Standard Certificate of Death
Place of Death: North Adams (North Adams Hospital)
Name: John Pierce
Residence: 37 High street, North Adams, Mass.
Sex: male; Color: white; Condition: single
Date of Birth [blank], 1879
Age: 34 y. [birth about 1878]
Occupation: Teamster / Coal Wagon
Birthplace: North Adams
Father: John
Birthplace of Father: England
Mother: Mary A. Reagan
Birthplace of Mother: Copake, N.Y.
Informant: James Wilcox / 37 High street
Date of Death: February 12, 1912
Cause: Grangrene of bowel and peritonitis / Accidentally Fractured arm and amputation Being fractured by being caught in the crank of a hoisting coal wagon
Place of Burial: Hillside, N. Adams; Date of Burial: Feb. 14, 1912