Certificate of Death of Mary Jane Friend, 1923, Garrett Co., MD

File contributed for use in USGenWeb Archives by Barb Vaillancourt.
Cogewa@yahoo.com

Transcribed by Cyndie Eckman.

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STATE OF MARYLAND
CERTIFICATE OF DEATH

16411

1. PLACE OF DEATH: Garrett
Villiage or City: White Rock (No.____________ St:__________Ward)
(If death occurred in a hospital or institution, give its NAME instead of street 
and number.)
Registration Dist. No. 161
2. FULL NAME: Mary Jane Friend
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3. SEX: Female
4. COLOR OR RACE: White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED (Write the word): X next to married
6. DATE OF BIRTH: (Month) Aug. (Day) 9, (Year) 1859
7. AGE: 64 yrs 4 mos 20 days  (If LESS than 1 day ____ hrs ____min.
8. OCCUPATION
(a) Trade, profession or particular kind of work: Housewife
(b) General nature of industry business, or establishment in which employed 
       or (employes) ______________
9. BIRTHPLACE: Maryland
PARENTS
10. NAME OF FATHER: John H. Friend
11. BIRTHPLACE OF FATHER (State or Country): Ohio
12. MAIDEN NAME OF MOTHER: Syvillia Savage
13. BIRTHPLACE OF MOTHER (State or Country): Garrett Co. Md.
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14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
  (Informant) Herbert Friend 
  (Address) R. F. D. Friendsville, Md
15. Filed Dec. 31st 1923 Jasper Guard    Registrar
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	MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH: (Month) Dec (Day) 29, (Year) 1923
17. I HEREBY CERTIFY, That I attended the deceased from Nov 1st 1923 to Dec 29th, 
1923, that I last saw her alive on Nov 20th, 1923, and that death occurred on 
the date stated above, at 11:30am.
The CAUSE OF DEATH was as follows:
Carcinous of Bladder & Uterus
No further information ?????
		Duration 1 yrs ___mos ___ds.
Contributory Secondary: __________________
		Duration __ yrs ____mos _____ds.
(Signed) A. J. ?????? M.D.
Dec ??, 1923 (Address) Friendsville Md.
*Note the Disease Causing Death, or, in deaths from Violent Causes, state (1) 
Means of Injury,; and (2) whether Accidental, Suicidal, or Homicidal.
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18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent 
Residents)
At place of death___yrs___mos___ds  In the State___yrs___mos___ds
Where was disease contracted, if not at place of death? At place of death
Former of usual residence: usual Residence
19. PLACE OF BURIAL OR REMOVAL: Ruler Glade Cem.
    DATE OF BURIAL: Jan. 1st 1924
20. UNDERTAKER: Earl. G. Harned
    ADDRESS: Hazellow
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