Frederick Holbrook - Death Record

I located the death record for my 3rd great grandfather, Frederick Holbrook on Ancestry.com (accessed on 5 June 2011). Here is a transcription and digital image of the record.
 
Transcription (bold text is what is entered into the form):
DEATH - MALE
Full Name of Deceased Frederick Holbrook

Usual Residence Brattleboro [stamped]
If in Hospital or Institution, Its Name [BLANK]
Color White
Age 96 Yrs. 2 Mos. 13 Days
Single-Married [BLANK]
Occupation Bank president
Widowed-Divorced [BLANK]
Birthplace Conn.
Father's Name John Holbrook
Father's Birthplace Mass.
Mother's Maiden Name Lady Knowlton
Mother's Birthplace Shrewsbury, Mass
Date of Death April Month 28 Day 1909
Disease Causing Death Senile Exhaustion
Contributing Disease Bronchitis 91
Medical Attendant S.E. Lawton
Town Brattleboro [stamped]
William S. Newton [stamped] Town Clerk

Source Information:

Ancestry.com. Vermont Death Records, 1909-2008 [database on-line]. Provo, UT, USA: Ancestry.com Operations, Inc., 2010. Original data:

• Vermont. Vermont Death Records, 1909-2003. Vermont State Archives and Records Administration, Montpelier, Vermont.
• Vermont. Vermont Death Records, 2004-2008. Vital Records Office, Vermont Department of Health, Burlington, Vermont.

© 2011, copyright William C. Haskell