Death Certificate of Addie E. ALMOND (1926), Philadelphia County, PA Contributed to the PAGenWeb Archives by Robert E. Seeley Copyright 2004. All Rights Reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/pa/pafiles.htm ********************************************************* 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. -------------------------------------------------------------------------------- | 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 --------------------------------------------------------------------------------