| BUREAU OF VITAL RECORDS DEPARTMENT OF HEALTH BOROUGH OF MANHATTAN CERTIFICATE OF DEATH # 56-49-118604 | |
| NAME OF DECEASED: | Florence Thayer Swain |
| PLACE OF DEATH: | 755 Park Avenue New York |
| USUAL RESIDENCE: | 755 Park Avenue Manhattan |
| LENGTH OF RESIDENCE IN NEW YORK CITY: | 50 Years |
| USUAL OCCUPATION: | Housewife |
| SEX: | Female |
| COLOR OR RACE: | White |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | December 31, 1876 [sic] |
| AGE: | 72 Years |
| BIRTHPLACE: | Massachusetts |
| FATHER'S NAME: | George A. Thayer |
| MOTHER'S MAIDEN NAME: | Ella Briggs |
| INFORMANT: | Thayer Cumings (son) 53 East 66th St. |
| DATE OF DEATH: | September 2, 1949 |
| HOUR OF DEATH: | 4 A.M. |
| CERTIFICATION: | I hereby certify that I attended the deceased from January, 1948 to Sept. 2, 1949 and last saw her alive at A.M. on Sept. 1, 1949. I further certify that death was not caused, directly or indirectly by accident, homicide, suicide, acute or chronic poisoning, or in any suspicious or unusual manner, and that it was due to NATURAL CAUSES more fully described in the confidential medical report filed with the Department of Health. |
| PHYSICIAN: | Charles S. Wheeler, M.D. 943 Lexington Ave. N.Y. 21 |
| PLACE OF BURIAL: | Mount Auburn Cemetery Cambridge, Massachusetts |
| DATE OF BURIAL: | Sept. 3, 1949 |
| FUNERAL DIRECTOR: | Universal Funeral Chapel, Inc. 597 Lexington Ave. |
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