| STATE OF NEW YORK DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK BUREAU OF RECORDS STANDARD CERTIFICATE OF DEATH # 13332 | |
| NAME OF DECEASED: | Martha M. Stone |
| PLACE OF DEATH: | New York Hospital Manhattan |
| SEX: | Female |
| COLOR OR RACE: | White |
| MARITAL STATUS: | Widowed |
| DATE OF BIRTH: | Not given [census records indicate she was born in Jan. of 1850] |
| AGE: | 75 |
| OCCUPATION: | None |
| BIRTHPLACE: | USA (Note: Boston) |
| HOW LONG A RESIDENT IN CITY OF NEW YORK?: | 3 Days |
| NAME OF FATHER: | Stephen H. Stone |
| FATHER'S BIRTHPLACE: | USA |
| MAIDEN NAME OF MOTHER: | Mary Ann Stone |
| BIRTHPLACE: | USA |
| USUAL RESIDENCE: | Plaza Hotel |
| DATE OF DEATH: | May 12th, 1924 |
| CERTIFICATION: | I hereby certify that the foregoing particulars are correct as near as the same can be ascertained, and I further certify that deceased was admitted to this institution on May 9th, 1924, that I last saw her alive on the 12th day of May 1924, that she died on the 12th day of May 1924, about 10 o'clock P.M.,the diagnosis during her last illness was: CYST ADENOMA OF OVARY |
| DURATION: | 8 Months |
| CONTRIBUTORY: | Abdominal Carcinomatosis |
| PHYSICIAN: | R. H. Morris, MD House Surgeon |
| PLACE OF BURIAL: | King Grove Cemetery Cincinnati, Ohio |
| DATE OF BURIAL: | May 16, 1924 |
| UNDERTAKER: | E. H. Crane 268-81st |
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