CA1447

Death Certificate of Alexander Griffey
(C. Avis Catalog entry #1447)

[found posted on FindAGrave.com - not available on FamilySearch.org in appropriate county records]


CERTIFICATE OF DEATH

COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS

File No. 89312
Registered No. 313
Registration District No. 888
Primary Registration District No. 3390

1. PLACE OF DEATH
    County of Warren
    Township of Cowanga
    State Hospital for Insane

2. FULL NAME    Alex Griffee

PERSONAL AND STATISTICAL PARTICULARS
3. SEX    M
4. COLOR OR RACE    White
5. SINGLE, MARRIED, WIDOWED OR DIVORCED    Widower
6. DATE OF BIRTH    Mar 16 1858
7. AGE    64 yrs 5 mos 11 ds
8. OCCUPATION    Night Watchman
9. BIRTHPLACE    North Carolina
10. NAME OF FATHER    Neely Tweed
11. BIRTHPLACE OF FATHER    Unknown
12. MAIDEN NAME OF MOTHER    Hannah Griffee
13. BIRTHPLACE OF MOTHER    Unknown
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE    H. K. Petry M.D., Warren, Pa.
15. FILED    Aug 29 1922    C. W. Schweke  Local Registrar

MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH    Aug 27 1922

17. I HEREBY CERTIFY, That I attended the deceased from Dec 18 1921 to Aug 27 1922, that I last saw him alive on Aug 27 1922 and that death occurred, on the date stated above, at 2 p.m.
    
    The CAUSE OF DEATH was as follows
        Gen. Paralysis of Insane
        Duration    1 ? yr
    (signed) H. K. Petry M.D.    8/27/1922    State Hosp. Warren Pa

18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients or Recent Residents)
    At place of death    11 mo 20 ds
    Where was the disease contracted    Bridgewater, Pa.
    Former or usual residence                 Bridgewater, Pa.

19. PLACE OF BURIAL OR REMOVAL    Beaver, Pa
        DATE OF BURIAL                             Aug 30 1922

20. UNDERTAKER    J. Bayer
        ADDRESS         Warren, Pa