Atoka Cemetery Database
Atoka Cemetery, Novice, Coleman County, Texas

Return to Atoka Cemetery Database Homepage.

              Return to Atoka Cemetery Homepage.

Share

Documents

» Show All     «Prev «1 ... 19 20 21 22 23 24 25 26 27 ... 143» Next»     » Slide Show

Loading...
[editorial comment]

Texas Department of Health
Bureau of Vital Statistics
Standard Certificate of Death
Reg. Dis. No: [blank]l
Form D
Registred No:  [stamp] 22346
1. Place of Death:
County of: Brown
City or Precinct No: Brownwood
Street and Number: 1712 Waco St.
2. Full Name of Deceased: Mary Jane Heath
Residence: [blank]
Length of Residence Where Death Occurred, Years-Months-Days: 11 yrs
Personal and Statistical Particulars
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Married
6. Date of Birth: Dec 17, 1864
7. Age, Years, Months, Days, If less than 1 Day Hours, Min: 59 years, 8 months, 4 days
8A. Occupation, Trade, Profession or Kind of Work Done: Housewife
8B. Industry or Business in Which Engaged: [blank]
9. Birthplace (state or country): MO
10. Father, Name: James O'Neal
11. Father, Birthplace (state or country): MO
12. Mother, Maiden Name: Elizabeth Wagner
13.  Mother, Birthplace (state or country): MO
14. Informant, E. P Heath [Elbert Perry HEATH, husband]
Address: Brownwood, Tx
15. Filed: 10 / 23, 1924, R. A. [unable to read] Registrar
Medical Particulars
16. Date of Death: July 21, 1924
17. I hereby certify that I attended the deceased from July 9, 1924 to July 21, 1924
that I last saw her alive on July 21, 1924
and that death occurred on the date stated Above at [blank] M.
The Cause of Death was as follows: acute nephritis
Duration: 1 mos.
Contributory Causes: [blank]
Duration: [blank]
18. Where was disease contracted? [blank]
If not at place of death?At Home
Did operation precede death? [blank] Date: no
Was there an autopsy? no
What test confirmed diagnosis? urine
(Signed) s/ Homer B. Allen, M. D.
Sept. 12, 1924 (Address) Brownwood, Texas
19. Place of Burial or Removal: Greenleaf
Date of Burial: 7 / 22, 1924
20. Undertaker: McGinnis & Son
Address: Brownwood
[no stamp] Department of Health, Texas, Bureau of Vital Statistics
[end]


Death Certificate
O'NEAL HEATH Mary Jane
21 July 1924




Owner of originalFamilySearch.org
File nameONEAL_HEATHMaryJaneDeathCertificate.jpg
File Size946.45k
Dimensions1500 x 1281
Linked toHEATH Elbert Perry; O'NEAL James Wesley; O'NEAL HEATH Mary Jane; WAGNER (WAGGONER, WAGONER, WAGER) O'NEAL Elizabeth Hensor

» Show All     «Prev «1 ... 19 20 21 22 23 24 25 26 27 ... 143» Next»     » Slide Show





This site powered by The Next Generation of Genealogy Sitebuilding v. 13.1.2, written by Darrin Lythgoe © 2001-2024.

Maintained by Atoka Cemetery Association.


Copyright © 2006 to 2017
Atoka Cemetery Association, 1850 FM 1770, Novice, Texas 79538, Contact us.
This database is powered by The Next Generation of Genealogy Sitebuilding software.