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. UNITED STATES OF AMERICA
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C~l~TIFICATE OF DEATN ~
FROM THE RECORDS OF DEATHS IN THE TO~'VN OF NEEDHAM,
113ASSACHUSF.TIS~ U. 3. A.
1. Date of Death . . , June 26, 1967
2. Name . , Albert Edwin Wood
(Maiden Name) . .
3. Sex and whether 3ingle, Mal e
Married or Widowed Married ~
4. Age . . . . . _?5 Years 5 months 19 days _
5. Disease of Cause of Death Ce reb ral hemorrha~e
6. R.esidence . . , , 61 Rosemary Street, Needham, Mass.
7. Occupation . . , - Mana~er
8. Place of Death . . . Glover Memorial' Hospital, Needham, Mass ~
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9. Place of Birth . . , _Perrv, ~iaine '
` 10. Name of Husband or Wife ~eatrice Elizabeth Davies
i 1 i. Name of Father . . - Noah N. Wood
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j 12. Name oi Mother . . Mar~aret Morse {
(a~smsrr NeMS)
R 13. Birthplace of Father . Mars H 1~~ M_At n~ :
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~ 14. Birthplace of Mother . Lubec, Maine
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~ 15. Place of Internaent . . Cedar Grove Cemeterx, Boston, Mass
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~ 16. Social Securitq Number . ~13-05-4877 ;
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~ I, Marian . _ Peterson_ _ depose and ~say~
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s that I hold the ofHce of Town Clerk of the Town of Needham, County of Norfolk, and Com
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~ monwealth of Massachusetts; that the records of Births, Marri~ges and~~eaths required by
law to be kept in said Town are in mq custod y, and that the above ia a true copy from the
~ records of Deaths in said Town; as certifled by me. . ~
= WrrxESS my hand and the seal of said Town, on the ~_-~--~--~-~~~~~--'-d-
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