CA1054

Death Certificate of John Berrian Mooring
(C. Avis Catalog entry #1054)

TEXAS STATE BOARD OF HEALTH
BUREAU OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Reg. Dis. No. 6575
Registered No. 301

1.  Place of Death:  State of Texas
     County:  Harris         City:  Houston  2904 Chenevert St.  
2.  Full Name:  John Brett Mooring
     Residence:  No. 2904 St. Chenevert
3.  Sex:  Male,  4. Race:  White,  5. Married
6.  Date of Birth:  October 29, 1858
7.  Age:  66 years, 3 months, 6 days
8.  Occupation:  Retired Farmer
9.  Birthplace:  Texas
10.  Name of Father:  L. S. Mooring    11. Birthplace:  don't know 
12.  Maiden name of Mother:  don't know    13. Birthplace: N.C.
14.  The above is true (Informant):  Josie Mooring Roberts (Address) 2904 Chenevert
15.  Filed 2-6 1925 G. G. McDonald  {signed} Registrar

16.  Date of Death:  February 5, 1925
17.  I hereby certify that I attended the deceased from 
Feb 5, 1925 to Feb 5, 1925 
that I last saw her alive on Feb 5, 1925 
The death occurred on the date stated above at 4 pm. 
The Cause of Death was as follows:  
       "Heart failure"         Duration: 
Contributory:  high blood pressure
18. Where was disease contracted if not at place of death?  
Did an operation precede death?  No.
Was there an autopsy?  No.
What test confirmed diagnosis?  No.
Signed:  C. V. Burneo {signed}  705 Kress Bldg

19.  Place of Burial or Removal:   Bedias, Tex  Date of Burial:  Feb 6, 1925
20.  Undertaker:  Fogle West, Houston, Tex