Id 12
  Collection Firth
  Date 1935-12-23
  Description   Christopher Eden Firth Death Certificate
  Source Niagara County Records
     
  Text Registered No. 621

No. 1158 Haeberle Ave

2 Full Name: Christopher Eden Firth
3 Residence no. 1158 Haeberle ave
4 Length of residence in city or town where death occured: 45 years

5 How long in U.S., if of foreign birth: 45 years

Personal and Statistical Particulars
6 Sex: Male
7 Color or Race: White
8 Single, Married, Widowed, or Divorced: Married
8a If Married or Divorced, wife of: Laura Hiame Firth
9 Date of Birth: Dec-3-1866
10 Age: 69 years, 20 days

Occupation
11 Trade, profiession: Vice President & Foreman
12 Industry or business in which work was done: Haeberle Lumber Co.
13 Date deceased last worked at this occupation: Oct. 12-1935
14 Total time spent in this occupation: 45 years

Birthplace: York, England

Father
16 Name: Christopher Firth
17 Birthplace: England

Mother
18 Maiden Name: Elizabeth Humphries
19 Birthplace: England

20 The above is true to the best of my knowledge
Signature of informant: Laura B. Firth
Address: 1158 Haeberle Ave.

21 Place of Purial Cremation, or Removal: Memorial Park, Cemetary
Date of Burial: December 26 1935
22 Undertaker: Cornece and Daggett
Address: 1517 Main St.

23 Filed: Dec. 26, 1935
Registrar: [illegible]

Medical Certificate of Death
24 Date of Death: December 23, 1935
25 I Hereby Certify, That I attended deceased from Sept 20, 1935 to Dec. 22, 1935. I last saw him alive on Dec. 23, 1935. To the best of my knoledge, death occured on the date stated above, at 6:30 p.m.

Cause of Death: Chronic Myocarditis, Duration of Condition: 1 year

Contributary Causes
Obstruction bileary tract, Duration of Condition: 4 months
Severe anemia, Duration of Condition: 1 month
(Cause of obstruction unknown)

26 Where was disease contracted, or injury sustained: Niagara Falls, N.Y.

27 Name of operation, if any: None

28 What laboratory test assited diagnosis: blood test

29 Was thre an autopsy: No

Signed: Edward Stebbens, Dec 26, 1935
Niagara Falls, NY 1/21/36

Burial or Transit
Permit issued by: [illegible]
Date of issue: Dec 26, 1935

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