CA1157

Death Certificate of Gladys Roberson Avis
(C. Avis Catalog entry #1157)

STATE OF TEXAS
CERTIFICATE OF DEATH
State File No.  

Name of Deceased:  Gladys Avis
Maiden:  Roberson
Female
Date of Death:  Nov. 25, 1989
Race:  White
Hispanic?:  No
Date of birth:  3/21/1893
Age:  96 years
Soc. Sec. Number:
Place of Death:  Nursing Home
Place of Death:  Gregg Co., Longview, Summer Meadows N. Home;  Inside city limits
Birthplace:  Henrietta, Texas
Citizen of:  U.S.A.  
Widowed 
Highest grade completed:  12
Occupation:  Homemaker 
Residence:  
    Texas, Harrison County, Marshall (Rural)  75670
    Highway 43 - Rt. 8, Box 26 - Marshall, Texas 75670; not in city limits
Father's Name:  Martin Bowers Roberson
Mother's Maiden Name:  Nora Herring
Signature of informant:   Dave Avis [signed]  Rt. 8, Box 26 - Marshall, Texas 75670

Manner of Death:  Natural
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated.
    Charles E. Gray, Jr. M.D. [signed]
Signed: 11-28-89 
Hour of Death:  7:05 PM
Attending physician:  Charles E. Gray, Jr. M.D., 950 N. Fourth St., Longview, TX 75601

Method of Disposition:  Burial
Place of Disposition:  Austin Memorial Park Cem., Section IV Lot #112 Space #2, Austin, Texas
Date of Disposition:  Nov. 28, 1989
Signature of Funeral Director:  [???] A. Davis  6634
    Sullivan Funeral Home - 100 E. Travis St. - P. O. Box 1026 - Marshall, Texas 75670

Registrar's File No. 814
Date Rec'd by Local Registrar:  December 6, 1989   Signature of Local Registrar:  Jo Ann H. Metcalf [sighed]

Immediate Cause of Death:  
    a.  Heart Failure  Approx. Interval Between Onset and Death:  1 Day
    b.  Arteriosclerotic Heart Disease  Approx. Interval Between Onset and Death: Yrs
Pregnant?:  No     Pregnant in last 12 months?:  No    Autopsy?:  No