Death Certificate

Death Certificate of Lena Griffey Pettit Bussinger
(C. Avis Catalog entry #1448)

[found posted on FindAGrave.com, not available in county records at FamilySearch.com]


WEST VIRGINIA STATE DEPARTMENT OF HEALTH - DIVISION OF VITAL STATISTICS

CERTIFICATE OF DEATH
72 006627
Dist. No. 420
Serial No. 115

1. DECEASED - NAME    Lena G. Bussinger
2. SEX    Female
3. DATE OF DEATH        April 8, 1972
4. RACE    White
5. AGE-LAST BIRTHDAY    84
6. DATE OF BIRTH    April 4, 1888
7a. COUNTY OF DEATH    Randolph
7b. CITY, TOWN, OR LOCATION OF DEATH    Elkins
7c. INSIDE CITY LIMITS    Yes
7d. HOSPITAL OR OTHER INSTITUTION    Elkins Convalescent Hospital
8. STATE OF BIRTH    North Carolina
9. CITIZEN OF WHAT COUNTRY    U.S.A.
10. MARRIED, NEVER MARRIED, WIDOWED, DIVORCED    Widowed
11. SURVIVING SPOUSE    -
12. SOCIAL SECURITY NUMBER    163-//-////
13a. USUAL OCCUPATION    Housewife
13b. KIND OF BUSINESS OR INDUSTRY    Housewife
14a. RESIDENCE - STATE    W.Va.
14b. COUNTY    Randolph
14c. CITY, TOWN OR LOCATION    Elkins
14d. INSIDE CITY LIMITS    Yes
14e. STREET AND NUMBER    611 West Main St.

15a. FATHER-NAME    Griffey
15b. BIRTHPLACE    U.S.A.
16a. MOTHER-MAIDEN NAME    Elizabeth Chandler
16b. BIRTHPLACE    U.S.A

17a. WAS DECEASED EVER IN ARMED FORCES?    No
18a. INFORMANT-SIGNATURE    Mrs. Erna Petit Hines
18b. ADDRESS    1512 S. Henry Ave., Elkins, W.Va.

CAUSE OF DEATH
19. Part I. DEATH WAS CAUSED BY    Immediate cause:  Pneumonia
            Approximate interval between onset and death    1-2 weeks
      Part II. OTHER SIGNIFICANT CONDITIONS    Diabetes mellitus, Cerebral degeneration
20a. AUTOPSY   No     20B. Findings
21a. ACCIDENT, SUICIDE, HOMICIDE, OR UNDERMINED
21b. DATE OF INJURY
22. I attended the deceased from    Sept. 2, 1971    to    April 8, 1972    and last saw the deceased alive  on April 6, 1972
    Death occurred at    8:30 A.m. on the date stated above; and to the best of my knowledge, from the causes stated

23a. SIGNATURE    Manuel B. Gabato, M. D.
23b. ADDRESS    The Golden Clinic, 1200 Harrison Avenue, Elkins, West Virginia
23c. DATE SIGNED    April 14, 1972
24a. BURIAL, CREMATION, REMOVAL    Burial
24b. CEMETERY OR CREMATORY-NAME    Northwood Cemetery
24c. LOCATION    Cambridge, Ohio
24d. DATE    April 13, 1972    
25a. FUNERAL HOME - NAME AND ADDRESS    John W. Lohr Funeral Home 120 First St. Elkins, W. Va. 26241
25b. FUNERAL DIRECTOR'S SIGNATURE    John W. Lohr
25c. DATE SIGNED    4/8/72
26a. DATE REC'D BY LOCAL REG.    April 20 1972
26b. REGISTRAR'S SIGNATURE    Linda Morrison


 

Death Certificate of Alexander Griffey
(C. Avis Catalog entry #1447)

[found posted on FindAGrave.com - not available on FamilySearch.org in appropriate county records]


CERTIFICATE OF DEATH

COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS

File No. 89312
Registered No. 313
Registration District No. 888
Primary Registration District No. 3390

