| Title |
Certificate and Record of Death |
| Short Title |
Death Cerificate - Eva Biggers |
| Author |
R. F. Gates? Dates? Bates?, M.D. |
| Publisher |
March 25, 2006
Brownville, N.Y. |
| Call Number |
12636 |
| Repository |
New York State Department of Health |
| DATE |
2 May 2006 |
| MEDI |
Vital |
| _ITALIC |
Y |
| _PAREN |
Y |
| Source ID |
S440 |
| Text |
County of Jefferson
Town of Pamelia
State of New York
Department of Health - Bureau of Vital Statistics
Certificate and Record of Death
Registered no. 421
Town of Pamelia
Full name of Deceased: Eva E. Webert
Personal and Statistical Particulars:
Place of Death: Town of Pamelia, N.Y.
How long resident: 5 years
Age: 26
Sex: female
Color: white
Single, Married, Widowed or Divorced: married
Occupation: housewife
Birthplace: New York State
Name of Father: John Bigers
Birthplace of Father: New York State
Maiden Name of Mother: Pamelia Walts
Birthplace of Mother: New York
The aforementioned personal particulars are true to the best of my knowledge and belief:
(Informant) Anthony Webert
(Address:) Town of Pamelia
Medical Certificate of Death:
Date of Death: March 23, 1906
I hereby certify, that I attended deceased from Mar. 5 1906 to Mar. 23 1906 and that death occurred on the date stated above at 3:20 pm. To the best of my knowledge and belief the cause of death was as follows:
Chief cause: Consumption
(duration) year
(Signed) R. F. Dates? Bates? Gates? M.D.
Mar 25, 1906 (Address) Brownville, N.Y.
Place of Burial or removal: Glenwood
Date of Burial: Mar. 25, 1906
Undertaker: D. E. Guilfoyle
Address: 39 Court St. |
| Linked to |
Cornelia Waltz |
