State of New Hampshire Standard Certificate of Death
Name: Lawrence Bagley
Place of death:
County, Rockingham
City or town, Brentwood
Name of hospital, Mitchell Memorial Hosp.
Length of stay, 8 mos. 24 days
Sex: M, Color: W, Married
Name of wife: Leola Jambrin [Janvrin-pb]Bagley
Date of birth: 11 Oct. 1892
Age: 47-5-30
Place of birth: Seabrook, N. H.
Name of father: Maurice Bagley
Birthplace: Seabrook, N. H.
Maiden name of mother: Effie Downs
Birthplace: Goffsport, [Gosport-pb] N. H.
Informant: Hospital records
Place of burial: Seabrook, N. H.
Cemetery: Wildwood
Date of interment: 13 April 1940
Funeral director: Robt. J. McKinney
Address: Newburyport, Mass.
Date received by town or city: 15 April 1940
Town clerk: Bart E. Havican, clerk of, Brentwood, N. H.
Residence of deceased, Seabrook, N. H.
Date of death: 10 April 1940 at 7:20 pm
Dr. attended from 27 July 1939 to 10 April 1940
Last seen by Dr., 10 April 1940
Immediate cause of death: Arteriosclerotic heart disease
Due to: Coronary Thrombosis
Other conditions: Emboli from Mitral Thrombi
Signed, Edwin B. McClean M.D. on 11 April 1940
Attest: Bart E. Havicon, clerk of, Brentwood, N. H. on 15 April 1940 [pb]
Name: Lawrence Bagley
Place of death:
County, Rockingham
City or town, Brentwood
Name of hospital, Mitchell Memorial Hosp.
Length of stay, 8 mos. 24 days
Sex: M, Color: W, Married
Name of wife: Leola Jambrin [Janvrin-pb]Bagley
Date of birth: 11 Oct. 1892
Age: 47-5-30
Place of birth: Seabrook, N. H.
Name of father: Maurice Bagley
Birthplace: Seabrook, N. H.
Maiden name of mother: Effie Downs
Birthplace: Goffsport, [Gosport-pb] N. H.
Informant: Hospital records
Place of burial: Seabrook, N. H.
Cemetery: Wildwood
Date of interment: 13 April 1940
Funeral director: Robt. J. McKinney
Address: Newburyport, Mass.
Date received by town or city: 15 April 1940
Town clerk: Bart E. Havican, clerk of, Brentwood, N. H.
Residence of deceased, Seabrook, N. H.
Date of death: 10 April 1940 at 7:20 pm
Dr. attended from 27 July 1939 to 10 April 1940
Last seen by Dr., 10 April 1940
Immediate cause of death: Arteriosclerotic heart disease
Due to: Coronary Thrombosis
Other conditions: Emboli from Mitral Thrombi
Signed, Edwin B. McClean M.D. on 11 April 1940
Attest: Bart E. Havicon, clerk of, Brentwood, N. H. on 15 April 1940 [pb]
State of New Hampshire Standard Certificate of Death
Name: Lawrence Bagley
Place of death:
County, Rockingham
City or town, Brentwood
Name of hospital, Mitchell Memorial Hosp.
Length of stay, 8 mos. 24 days
Sex: M, Color: W, Married
Name of wife: Leola Jambrin [Janvrin-pb]Bagley
Date of birth: 11 Oct. 1892
Age: 47-5-30
Place of birth: Seabrook, N. H.
Name of father: Maurice Bagley
Birthplace: Seabrook, N. H.
Maiden name of mother: Effie Downs
Birthplace: Goffsport, [Gosport-pb] N. H.
Informant: Hospital records
Place of burial: Seabrook, N. H.
Cemetery: Wildwood
Date of interment: 13 April 1940
Funeral director: Robt. J. McKinney
Address: Newburyport, Mass.
Date received by town or city: 15 April 1940
Town clerk: Bart E. Havican, clerk of, Brentwood, N. H.
Residence of deceased, Seabrook, N. H.
Date of death: 10 April 1940 at 7:20 pm
Dr. attended from 27 July 1939 to 10 April 1940
Last seen by Dr., 10 April 1940
Immediate cause of death: Arteriosclerotic heart disease
Due to: Coronary Thrombosis
Other conditions: Emboli from Mitral Thrombi
Signed, Edwin B. McClean M.D. on 11 April 1940
Attest: Bart E. Havicon, clerk of, Brentwood, N. H. on 15 April 1940 [pb]
Name: Lawrence Bagley
Place of death:
County, Rockingham
City or town, Brentwood
Name of hospital, Mitchell Memorial Hosp.
Length of stay, 8 mos. 24 days
Sex: M, Color: W, Married
Name of wife: Leola Jambrin [Janvrin-pb]Bagley
Date of birth: 11 Oct. 1892
Age: 47-5-30
Place of birth: Seabrook, N. H.
Name of father: Maurice Bagley
Birthplace: Seabrook, N. H.
Maiden name of mother: Effie Downs
Birthplace: Goffsport, [Gosport-pb] N. H.
Informant: Hospital records
Place of burial: Seabrook, N. H.
Cemetery: Wildwood
Date of interment: 13 April 1940
Funeral director: Robt. J. McKinney
Address: Newburyport, Mass.
Date received by town or city: 15 April 1940
Town clerk: Bart E. Havican, clerk of, Brentwood, N. H.
Residence of deceased, Seabrook, N. H.
Date of death: 10 April 1940 at 7:20 pm
Dr. attended from 27 July 1939 to 10 April 1940
Last seen by Dr., 10 April 1940
Immediate cause of death: Arteriosclerotic heart disease
Due to: Coronary Thrombosis
Other conditions: Emboli from Mitral Thrombi
Signed, Edwin B. McClean M.D. on 11 April 1940
Attest: Bart E. Havicon, clerk of, Brentwood, N. H. on 15 April 1940 [pb]
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