Death Certificate of Addie E. ALMOND (1926), Philadelphia County, PA

Contributed to the PAGenWeb Archives by Robert E. Seeley <Seeley1022@aol.com>

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     STATE DEPARTMENT OF HEALTH                 BUREAU OF VITAL STATISTICS

1. PLACE OF DEATH
County  Atlantic               State  New Jersey        Registered No. 527
Township                       or Borough
City  Pleasantville     No.                         St.            Ward

2. FULL NAME  Addie E. Almond

3. Residence. No. 28E Greenfield St.   2 Ward  Westmont, N. J.
   Length of residence in city where death occurred     yrs.     mos.   8 days.
   How long in U. S. if of foreign birth?     yrs     mos.     days.

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                                       |
 PERSONAL AND STATISTICAL PARTICULARS  |     MEDICAL CERTIFICATE OF DEATH
                                       |
4 SEX  5 COLOR OR RACE  3 Single, Marr-| 17 DATE OF DEATH  June 11, 1926
                          ied, Widowed |
                          or Divorced  | 18 I HEEREBY CERTIFY That I attended 
                                       | deceased from June 11, 1926 to x x, 19x
   F           W           married     | that I last saw her alive on June 11, 
                                       | 1926 and that death occurred on date 
7 If married, widowed or divorced      | stated above, at 815
  Husband of (or) Wife of              |
  Geo B. Almond                        | The CAUSE OF DEATH was as follows:
                                       |
8 DATE OF BIRTH   Dec. 11 1876         |  Organic heart disease
                                       |
9 AGE    Years    Months    Days       |  Contributary (Secondary)
           49                          |
                                       |
10 OCCUPATION OF DECEASED              |
      housewife                        | 19 Where was disease contracted,
                                       |    If not at place of death?
11 BIRTHPLACE   Penna                  |
                                       | Did an operation precede death?
12 NAME OF FATHER  Wm H. Rogers        |
                                       | Was there an autopsy?
13 BIRTHPLACE OF FATHER   Penna        |
                                       | What test confirmed diagnosis?
14 MAIDEN NAME OF MOTHER               |
                  Adaline Sheppard     |  (Signed)  Charles A Britan
                                       |                                     N J
15 BIRTHPLACE OF MOTHER   Penna        |  (Address) 919 So Main St Pleasantville
---------------------------------------|----------------------------------------
                                       | 20 PLACE OF BURIAL Fernwood Cem. Phila
15 SIGNATURE OF INFORMANT              |----------------------------------------
                Geo B Almond           |
   (Address) 103 Alvors Ave Westmont NJ| Date of Burial     21 Undertaker
                                       |  June 15 / 26      W. B. Parsels & Sons
---------------------------------------|----------------------------------------
                                       |
16 Received June 15 1926  ?? S Ca????  | Address            New Jersey License
                        Local Registrar|                    Number
                                       | Plesantville               551
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