Full Name: Residence No.: Place: Length of Residence above: Sex: Color or Race: Marital Status: Husband or Wife: Date of Birth: Age: Occupation: Birthplace: Name of Father: Birthplace of Father: Maiden Name of Mother: Birthplace of Mother: Date of Death: Physician Notes: Cause of Death: Autopsy: What test confirmed diagnois: Physician: Place of Burial: Date of Burial: Undertaker: Informant: Filed: |
Daniel
Webster Pierce 103 Phoenix Street - Ward 3 Canandaigua NY 28 years Male White Widower Madeline Rogers November 3, 1852 76 yrs, 9 mos., 12 days Retired Bristol, NY William Pierce New York Rowena Carpenter New York Aug 15, 1929 Attended from May 3 1905 to August 15 1929; last seen Aug 14 1929; death occurred at 10:50 A. M.; Dr. F. A. Brockmyre Chronic myocarditis of 6 months duration; contributory Ulcer of stomach - 5 years; No Clinical F. A. Brockmyre, Canandaigua NY Woodlawn, Canandaigua August 17, 1929 Curtice & McElwee Lena Pierce, 103 Phoenix St. August 16, 1929 |
Full Name: Place of Death: Place: Length of Residence in City: Sex: Color or Race: Marital Status: Husband or Wife: Date of Birth: Age: Occupation: Date Last Worked: Time in this Occupation: Birthplace: Name of Father: Birthplace of Father: Maiden Name of Mother: Birthplace of Mother: Date of Death: Physician Notes: Cause of Death: Injury Sustained: Operation Performed: Autopsy: What test confirmed diagnois: Physician: Place of Burial: Date of Burial: Undertaker: Informant: |
Benedict
W. Fuller 226 Gorham Street - Ward 2 Canandaigua NY 45 years, 11 months, 29 days Male White Married Kathryn Finnerty (maiden name) February 27, 1888 45 yrs, 11 mos., 29 days Patrolman, Police Dept., City of Canandaigua December, 1933 10 years Canandaigua NY Albert A. Fuller Town of Richmond, NY Mary Allen Canandaigua, NY February 26, 1934 Attended from Dec. 9, 1933, to Feb 26, 1934; last seen alive Feb. 25,1934, 8 a.m.; F. A. Brockmyre, Physician, Canandaigua NY Septicemia following laceration of thumb (2 months), Coronary embolism (5 minutes) Canandaigua NY Incision & draining of hand & arm, Dec 17 No Clinical F. A. Brockmyre, Canandaigua NY Calvary, Canandaigua March 1, 1934 Curtice & McElwee Mrs. Kathryn Fuller, 226 Gorham St. |
Full Name: Date of Death: Register No.: Place of Death: Marital Status: Age: Occupation: Birthplace: Name of Father: Birthplace of Father: Maiden Name of Mother: Birthplace of Mother: Cause of Death: Physician: Place of Burial: |
Joseph C. Farnum March 14, 1906 3022 Canandaigua Village Married 60 years, 11 months, 10 days Letter Carrier U. S. Joseph Farnum VT Jane Delano VT pneumonia F. P. Warner, M. D. Canandaigua (burial in Woodlawn Cemetery) |
Full Name: Date of Death: Register No.: Marital Status: Age: Occupation: Birthplace: Name of Father: Birthplace of Father: Maiden Name of Mother: Birthplace of Mother: Cause of Death: Attending Physician: Place of Burial: |
Farnum C.
Pierce August 23, 1906 3088 Single 6 months Infant Canandaigua Roy C. Pierce Bristol NY Julia A. Farnum New York Entero Colitis (7 days) H. C. Buell, M. D. Canandaigua (burial in Woodlawn Cemetery) |