICATE OF DEATH | |
| FULL NAME OF DECEASED: | Sahid Nakid (sic) |
| PLACE OF DEATH: | 24 Pemberton St. Waterbury |
| NUMBER OF FAMILIES IN HOUSE: | Six |
| RESIDENCE AT TIME OF DEATH: | Waterbury, Conn. |
| OCCUPATION: | Shop hand |
| CONDITION: | Married |
| DATE OF BIRTH: | 1891 |
| BIRTHPLACE: | Syria |
| COLOR OR RACE: | White |
| DATE OF DEATH: | December 30, 1926 |
| AGE: | 35 Years |
| FATHER'S NAME: | Aptone Nakid |
| FATHER'S BIRTHPLACE: | Syria |
| MOTHER'S MAIDEN NAME: | Catherine Habib |
| MOTHER'S BIRTHPLACE: | Syria |
| PLACE OF BURIAL: | Calvary Cemetery Waterbury, Conn. |
| NAME OF INFORMANT: | Thomas Habbib 24 Pemberton St. |
| WAS BODY EMBALMED?: | Yes |
| NAME OF EMBALMER: | John J. Mulville |
| SIGNATURE OF UNDERTAKER: | John J. Mulville Waterbury |
| CAUSE OF DEATH: | Laryngeal Tuberculosis |
| DURATION: | ? |
| SECONDARY CAUSE OF DEATH: | Exhaustion |
| DURATION: | 14 Days |
| CERTIFICATION: | I certify that I attended the deceased in his last illness, and that the cause of death was as above stated. |
| PHYSICIAN: | Ernest H. Johnston, MD 18 Abbott Ave. |
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