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| Title |
, Death Report 41267_311884-00761 (10 July 1917), , . Hereinafter cited as Death Report Orison Leckie TAYLOR. |
| Short Title |
Death Report Orison Leckie TAYLOR |
| _BIBL |
. . Death Report. certificate. |
| _SUBQ |
, Death Report Orison Leckie TAYLOR. |
| Source ID |
S902 |
| Linked to |
Orison Leckie TAYLOR |
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| Notes |
- NAME: Orison Leckie Taylor
PLACE OF DEATH: E. Jaffrey NH
NO.: (blank) STREET
WARD: (blank) VILLAGE: E. Jaffrey
HOW LONG A RESIDENT: 3 yrs 7 mos
PREVIOUS RESIDENCE: (blank)
IF DEATH OCCURRED AT AN INSTITUTION GIVE NAME OF SAME:
(blank)
HOW LONG AN INMATE: (blank)
WHERE FROM: (blank)
DATE OF DEATH: YEAR: 1917 MONTH: July DAY: 10
AGE: YEARS: 3 MONTHS: 7 DAYS: 20
PLACE OF BIRTH: E Jaffrey
DATE OF BIRTH: YEAR: 1913 MONTH: Nov DAY: 20
SEX: M COLOR: W MARRIED, SINGLE, WIDOWED OR DIVORCED: (blank)
OCCUPATION: (blank)
CAUSE OF DEATH: Tuberculous Meningitis
DURATION: Three weeks
CONTRIBUTIN CAUSE: Measles
DURATION: (blank)
NAME OF FATHER: Spencer H. Taylor
MAIDEN NAME OF MOTHER: Katherine Copland
BIRTHPLACE OF FATHER: Somerville, Mass
BIRTHPLACE OF MOTHER: Scotland
OCCUPATION OF FATHER: Merchant
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DECEASED WAS WIFE OF: (blank)
WIDOW OF: (blank)
NAME OF PHYSICIAN (OR OTHER PERSON) REPORTING SAID DEATH:
Walter G. Kenney, M.D.
P.O. ADDRESS: Winchendon, Mass
PLACE OF INTERNMENT: Greater Boston
DATE OF INTERNMENT: July 12, 1917
NAME OF CEMETERY: Forest Hills
UNDERTAKER: ? T Leighton
P.O. ADDRESS: E Jaffrey
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THE STATE OF NEW HAMPSHIRE
I HEREBY CERTIFY THAT THE ABOVE DEATH RECORD IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
J. G. Gomisend
CLERK OF: Jaffrey N.H.
DATE: Aug. 1917
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