Certificate of Death for Woodrow Wilson
Title
Certificate of Death for Woodrow Wilson
Creator
Grayson, Cary T. (Cary Travers), 1878-1938
Identifier
WWP16535
Date
1924 February 7
Source
Cary T. Grayson Papers, Woodrow Wilson Presidential Library, Staunton, Virginia
Language
English
Text
Please note: This document is a certificate. While the information contained in it is provided below, no effort has been made to retain the format of the original.
NO. OF RECORD: 2830781.
PLACE OF DEATH: 2340 S Street, N.W.
2. FULL NAME: WOODROW WILSON
Residence: 2340 S. NW
Length of residence in D. of C.: 10 yrs. 10 mos. 30 ds.
PERSONAL AND STATISTICAL PARTICULARS
3. SEX: Male
4. COLOR OR RACE: White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: Married
5a. If married,
HUSBAND of: Edith Bolling Wilson
6. DATE OF BIRTH: Dec. 28, 18567. AGE: Years: 67, Months: 1, Days: 6
8. OCCUPATION OF DECEASED: Retired
9. BIRTHPLACE: Staunton, Va.
10. NAME OF FATHER: Rev. Joseph R. Wilson
11. BIRTHPLACE OF FATHER: Ohio
12. MAIDEN NAME OF MOTHER: Jessie Woodrow
13. BIRTHPLACE OF MOTHER: Carlisle, England
14. Aover information furnished by: JR. Bolling
15. Relation of informant to decedent: Brother in law
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH: Feb. 3, 1924
17. I HEREBY CERTIFY, that I attended deceased from March 4, 1913, to Feb. 3, 1924 that I last saw him alive on February 3, 1924 and that death occurred, on the date stated above, at 11.15 am.
The CAUSE OF DEATH was as follows: General Arterio-Sclerosis with hemiplegia
CONTRIBUTORY: Asthenia
18. Was there an autopsy? no(
Signed): Cary T. Grayson, M. D.(Address): Navy Department
19. PLACE OF BURIAL: Cathedral Close
DATE: 2/7 192420. UNDERTAKER: Joseph Gawler’s SonsAddress: 1754 Pa. Ave. NW
NO. OF RECORD: 2830781.
PLACE OF DEATH: 2340 S Street, N.W.
2. FULL NAME: WOODROW WILSON
Residence: 2340 S. NW
Length of residence in D. of C.: 10 yrs. 10 mos. 30 ds.
PERSONAL AND STATISTICAL PARTICULARS
3. SEX: Male
4. COLOR OR RACE: White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: Married
5a. If married,
HUSBAND of: Edith Bolling Wilson
6. DATE OF BIRTH: Dec. 28, 18567. AGE: Years: 67, Months: 1, Days: 6
8. OCCUPATION OF DECEASED: Retired
9. BIRTHPLACE: Staunton, Va.
10. NAME OF FATHER: Rev. Joseph R. Wilson
11. BIRTHPLACE OF FATHER: Ohio
12. MAIDEN NAME OF MOTHER: Jessie Woodrow
13. BIRTHPLACE OF MOTHER: Carlisle, England
14. Aover information furnished by: JR. Bolling
15. Relation of informant to decedent: Brother in law
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH: Feb. 3, 1924
17. I HEREBY CERTIFY, that I attended deceased from March 4, 1913, to Feb. 3, 1924 that I last saw him alive on February 3, 1924 and that death occurred, on the date stated above, at 11.15 am.
The CAUSE OF DEATH was as follows: General Arterio-Sclerosis with hemiplegia
CONTRIBUTORY: Asthenia
18. Was there an autopsy? no(
Signed): Cary T. Grayson, M. D.(Address): Navy Department
19. PLACE OF BURIAL: Cathedral Close
DATE: 2/7 192420. UNDERTAKER: Joseph Gawler’s SonsAddress: 1754 Pa. Ave. NW
Files
Collection
Citation
Grayson, Cary T. (Cary Travers), 1878-1938, “Certificate of Death for Woodrow Wilson,” 1924 February 7, WWP16535, Cary T. Grayson Papers, Woodrow Wilson Presidential Library & Museum, Staunton, Virginia.