Standard Certificate of Death
Place of Death: Monson
Full Name: Emery Pierce
Residence: Monson, Mass.
Sex: Male; Color: White; Condition: Single
Date of Birth: May 6, 1834
Age: 80 y. 2 m. 7 d.
Birthpalce: Warwick, Mass.
Father: Emery Pierce
Birthplace: Hardwick, Mass.
Mother: Sopia Barnes
Birthplace: ---
Informant: Clifton Hobson / Palmer Mass.
Date of Death: July 13, 1914
Cause: Aortic Regurgatations of heart / Bronchitis
Place of Burial: Four Corner, Palmer, Mass.; Date of Burial: July 15, 1914