CA467

Death Certificate of Martha Broyles Thompson
(C. Avis Catalog entry #467)

Facts listed on Death Certificate:

Texas State Dept. of Health # 25108

Full name:  Martha Jane Thompson
Place of death:  Pampa, Gray County, Texas

Female, White, widowed
Date of birth:  January 11th, 1843
Age: 83 yrs 6 mos 7 ds
Occupation:  none
Birthplace:  Savana, Tenn.
Name of father:  John Broyles
Birthplace of father:  Virginia
Maiden name of mother:  Not known
Birthplace of mother:  Virginia
Informant of above information:  R. B. Thompson, Pampa, Texas

Date of death:  July 4th, 1926
Doctor treated her from June 18, 1926 to July 4, 1926
Doctor last saw her alive on July 4 am 1926
Death occurred on the date above at 9-30 pm
Cause of death:  Acute Dysentery (duration 16 ds)
Contributory:  none
Signed by W. Purviance, M.D. on 7/9/1926 at Pampa, Tex

Length of residence:  with R. B. Thompson, Pampa, Tex 2 yrs;  in state for 59 yrs.
Disease contracted:  At place of death
Former or usual residence:  Pampa, Texas
Place of burial:  Henrietta, Texas
Date of burial:  July 6, 1926
Undertaker:  G. C. Malone, Pampa, Texas

Filed:  7/12/1926