Standard Certificate of Death
Place of Death: County: Franklin; Town: Charlemont (Farm)
Full Name: Mary Blake Miner
Residence: Farm
Length of Residence: 49 y. 6 m. no d.
Sex: Female; Color: White; Condition: Widowed
Husband: Charles P. Miner
Date of Birth: Jan. 30th 1849
Age: 72 y. 1 m. 8 d.
Occupation: House wife
Birthplace Warwick Mass.
Father: James E. Blake
Birthplace: Warwick Mass.
Mother: Relief Smith
Birthplace: Warwick Mass.
Informa nt: Clara Belle Miner / Charlemont Mass.
Date of Death: March 10 1922
Cause: Cerebral haemorrhage / arterio sclerosis, chronic nephritis, chronic arthritis
PLace of Burial: Charlemont; Date of Burial;: Mar. 13, 1922