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Maine Death Record
of Newfoundlanders

Certificate of Death
1. Place of Death a. County Cumberland			2. Usual Residence a. House Address Sebago, Maine			Write Rural, if so. Rural
b. Town Sebago, Maine Rural	c. Length of Stay 3 yrs		P. O. State West Baldwin, Maine
d. Full Name of Hospital or Institution			b. Legal Residence Sebago Cumberland, Me
3. Name of Deceased a. (First) William b. (Middle) (none) c. (Last) Bartlett			4. Date of Death April 29, 1953
5. Sex Male	6. Color or Race White	7. Married, Never Married, Widowed, Divorced Widowed	8. Date of Birth Nov. 29, 1882	9. Age 70	Mos. 5	Days 0
10a. Usual Occupation Store Manager	10b. Kind of Business Groceries		11. Birthplace Newfoundland	12. Citizen of what Country USA
13. Father’s Name John Bartlett			14. Mother’s Maiden Name Julia Lacey
Medical Certification 1. Disease or condition directly leading to Death (a) Cardiac decompensation			Interval between Onset and Death 4 months
Morbid conditions, if any (b) hypertension			2 years
Due to ( c) arteria sclerosis			several years
			Autopsy? No
I hereby certify that I attended the deceased from Jan. 1953, to April 29, 1953, that I last saw the deceased alive on April 4, 1953, and that death occurred at 9 a.m., from the causes and on the date stated above.
Signature E. A. ?????? M.D.			Address Steep Falls Me	Date signed May 2/53
Burial, Cremation, Removal Burial	Date 5/2/53	Name of Cemetery Haley	Location Sebago, Maine
Date Rec’d by local reg. May 8, 1953	Registrar’s Signature Dolby Lord		Funeral Director Hamilton Funeral Home Cornish, Maine
Additional notes provided: 1923 - Crossed border of Vermont, going into U.S. 1927 - entered US via Ship 1930 - Census - lived in Boston, boarder on Islington Street.

Contributed by Dale Riggs (grandson of William Bartlett)

Page Revised by Ivy F. Benoit (Wednesday February 20, 2013)

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