| STATE DEPARTMENT OF HEALTH OF NEW JERSEY CERTIFICATE OF DEATH # 44516 | |
| NAME OF DECEASED: | Helen N. Mathey |
| PLACE OF DEATH: | Princeton Hospital Princeton, Mercer County |
| USUAL RESIDENCE: | The Great Road Princeton, New Jersey |
| SEX: | Female |
| COLOR OR RACE: | White |
| MARITAL STATUS: | Married |
| USUAL OCCUPATION: | Housewife |
| DATE OF BIRTH: | December 30, 1892 |
| AGE: | 72 Years |
| PLACE OF BIRTH: | Columbus, Ohio |
| CITIZEN OF WHAT COUNTRY?: | USA |
| FATHER'S NAME: | William Newsom |
| MOTHER'S MAIDEN NAME: | Sallie Moneypeny [sic - The correct spelling is Monypeny] |
| INFORMANT: | D. Mathey Great Rd. Princeton, N.J. |
| CERTIFICATION: | I attended the deceased from 9-5-65 to 9-7-65 and last saw her alive on 9-7-65. Death occurred at 7:20 A.M. on the date stated above. |
| PHYSICIAN: | J. R. Burbidge, M.D. Princeton, N.J. |
| PLACE OF BURIAL: | Family Owned Princeton Twp. Princeton, N.J. |
| DATE OF BURIAL: | Sept. 9, 1965 |
| FUNERAL DIRECTOR: | M. C. Mather Princeton, N.J. |
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