Department of Health of The City of
BUREAU OF RECORDS
STANDARD CERTIFICATE OF DEATH
Register No. 7644
1. Place of Death: Borough of
Name of Institution:
2. Full name: Mary Mulcahy
3. Sex: Female
4. Color or Race: White
5. (Marital Status): Widowed
6. Date of birth: [blank]
7. Age of decedent: 57 years
a. trade: Housewife
b. industry: [blank]
9A. How long in US (if of foreign birth): Life
9B. How long resident in City of
Parents of Deceased
10. Name of father: Matthew Madigan
11. Birthplace of father:
12. Maiden name of mother: Margaret Sullivan
13. Birthplace of mother:
14. Special Information:
15. Date of death: April 11, 1927
16. I hereby certify that the foregoing particulars (Nos. 1 to 15 inclusive) are correct as near as the same can be ascertained, and I further certify that deceased was admitted to this institution on March 8, 1927, that I last saw her alive on the 11th day of April 1927, that she died on the 11th day of April 1927 about 11:40 o’clock AM, and that I am unable to state definitively the cause of death; the diagnosis during her last illness was Pyelo nephrosis, duration, 8 mos. Contributory (secondary): Toxemia + Bachyemia, duration 20 ds.
Witness my hand this 11th day of April 1927
Signature: William Conner, MD
House: Holy Family Hosp.
Filed: April 12, 1927
18. Place of Burial: Holy Cross Cem
Date of Burial: April 14, 1927
22. Undertaker: Jos. P. Clavia
1. No burial permit can be obtained without a proper certificate.
2. Certificates must be written throughout in black ink.
3. No certificate will be accepted which is mutilated, illegible, inaccurate, or any portion of which has been erased, interlined, corrected, or altered, as all such changes impair its value as a public record.
I hereby certify that I have been employed as undertaker by Joseph Mulcahy the son of deceased. This statement is made to obtain a permit for the burial or cremation of the remains of deceased Mary Mulcahy.
Signature: Joseph P. Clavio #1228
[Apr 11 1927
Permission granted to remove
body to home + store.
Otto R. Fozderm, MD]
Here's Mary Ann Madigan Mulcahy's picture again:
This is Mary Ann Mulcahy’s death certificate (strangely, I have never come across her name as Mary Ann or Mary A. Mulcahy, except in the family notes. That doesn’t mean, of course, that her name wasn’t Mary Ann, just that she seemingly never mentioned the Ann to anyone creating records of any sort). She died in her 50s – before Nana and Papa met, Betty and John tell me – of kidney problems. (That’s what pyelonephrosis is.) I really have no insight at all into the contributory causes of death, other than that I’m not at all sure I read the handwriting correctly - the second contributory cause may be "Pachyemia," or "thickening of the blood" (http://www.thefreedictionary.com/pachyemia). She was in the hospital just more than a month before she died, and had been suffering from pyelonephrosis for 8 months. Her parents’ names confirm what we already knew. Papa supplied the information for the death certificate.