CA878

Death Certificate of James David Avis
(C. Avis Catalog entry #878)


Texas State Department of Health
Bureau of Vital Statistics
Standard Certificate of Death

Registrar No. 44592

Place of Death:  State of Texas
County of Wichita
City or Precinct No.: Wichita Falls - Tex
No.: 1318  Street: Tenth

Length of residence in city where death occurred:  50 yrs

Full Name:  J. D. Avis

Residence of the deceased:  No.: 1318 Street: Tenth City: Wichita Falls State: Texas

Personal and Statistical Particulars
Sex:  Male
Color or Race:  White
Single, Married, Widowed or Divorced:  Married
Date of birth:  Aug-13-1861
Age:  74 Years 1 Months 16 Days
Occupation:  Retired
Industry:  Cattleman
Birthplace:  Montague, Tex.
Name of Father:  James D. Avis
Birthplace of Father:  Maryland
Maiden Name of Mother:  Mary C. Webb
Birthplace of Mother:  Missouri

Informant:  Mrs. J. D. Avis, Wichita Falls, Texas

Burial:  Place: Riverside Cemetery Date: Oct. 1, 1935

Undertaker:  Merkle Und Co.,  Wichita Falls, Texas

Signature of registrar:  Oct. 1 1935 {signed John H. Hetcher}

Filed:  Mar. 25 '31  G. E. McDonald MD.

Medical Certificate of Death

Date of Death:  Sept 29, 1935

I hereby certify, That I attended deceased from:
Mar 14 1935 to Sept 29 1935
I last saw him alive on Sept 29 1935; dead is said to have occurred on the date stated above at 5 pm

The principal cause of death and related causes of importance were as follows:
Cancer of right lung

Other contributing causes of importance:  none
Name of operation:  none
What test confirmed diagnosis:  Physical Exam
Was there an autopsy:  No

Signed:  L. B. Holland M. D.
Address:  Wichita Falls Tex