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Houston, Harris Co, TEXAS


» Place: Houston, Harris Co, TEXAS    


Death Certificate
31 March 1954

[editorial comment]

3310 22
Texas Department of Health
Bureau of Vital Statistics
Certificate of Death
State File No.: [stamp] 12857
State of Texas
1. Place of Death: a. County: Harris
b. City or Town or Precinct No: Houston
c. Length of Stay (in this place): days
d. Full Name of Hospital or Institution: Methodist Hospital
2. Usual Residence (Where deceased lived.)
a. State: Texas
b. County: Lamar [s/b Coleman County]
c. City or Town: Novice
d. Street Address: ?
3. Name of Deceased: Mike Parker
4. Date of Death: 3 - 31 - 1954
5. Sex: Male
6. Color or Race: White
7. Married, Never Married, Widowed or Divorced: Married
8. Date of Birth: 2 - 24 - 1901
9. Age, Years, Months, Days, If less than 1 Day Hours, Min: 53 years, 1 months, 7 days
10a. Usual Occupation: farmer
10b. Kinda of Industry or Business: farming
11. Birthplace (state or country): Stonewall County, Texas
12. Father, Name: W. W. Parker
12. Father, Birthplace: Texas
13. Mother, Maiden Name: Mary Bush
13. Mother, Birthplace: Texas
14. Was Deceased Ever in U.S. Armed Forces, (Yes, no, or unknown, If yes, give war or dates of service): ?
15. Social Security No.: ?
16. Informant's Signature: Mrs. Mike Parker
17. Cause of Death, Enter only one cause per line for a, b, and c
I. Disease or Condition Directly Leading to Death *(This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease, injury, or complication which caused death.
(a) Respiratory Failure
Interval Between Onset and Death: 1 hour
Antecedent Causes, Due to (b) Subcartical hematoma R
Interval Between Onset and Death: 2 - 3
(c( Frontal, Arturo sclerotic
Interval Between Onset and Death: months
II. Other Significant Conditions, Conditions contributing to the death but not related to the disease or condition causing death.: [unable to read]
18a. Date of Operation: 3/30/54
18b. Major Findings of Operation: R. Cartel Angiogram
19. Autopsy? No
20a. Accident, Suicide, Homicide: [blank]
21. I hereby certify that I attended the deceased from 3/26, 1954, to 3/31. 1954, that I last saw the deceased alive on 3/24/1954, and that death occurred at 11:10 M., from the causes and on the date stated above.
22a. Signature: Claude Pollard M. D.
22b. Address: 411 Hermann Bldg.
23c. Date Signed: 4/1/54
23a. Burial, Cremation, Removal: Removal - Overland
23b. Date Signed: 4/1/54
23c. Name of Cemetery or Crematory: in Coleman, Texas
23d. Location: Coleman, Coleman County, TEXAS
24. Funeral Director's Signature: Settegast - Kepf Co. #615, J. W. Morrow, s/
25a. Register's File No: 630
25b. Date Rec'd by Local Registrar: Apr 1 1954
25c. Registrar's Signature: W. H. Alban
[stamp] Texas Department of Health, Rec'd Apr 12 1954 Bureau of Vital Statistics
Note the information called for on the reverse side.

Owner of
File namePARKERMikeRayDeathCertificate.jpg
File Size988.37k
Dimensions1600 x 1355
Linked toHouston, Harris Co, TEXAS; BUSH PARKER Mary; LAIRD PARKER Alice Ruth; PARKER Mike Ray; PARKER William Walter

» Place: Houston, Harris Co, TEXAS    

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