Death Certificate of Charles Robert Avis
(C. Avis Catalog entry #777)
State of California
Department of Public Health
Vital Statistics
Standard Certificate of Death
Local Registered No. 388
Place of Death: Dist. No. 1903
County of Los Angeles
City or Town of: Long Beach
No. 2820 Linden Ave.
Full Name: Charles Robert Avis
Personal and Statistical Particulars
Sex: Male
Color or Race: White
Single, Married, Widowed or Divorced: Single
Date of birth: Unknown
Age: About 35
Occupation: Unemployed
Birthplace: Unknown
Name of Father: A. J. Avis
Birthplace of Father: Unknown
Maiden Name of Mother: Unknown
Birthplace of Mother: Unknown
Length of Residence at Place of Death: 4 years
(If non-resident, give city or town and state): Long Beach, Cal.
In California: 4 years
Informant: Thomas J. Taylor, Sunset Pacific Oil Co., Julian City, Calif.
Filed: Mar. 25 '31 G. E. McDonald MD.
Coroner's Certificate of Death
Date of Death: March 24, 1931
I hereby certify, as to the person above named and herein described That on March 24, 1931 I investigated the death officially on account of:
Death no one being in attendance
The Cause of Death was as follows: Acute double lobal pneumonia
Signed: Frank R. Webb M. D. and Frank A. Nance Ass't
Approved: W. A. MacDonald Chief Deputy March 24, 1931
Place of Burial: Wichita Falls, Texas
Date: March 25, 1931
Undertaker: J. J. Mottell, Inc., Long Beach, Calif.
Embalmer's License No. 1890