THE COMMONWEALTH OF MASSACHUSETTS STANDARD CERTIFICATE OF DEATH #373 | |
NAME OF DECEASED: | Edwin Nelson Kimball |
PLACE OF DEATH: | 305 Fuller St. Newton, Middlesex County |
SEX: | Male |
COLOR OR RACE: | White |
MARITAL STATUS: | Married |
WIFE'S NAME: | Gertrude Parsons |
USUAL RESIDENCE: | 305 Fuller St. Newton, Massachusetts |
OCCUPATION: | Piano Business (retired) |
PLACE OF BIRTH: | Atlanta, Georgia |
AGE: | 57 Years, 28 Days |
FATHER'S NAME: | Edwin Kimball |
FATHER'S BIRTHPLACE: | Paris, Maine |
MOTHER'S MAIDEN NAME: | Emma Cook |
MOTHER'S BIRTHPLACE: | New Haven, Connecticut |
INFORMANT: | G. C. Kimball Frick Building Pittsburgh, Pennsylvania |
DATE OF DEATH: | April 6, 1927 |
CAUSE OF DEATH: | Lung abscess |
DURATION: | 1 month, 6 days |
CONTRIBUTORY: | Bronchial pneumonia |
DURATION: | 1 month, 6 days |
CERTIFICATION: | I hereby certify that I attended deceased from July 17, 1924 to April 5, 1927, that I last saw him alive on April 5, 1927 and that death occurred on the date stated above at 12:15 A.M. |
PHYSICIAN: | Edward D. Leonard Newton Centre, Massachusetts |
PLACE OF BURIAL: | Newton Cemetery Newton, Massachusetts |
DATE OF BURIAL: | April 8, 1927 |
UNDERTAKER: | Henry F. Cate West Newton |
Comment and discuss