Form C. STATE OF MAINE. CERTIFICATE OF DEATH No. of Record, Name, Laura A moor Place of Death, Gotte Island Street, No Ward Date of Death : Year, 1915 Month, 5 Day, 7 Age : Years, 65 Months 2 Days, day Place of Birth, Bunkypostoma Married, Single, Sex, Widowed,or Divorced. Occupation, Name of Father, John Plysis Maiden Name of Mother, augusta Dreatt Birthplace of Father, Orland Mr. Birthplace of Mother, Buckesport Occupation of Father, Confenter Deceased was wife of Widow of Thillip more lover