Document F.365 · death certificate · transcription: partial
Commonwealth of Pennsylvania Certificate of Death, file no. 54698, Northampton Co., Upper Mt. Bethel Twp, registration district 757, primary district 3149, registered no. 32 - Ancestry 'Pennsylvania, U.S., Death Certificates, 1906-1972' (coll. 5164) record 667793, image 41381_2421401696_0890-00572
- repository
- Ancestry.com, collection 5164, record 667793 (Pennsylvania Historical and Museum Commission). Index: Mary L Hissem [Mary L Cooper], b. 20 Sep 1859 'Alamerchy NJ', d. 18 May 1916, father George Cooper, mother Martha Slackhouse.
- date
- 1916-05-18
People named
| As written | Role | Identified as | What this document says |
|---|---|---|---|
| Mary L Hissem | deceased | Mary L. (Cooper) Hissem 1859–1916 | birth: 20 Sep 1859, Allamuchy, Warren Co., NJ ("Alamuchy N.J.") death: 18 May 1916, Upper Mount Bethel Twp, Northampton Co., PA burial: 22 May 1916, Cedar Ridge Cemetery, N.J. occupation: House Wife |
| George Cooper | father | George Monroe Cooper 1830–1913 | |
| Martha Slackhouse | mother | Martha Elizabeth (Stackhouse) Cooper 1838 | |
| A. Hissim [?], Wilmington, Del. | informant |
What this document records
Verbatim: file no
54698
Verbatim: place of death
County of Northampton; Township of Upper Mt. Bethel
Verbatim: name
Mary L Hissem
Verbatim: sex race marital
Female; White; Married
Verbatim: date of birth
September 20 1859
Verbatim: age
56 yrs 7 mos 28 ds
Verbatim: occupation
House Wife
Verbatim: birthplace
Alamuchy N.J.
Verbatim: father
George Cooper
Verbatim: father birthplace
U.S.A
Verbatim: mother maiden name
Martha Slackhouse
Verbatim: mother birthplace
U.S.A
Verbatim: informant
A. Hissim [?]
Verbatim: informant address
Wilmington Del [last word illegible]
Verbatim: date of death
May 18 1916
Verbatim: physician
Howard Ott, M.D., Portland Pa.
Verbatim: burial
Cedar Ridge Cemetery N.J.; May 22 1916
Verbatim: undertaker
Wm J. Transue, Portland Pa.
Verbatim: filed
May 18th 1916, C. E. Beck, Local Registrar
Reading notes
The surname reads 'Hissem' in item 2 (the last letters are crowded); the informant's surname reads 'Hissim'. The birth year's third digit appears written over. 'Slackhouse' is as written (= Stackhouse).