CA1197

Death Certificate of John Allison Ross
(C. Avis Catalog entry #1197)

"Texas Deaths, 1890-1976," database with images, FamilySearch (https://familysearch.org/ark:/61903/3:1:33SQ-GB98-3BDK?cc=1983324&wc=9TH5-929%3A263835801%2C267472401%2C267533701 : 22 July 2014), Death certificates > 1931 > Vol 076, certificates 037501-038000, Aug, Coryell-El Paso counties > image 231 of 527; State Registrar Office, Austin.


[The names give for his parents are demonstrably wrong - ca]

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

Registrar's No. 2214

1.  Place of Death:  
    State of Texas
    County:  Dallas 
    City:  Dallas  419 Maywood st  
2.  Full Name of Deceased:  John Allison Ross  419 Maywood st
    Length of residence where death occurred:  10 years

PERSONAL AND STATISTICAL PARTICULARS
3.  Sex:  Male,  4. Race:  White,  5. Widow
5a. Husband of Susan Ellan Ross
6.  Date of Birth:  March 20 1855
7.  Age:  76 years, 5 months, 6 days
8.  Trade, profession or kind of work done:  Retired Contractor
9.  Industry or business in which engaged:  
10.  Date deceased last worked at this occupation:  1915
11.  Total time (years) spent in this occupation:  30
12.  Birthplace:  Texas
13.  Father's name:  Brown Ross  14. Birthplace:  Texas
15.  Mother's name:  Alice Hutchinson    16. Birthplace: Miss.
17.  Informant:  G. J. Ross [signed]  419 Maywood st, Dallas, Tex.
18.  Burial or removal:  Huntsville, Tex.  Date:  Aug. 29, 1931
19.  Undertaker:  Lamar & Smith Funeral Home, Dallas, Texas
20.  Filed Aug 27, 1931  Birdie Smith [signed] Registrar

MEDICAL CERTIFICATE OF DEATH
21.  Date of Death:  August 26, 1931
22.  I hereby certify that I attended deceased from July 7, 1931, to Aug. 26, 1931
    I last saw him alive on Aug 26, 1931; death is said to have occurred on the date stated above at 11:30 pm
    The principal cause of death and related causes of importance were as follows:
    Myocarditits    Date of onset: 1930
    No operation
    What test confirmed diagnosis:  Physical findings
    Was disease or injury in any way related to occupation of deceased?  No

    John R. Beall, M.D. [signed] 
    712 Wilson Bldg