Death Certificate of Minnie Ola Bush Avis
(C. Avis Catalog entry #1024)
TEXAS DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
STATE FILE NO. 36389
1. Place of Death: County: Wichita. City: Wichita Falls, Length of stay in this place: 67, Address: 1318 10th Street
2. Usual Residence: State: Texas, County: Wichita, City: Wichita Falls, Street address: 1318 10th Street
3. Name of Deceased: Minnie Ola Avis
4. Date of Death: June 27, 1952
5. Sex: Female, 6. Race: White, 7. Widowed
8. Date of Birth: January 22, 1865
9. Age: 86 years, 6 months, 5 days
10. Occupation: Housewife
11. Birthplace: Parkersburg, West Virginia
12. Father's name: Isaac Bush Birthplace: W. Va.
13. Mother's name: Unk. Birthplace: Unk.
16. Informant: Mrs. James B. Baker [signed]
17. Cause of Death: Hypertensive Heart Disease Due to: Senility
19. Autopsy: No
21. I hereby certify that I attended the deceased from March 16, 1952 to June27, 1952, that I last saw the deceased alive on June 27, 1952 , and that death occurred at 7:00 pm from the causes and on the date stated above.
22. Signature: W. A. S. B. Halland 322 Hamilton Building June 30, 19__
23. Burial: June 29, 1952 Riverside Cemetery Wichita Falls Texas
24. Funeral Director's Signature: Hampton Vaughan Merkle R. M. Vaughan [signed]
25. Registrar's File No.: 308 Received: July 1 1952 Signed: Paul Lee Blevins [signed]
[The informant was her daughter Ruby]