CA1173

Death Certificate of Paula Frances Cook
(C. Avis Catalog entry #1173)

"Texas Deaths, 1977-1986," database with images, FamilySearch (https://familysearch.org/ark:/61903/1:1:KH3D-GZH : 23 February 2021), Paula Frances Cook, 14 Jun 1978; citing Rural, Johnson, Texas, United States, 54850, Bureau of Vital Statistics, Austin; . 


[Handwritten marginal note:]  took maiden name back

STATE OF TEXAS
Certificate of Death
State File No.  54850

Place of Death:  Johnson County, Rural - outside city limits
Length of Stay:  1 1/2 years
Name of Hospital or Institution:  Route 1 Box 314, Burleson

Usual Residence:   Johnson County, Texas
Address:  Route 1 Box 314, Burleson - outside city limits, not a farm

Name of Deceased:   Paula Frances Cook
Date of Death:  June 14, 1978
Female, White, divorced
Date of birth:  January 17, 1950
Age:  28 years 
Occupation:  Postal Employee, U. S. Postal Service 
Birthplace:  Fort Worth, Texas
Citizen of:  U.S.A.
Father:  Paul Monroe Cook
Mother:  Mary Frances Hunter
Social Security No.:  
Informant:  Robert H. Sells[?]  [signed]

Cause of death:  Drug overdose
No autopsy
Suicide
Time of injury:  Found 9:57 a.m.  6/14/1978 
Describe how injury occurred:  Deceased took numerous drugs before going to bed
Injury occurred:  not at work
Place of injury:  Home
Location:  Near Burleson, Johnson Co., Texas

I hereby certify that I attended deceased from   Inquest   and last saw the deceased alive on    6-14-78   Death occurred at   9:57 a.m.

Signed:  Arthur L. Raines, M.D.  [signed]  Medical Examiner  1600 N. Main, Cleburne, Texas 76301
Date signed:  6/20/1978  

Removal June 14, 1978 to Laurel Land Memorial Park, Fort Worth, Texas
Jones Funeral Home, Burleson, Texas  #7453
Richard M. Mattinson [signed]

Registrar's File No. 238
Date Rec'd by Local Registrar:  6/30/78
Registrar's signature:  Joe L. Townes [signed]