Rebecca Coleman Death Certificate
From 1812 Pension File of Jacob Coleman available on Fold3.com
Transcribed by Alexander Conrad
1. Full name of deceased: Rebecca Coleman
2. Age: 97 Years 6 Months 14 Days
3. Color: white
Occupation: ~~~~~~
4. Single, married, widow or widower {Cross out all but right one} [none crossed out]
5. Birthplace: New Jersey
6. Last place of residence: Camden
7. How long resident in this State: Life
8. Place of death: #112 Nth 6th street, Camden, N.J.
9. Father’s name: Arthur Venable
County of Birth: U.S.
10. Mother’s name: Rebecca
Country of Birth: U.S.
11. I hereby certify that I attended the deceased during the last illness and that she died on the 28th day of Sept 1885; and that the cause of death was Old Age.
Length of sickness: Seven days
[signed] C.J. Cooper
Medical Attendant
Residence: Camden
Name of Undertaker: F.P. Middleton
Residence of Undertaker: Camden
Place of Burial: ~~~~~
[The following handwritten letter attached to the above]
I [L] Cooper Carman Clerk of the City of Camden do hereby certify that the annexed certificate is a true copy of the Death of Rebecca Coleman as recorded in my said office.
In Witness whereof I have herewith set my hand and caused the corporate seal of the City of Camden to be herewith affixed this first day of April A.D. 1887
[L] Cooper Carman
Clerk of the City of Camden
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Original Source Citation:
“War of 1812 Pension Files,” digital images, Fold3 (http://www.fold3.com/browse.php#247|h5iT6dgqR : accessed 27 July 2013), entry for Jacob Coleman, New Jersey.