| 1. Place of Death |
County Middlesex
State Mass Registered No. City or Town Newton No. 4 Arlington St. 7 Ward |
| 2. Full Name |
Albert E. Hey
Residence no. 4 Arlington St 7 Ward |
| 3. Sex | Male |
| 4. Color or Race | White |
| 5. ??? |
Married
Husband of Marion S Farquahar |
| 6. Age | 41 Years 7 Months 9 Days |
| 7. Occupation of Deceased | Wool Merchant |
| 8. Birthplace | Bradford England |
| 9. Name of Father | Thomas Hey |
| 10. Birthplace of Father | Bradford England |
| 11. Name of Mother | Annie Upton |
| 12. Birthplace of Mother | Bradford England |
| 13. Informant |
Mrs Marion Hey
4 Arlington St Newton |
| 14. ?? | |
| 15. Date of Death | April 6th. 1926 |
| 16. |
I hereby certify, that I attended deceased from
Feb. 18 1926 to April 6 1926.
that I last saw him alive on April 5 1926 and that death occurred, on the date state above, at 1:15 am The cause of death was as follows: Ulcer of Ryloius? Contributory Hemorrhage |
| 17. |
Where was disease contracted if not at place of death?
Did an operation precede death? Yes Date of Mar? 4, 1926 Was there an autopsy? No What was ?? diagnosis? Signed Horace Clehandly? 15 Bay State Rd Boston April 7 1926 |
| 18. ?? ??? |
Mt. Mollaston? Quincy
Date of Burial April 8, 1926 |
| 19. Undertaker |
Leo M. Norton?
Malden |
| 20. ???? |
???????
?? April 7, 1926 ?? No 197 |