Gender: Female
Race: White
Marital Status: Single
Age: 12
Birth Date: 10 May 1910
Birth Place: S I
Death Date: 6 Sep 1922
Death Street Address: 964 Rossville Ave
Death Place: New York City, Richmond, New York, USA
Cause of Death: Mernic Convulsion, Brights Disease
Burial Date: 9 Sep 1922
Burial Place: Bethel Cemetery, S I, N Y
Occupation: School Girl
Father's Birth Place: New York
Mother's Birth Place: New York
Father: Henry Matsen
Mother: Pauline Matsen
Executor: Henry Matsen
Executor Relationship: Father
Certificate Number: 1403
Gender: Female
Race: White
Marital Status: Single
Age: 12
Birth Date: 10 May 1910
Birth Place: S I
Death Date: 6 Sep 1922
Death Street Address: 964 Rossville Ave
Death Place: New York City, Richmond, New York, USA
Cause of Death: Mernic Convulsion, Brights Disease
Burial Date: 9 Sep 1922
Burial Place: Bethel Cemetery, S I, N Y
Occupation: School Girl
Father's Birth Place: New York
Mother's Birth Place: New York
Father: Henry Matsen
Mother: Pauline Matsen
Executor: Henry Matsen
Executor Relationship: Father
Certificate Number: 1403
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