Record transcribed from photocopy of original document
New Jersey, 1892
1. Full Name: Ansel Irelan
2. Age: 76 years 1 month 17 days
3. Color: White Occupation: Ship Carpenter
4. Widower
5. Birthplace: New Jersey
6. Last place of residence: Bridgeton, NJ
7. How long a resident of NJ: Life
8. Place of death: 80 Atlantic St., Bridgeton, NJ
9. Father's Name: Jno Irelan; Country of Birth: USA
10. Mother's Name: Mary D. Irelan; Country of Birth: USA
11. I hereby certify that I attended the deceased during
the last illness and that he died on the 20th day of
August 1892.
David R. Streets, Medical Attendant
Residence: Bridgeton, NJ
