CA466

By cavis , 10 June 2013
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Mahala C. White death certificate
Description/Transcription

Death Certificate of Mahala Webb Avis White
(C. Avis Catalog entry #466)


TEXAS STATE BOARD OF HEALTH
BUREAU OF VITAL STATISTICS

STANDARD CERTIFICATE OF DEATH
Reg. Dis. No.  20082
Registerd No. 230

Place of Death:  Wichita County, Wichita Falls, 901 Burnette St.
Full Name:  M. C. White
Residence:  901 Burnette

PERSONAL AND STATISTICAL PARTICULARS
Sex:  Female
Color or Race:  White
Widow
Date of Birth:  May 6 1841
Age:  83 yrs 11 mos 29 days
Occupation:  None
Birthplace:  Mo. Jefferson City
Name of Father:  Don't Know
Birthplace of Father:  Don't Know
Name of Mother:  Don't Know
Birthplace of Mother:  Don't Know 

THE ABOVE IS TRUE
Informant:  J. D. Avis Wichita Falls

MEDICAL PARTICULARS
Date of Death:  May 5 1925
I HEREBY CERTIFY, That I attended deceased from April 10, 1925, to May 5, 1925
that I last saw her alive on May 5, 1925 and that death occurred on the date stated above, at 10:00 _m.
The CAUSE OF DEATH was as follows:
Sarcoma of Kidney
Several days (duration)
Did an operation precede death?  No
What test confirmed diagnosis?  none
(signed) L. Mackaehoray, M. D.
5-15-1925 Wichita Falls, Tx

Filed:  5-18-1925
(signed) J. M. Whitworth, Registrar.

Place of burial or removal:  Montague, Tex
Date of burial:  5-7-1925
Undertaker:  Merkle Und. Co. Wichita Falls, Tex

 

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