| CONNECTICUT STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH | |
| NAME OF DECEASED: | Emma von Faber du Faur |
| PLACE OF DEATH: | 334 Edwards Street New Haven, New Haven County |
| USUAL RESIDENCE: | 334 Edwards Street New Haven, Connecticut |
| SEX: | Female |
| RACE: | White |
| MARITAL STATUS: | Married |
| NAME OF HUSBAND: | Curt von Faber du Faur |
| USUAL OCCUPATION: | Housewife |
| INDUSTRY OR BUSINESS: | Own Residence |
| DATE OF BIRTH: | 5/23/1876 |
| PLACE OF BIRTH: | New York City, New York |
| AGE: | 84 Years |
| FATHER'S NAME: | Richard Mock |
| FATHER'S BIRTHPLACE: | Germany |
| MOTHER'S MAIDEN NAME: | Emma ---- |
| MOTHER'S BIRTHPLACE: | Germany |
| INFORMANT: | Curt von Faber du Faur |
| DATE OF DEATH: | April 18, 1961 |
| CAUSE OF DEATH: | Cerebral thrombosis |
| INTERVAL FROM ONSET: | 12 Hours |
| DUE TO: | Arteriosclerosis |
| OTHER SIGNIFICANT CONDITION: | Parkinson's Disease |
| CERTIFICATION: | I hereby certify that I attended the deceased from Jan., 1955 to April 18, 1961 and that death is said to have occurred on April 18, 1961 at 10:40 A.M. |
| PHYSICIAN: | Robert S. Groom, MD 309 Edwards St. New Haven |
| PLACE OF BURIAL: | St. James Cemetery Long Island, New York |
| DATE OF BURIAL: | April 21, 1961 |
| FUNERAL DIRECTOR: | Hawley W. Lincoln, 3rd 493 Whitney Avenue New Haven, Ct. |
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