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According to the library of congress this is the last image ever taken of ulysses s. grant (link)
grant complained of a sore throat and was diagnosed with throat cancer on october 1884 it was probably because of his excessive smoking habits, Before being diagnosed, Grant was invited to a Methodist service for Civil War veterans in Ocean Grove, New Jersey, on August 4, 1884, receiving a standing ovation from more than ten thousand veterans and others; it would be his last public appearance.
Grant was nearly broke and worried constantly about leaving his wife a suitable amount of money to live on. The Century Magazine offered Grant a book contract with a 10 percent royalty, but Grant’s friend Mark Twain, understanding how bad Grant’s financial condition was, made him an offer for his memoirs which paid an unheard-of 70 percent royalty.
To provide for his family, Grant worked intensely on his memoirs at his home in New York City. His former staff member Adam Badeau assisted him with much of the research, while his son Frederick located documents and did much of the fact-checking. grant finished his memoirs only 3 days before his death (one day after this photo was taken). The Personal Memoirs of Ulysses S. Grant was a critical and commercial success. Julia Grant (his wife) received about $450,000 in royalties (equivalent to $12,800,000 in 2019). The memoir has been highly regarded by the public, military historians, and literary critics.
After a year-long struggle with throat cancer, surrounded by his family, Grant died at 8:08 a.m. in the Mount McGregor cottage on July 23, 1885, at the age of 63.
Information taken from wikipedia