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Atoka Cemetery, Novice, Coleman County, Texas

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O'NEAL J. C.

Male 1929 - 1987  (58 years)


 

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Death Certificate
O'NEAL Cordell James
29 November 1968

[editorial comment]

042-01-3 -42-00
4344
26
Certificate of Death
State File No.: [stamp] 76321
State of Texas
1. Place of Death: a. County: Coleman
b. City or Town or Precinct No: Coleman
c. Length of Stay (in this place): Instant
d. Full Name of Hospital or Institution: D. O. A. Overall-Morris Memorial Hospital
e. Is place of death inside city limits? Yes
2. Usual Residence (Where deceased lived.)
a. State: Texas
b. County: Coleman
c. City or Town: Novice
d. Street Address: none
e. Is residence inside city limits? Yes
f. Is residence a farm? No
3. Name of Deceased: Cordell James O'Neal
4. Date of Death: November 29, 1968
5. Sex: Male
6. Color or Race: White
7. Married, Never Married, Widowed or Divorced: Married
8. Date of Birth: July 20, 1902
9. Age, Years, Months, Days, If less than 1 Day Hours, Min: 66 years, months, days
10a. Usual Occupation: Retired
10b. Kinda of Industry or Business: Oil Field
11. Birthplace (state or country): Runnels Co., Texas
12. Citizen of what Country? U.S.A
13. Father's Name: Harvey O'Neal
14. Mother's Maiden Name: Alma Bates
15. Was Deceased Ever in U.S. Armed Forces, (Yes, no, or unknown, If yes, give war or dates of service): No
16. Social Security No.: 451-36-9529
17. Informant's Signature: J. C. O'Neal [son]
Medical Certification
18. Cause of Death, Enter only one cause per line for a, b, 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.
Immediate Cause (a) Heart Attack
Interval between onset and death: instant
Due to (b) [blank]
II. Other Significant Conditions, Conditions contributing to the death but not related to the disease or condition causing death.: [blank]
19. Was autopsy performed? No
20. Accident, Suicide, Homicide… [blank]
21. I hereby certify that I attended the deceased from Seen after death xxxxxx on 11 - 29 - 68. Death occurred at 4:45 P.M., on the date stated above, and to the best of my knowledge, from the causes stated.
22a. Signature: s/ Walter C. Holt, J. P.
22b. Address: Coleman, Texas
22c. Date Signed: 12 - 2 - 68
23a. Burial, Cremation, Removal: Burial
23b. Date: Dec. 1, 1968
23c. Name of Cemetery or Crematory: Atoka Cemetery
23d. Location: Novice (Coleman Co.), Texas
24. Funeral Director's Signature: Stevens Funeral Home - Ss. Tom Walker s/Tom Walker
25a. Register's File No: 1036
25b. Date Rec'd by Local Registrar: December 3, 1968
25c. Registrar's Signature: s/Lee F. Craig,
[stamp] Texas Department of Health, Rec'd Dec 10 1968, Bureau of Vital Statistics
[end]


Owner of originalFamilySearch.org
File nameONEALJamesCordelDC.jpg
File Size844.26k
Dimensions1500 x 1459
Linked toBATES O'NEAL Alma; O'NEAL Cordell James; O'NEAL J. C.; O'NEAL William Harvey

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