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Death Certificate
SARTOR Mary B
02 June 1910

[editorial comment]

Texas State Board of Health
Standard Certificate of Death
[stamp] 19784
Registered No. 455
1. Place of Death:
County of: Runnells
City or Precinct No: [blank]
No. St. Ward: [blank]
2. Full Name: Mary B. Sartor
Personal and Statistical Particulars
3. Sex: Lady
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Single
6. Date of Birth: Dec. 8, 1873
7. Age: 36 years, 5 months, 24 days
8A. Occupation, Trade, Profession or Kind of Work Done: Housekeeper
8B. Industry or Business in Which Engaged: [blank]
9. Birthplace (state or country): S. C. [SOUTH CAROLINA]
Parents
10. Father, Name: John Y. Sartor
11. Father, Birthplace (state or country): S. C. [SOUTH CAROLINA]
12. Mother, Maiden Name: Elizabeth Gross
13. Mother, Birthplace (state or country): S. C. [SOUTH CAROLINA]
14.The above is true to the best of my knowledge
(Informant) T. J. Sartor [brother, Thomas Jefferson "Tom" SARTOR]
Address: Marie, [Runnels Co] Texas
15. Filed [blank]
Medical Particulars
16. Date of Death: June 2, 1910
17. I hereby certify that I attended the deceased from March 18 1910, to May 30, 1910 and
I last saw her alive on May 30, 1910 and that death occurred on the date stated above at 5AM.
The Cause of Death was as follows: Tuberculosis
Duration: 3 yrs
Contributory: [blank]
Duration: [blank]
(Signed) J. D. Leonard, M.D.
June 20, 1910
(Address) Bronte
18. Length of Residence (For Hospital, Institution)
At place of Death: 6 mths
In the State: 17 yrs
Where was the disease contracted if not at place of death? near Coleman Tex.
Former or usual residence Crockett, [Houston Co] Tex
19. Place of Burial or Removal: [blank]
Date of Burial: [blank]
20. Undertaker: [blank]
Address: [blank]
[end]


Owner of originalFamilySearch.org
File nameSARTORMaryBDeathCertificate.jpg.jpg
File Size226.16k
Dimensions1766 x 1494
Linked toGROSS SARTOR Mary Elizabeth Catherine "Lizzie"; SARTOR James Gross "Jim"; SARTOR Mary B. (Bates); SARTOR Thomas Jefferson "Tom"

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