DIVISION OF RECORDS
STATE OF NEW YORK
CERTIFICATE OF DEATH #156-82-209133

NAME OF DECEASED:

Hannah Spollen

PLACE OF DEATH:

1949 McGraw Avenue
Bronx, New York

SEX:

Female

MARITAL STATUS:

Married

CITIZEN OF WHAT COUNTRY:

USA

NAME OF SPOUSE:

John Spollen

USUAL RESIDENCE:

1949 McGraw Ave.
Bronx, New York

USUAL OCCUPATION:

Housewife

KIND OF BUSINESS:

Own Home

DATE OF BIRTH:

January 27, 1894

AGE:

88 Years

PLACE OF BIRTH:

Ireland

FATHER'S NAME:

Peter Riordan

MOTHER'S MAIDEN NAME:

Mary O'Connor

INFORMANT:

John Spollen, husband
1949 McGraw Ave.
Bronx, New York

DATE OF DEATH:

September 29, 1982

CERTIFICATION:

I hereby certify that I
attended the deceased from
Aug. 25, 1982 to Sept. 22,
1982 and last saw her alive
at 2 P.M. on Sept. 22, 1982.
I further certify that
traumatic injury or poisoning
DID NOT play any part in
causing death, and that death
did not occur in any unusual
manner and was due entirely
to NATURAL CAUSES.

PHYSICIAN:

Seymour Tindel 1990 McGraw Ave.
Bronx, New York

PLACE OF BURIAL:

Gate of Heaven Cemetery Hawthorne, New York

DATE OF BURIAL:

October 1, 1982

FUNERAL DIRECTOR:

Park Abbey Funeral Chapel
Inc.
1430 Unionport Road
Bronx, New York 10462