[source: LDS website (http://familysearch.org) (viewed 13 October 2008)]
RETURN OF A DEATH
IN THE CITY OF PHILADELPHIA
PHYSICIAN'S CERTIFICATE
1. Name of Deceased, Gen. E. M. Gregory
2. Color, White
3. Sex, Male
4. Age, 68 years
5. Widower
6. Date of Death, Nov 7th 1871
7. Cause of Death, Brights Disease of the Kidneys
Drs. D. + J. S. James M.D.
Residence, 1513 [?] Green St
UNDERTAKER'S CERTIFICATE IN RELATION TO DECEASED.
8. Occupation, U.S. Marshall
9. Place of Birth, New York
10. When a Minor, [blank]
11. Ward, 20th
12. Street and Number, 1723 Master St
13. Date of Burial, November 13 /71
14. Place of Burial, Laurel Hill
E. S. Earley Undertaker
Residence, 10th + Green St