Usual Residence: State: New York. County: Oneida. Town: Lee City or Village: Lee Center. Street address: Brookfield Rd.

Name of Deceased: Julia Jury. Date of Death: November 26, 1964. Female. White. Married. Birthplace: Pittston, PA. Citizen of the USA. Own Home. Name of Husband: Frederick Jury. Date of Birth: May 14, 1905. Age: 59, 5 months, 12 days. Occupation: Housewife.

Father's Name: Richard Swift. Mother's Maiden Name: Anna Kelly

Informant's Name: W.T. Wheeler, M.D., Rome, NY.

Cause of Death: Acute cardiac decompensation for several hours. No autopsy.

Signature: Thomas A. Cox. Coroner of Rome, NY. Date Signed: Nov. 27, 1964

Place of Burial, cremation or removal: St. Peter's Cem., Rome, NY. Date: Nov. 30, 1964.

Signature of Undertaker: martin J. Nunn. Registration # 03133

Name of Establishment: Martin J. Nunn, Registration # g 3225. Date filed by local Reg. Nov. 30, 1964.

Signature of Registrar, {Rome} Emily M. Boustedt

Burial Permit Issued by Emily M. Boustedt. Date of issue: Nov. 30, 1964