I received this from the Norwich Town Hall. It is stamped, "Connecticut State Department of Health, Bureau of Vital Statistics - Hartford, Connecticut, U.S.A. 1. PLACE OF DEATH: (a) State of Connecticut (b) County: New London (c) Town: Preston (d) Length of stay in town: ______________ (e) Name of Hospital or Institution: Norwich State Hosp. 2. USUAL RESIDENCE OF DECEASED: (a) State: CONN (b) County: Windham (c) Town: Brooklyn (d) City or Borough ____________ (e) Street Number _________ 3. NAME OF DECEASED: Alice E. Slater 4. SOCIAL SECURITY NUMBER: _______________________ 5. SEX: Female 6. RACE: White 7. SINGLE, WIDOWED, MARRIED, DIVORCED 8. IF MARRIED, WIDOWED OR DIVORCED, GIVE NAME OF WIFE OR HUSBAND: William A. Slater 9. DATE OF DEATH: August 1, 1951 10. DATE OF BIRTH: 1-4-88 / AGE: 63 years, 6 months, 18 days 11. BIRTHPLACE: Killingly, CONN 12. USUAL OCCUPATION: Housekeeper 13. WAS DECEASED A VETERAN? No 14. FATHER'S NAME: Wm. A. Keach 15. FATHER'S BIRTHPLACE: Scituate, R.I. 16. MOTHER'S MAIDEN NAME: Fannie B. Smith 17. MOTHER'S BIRTHPLACE: Killingly, CONN 18. INFORMANTS NAME: Hospital Records Preston CONN 19. BURIAL, CREMATION OR REMOVAL Date: Aug. 2, 1951 Cemetery or crematory: Westfield Cemetery Place: Danielson, CONN 20. NAME OF EMBALMER IF BODY WAS EMBALMED: W.E. Tillinghast - License number: 908 21:SIGNATURE: 22. CAUSE OF DEATH: (a) DISEASE OR CONDITION DIRECTLY LEADING TO DEATH: (looks like) generalized Arteriosilerosis senile arterios clerotic kidneys 22. OTHER SIGNIFICANT CONDITIONS: (looks like) cholelethiasis 27. SIGNATURE OF PHYSICAN: Hannah Pierson Address: Norw. State Hosp. Date: 8-2-1951