MySource:Scotishmariner/George Hatch, 3 Mar 1916, Watertown, Jefferson Co., NY

Other: Registered No. 110, Distrt. No. 2201, state # 17583

Full name: George Hatch PERSONAL AND STATISTICAL PARTICULARS Sex: male Color or race: White single, married, widowed or divorced: married Date of birth: Dec 21, 1835, age: 80 yrs 2 mos 11 days occupation - trade, profession, or particular kind of work: laborer general nature of industry, business, or establishment in which employed: common labor Birthplace: Town of Wilna, Jeff. Co., N.Y. Name of father: Jacob Hatch Birthplace of father: Canada Maiden name of mother: Mary Myers Birthplace of mother: Canada The above is true to the best of my knowledge: signed Clarence Edick address: 9802 Gotham St. MEDICAL CERTIFICATE OF DEATH Date of death: March 3rd 1916 I hereby certify, that I attended deceased from March 2 1916 to March 3, 1916, that I last saw him alive on March 3 1916 and that the death occurred, on the date stated above at M. The casue of death was as follows: Uremia prostative obstruction Contributory: arterio schlerosis signed G. O. ?rign, M.D. March 6, 1916 address: Watertown, NY

Place of burial: City Vault Date of burial March 6, 1916 Undertaker: Guilford Co. 129 St???? St. Mar 6t, 1916 M.R. Carnes Deputy Registrar