Death
Date | June 21, 1919 |
Place | Worcester, Worcester County, Massachusetts, United States |
Narrative
Death Record
Mass Register of Vital Records, Death
Year: 1919 Vol: 112 Page: 323
at Mass Registry of Vital Records
150 Mt. Vernon St., Dorchester
Name: Charles C. Bean
Date of Death: June 21, 1919
Place of Death: Worcester State Hospital, Worcester, MA
Residence at time of death: 282 Summer St, Somerville
(Resided in Worcester for 8 months, 1 day at time of death.)
Married?: widowed
Spouse Name: unable to learn
Date of Birth:
Place of Birth: Somerville
Age at death:
Occupation: gauge maker
Father:
Birthplace of Father: Maine
Mother: Susan Neiss
Birthplace of Mother: Somerville
Informant: Hospital Records
Informant's address: Worcester
Cause of death: Broncho pneumonia, Secondary: cerebral spinal syphilis, duration 16 years.
Where contracted: unable to learn.
Test to confirm: Wasserman Test.
Doctor: Arthur H. Mountford
Doctor's address: Worcester
Doctor's notes:
Burial date: June 24, 1919
Burial place: Wyoming Cemetery, Melrose, MA
Undertaker: Darius A. Putnam, of Worcester.