1. PLACE OF DEATH
    County of Warren
    Township of Cowanga
    State Hospital for Insane

2. FULL NAME    Alex Griffee

PERSONAL AND STATISTICAL PARTICULARS
3. SEX    M
4. COLOR OR RACE    White
5. SINGLE, MARRIED, WIDOWED OR DIVORCED    Widower
6. DATE OF BIRTH    Mar 16 1858
7. AGE    64 yrs 5 mos 11 ds
8. OCCUPATION    Night Watchman
9. BIRTHPLACE    North Carolina
10. NAME OF FATHER    Neely Tweed
11. BIRTHPLACE OF FATHER    Unknown
12. MAIDEN NAME OF MOTHER    Hannah Griffee
13. BIRTHPLACE OF MOTHER    Unknown
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE    H. K. Petry M.D., Warren, Pa.
15. FILED    Aug 29 1922    C. W. Schweke  Local Registrar

MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH    Aug 27 1922

17. I HEREBY CERTIFY, That I attended the deceased from Dec 18 1921 to Aug 27 1922, that I last saw him alive on Aug 27 1922 and that death occurred, on the date stated above, at 2 p.m.
    
    The CAUSE OF DEATH was as follows
        Gen. Paralysis of Insane
        Duration    1 ? yr
    (signed) H. K. Petry M.D.    8/27/1922    State Hosp. Warren Pa

18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients or Recent Residents)
    At place of death    11 mo 20 ds
    Where was the disease contracted    Bridgewater, Pa.
    Former or usual residence                 Bridgewater, Pa.

19. PLACE OF BURIAL OR REMOVAL    Beaver, Pa
        DATE OF BURIAL                             Aug 30 1922

20. UNDERTAKER    J. Bayer
        ADDRESS         Warren, Pa
 

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
 

Death Certificate of Mahala Webb Avis White
(C. Avis Catalog entry #466)


TEXAS STATE BOARD OF HEALTH
BUREAU OF VITAL STATISTICS

STANDARD CERTIFICATE OF DEATH
Reg. Dis. No.  20082
Registerd No. 230

Place of Death:  Wichita County, Wichita Falls, 901 Burnette St.
Full Name:  M. C. White
Residence:  901 Burnette

PERSONAL AND STATISTICAL PARTICULARS
Sex:  Female
Color or Race:  White
Widow
Date of Birth:  May 6 1841
Age:  83 yrs 11 mos 29 days
Occupation:  None
Birthplace:  Mo. Jefferson City
Name of Father:  Don't Know
Birthplace of Father:  Don't Know
Name of Mother:  Don't Know
Birthplace of Mother:  Don't Know 

THE ABOVE IS TRUE
Informant:  J. D. Avis Wichita Falls

MEDICAL PARTICULARS
Date of Death:  May 5 1925
I HEREBY CERTIFY, That I attended deceased from April 10, 1925, to May 5, 1925
that I last saw her alive on May 5, 1925 and that death occurred on the date stated above, at 10:00 _m.
The CAUSE OF DEATH was as follows:
Sarcoma of Kidney
Several days (duration)
Did an operation precede death?  No
What test confirmed diagnosis?  none
(signed) L. Mackaehoray, M. D.
5-15-1925 Wichita Falls, Tx

Filed:  5-18-1925
(signed) J. M. Whitworth, Registrar.

Place of burial or removal:  Montague, Tex
Date of burial:  5-7-1925
Undertaker:  Merkle Und. Co. Wichita Falls, Tex

Record of Deaths of F. M. and Lawrence Avis
(C. Avis Catalog entry #681)

http://www.vitalsearch-ca.com/gen/ca/_vitals/cadeathm.htm

Last_Name    First_Name    Middle_Name    B_yr    B_mo    B_dy  Mother's Surname  Father's Surname  Sex         Bp    County_of_Death    D_yr    D_mo    D_dy       Age 

 AVIS             FRANK           MARION             1865       06       27                                                                       MALE      TX          IMPERIAL           1942      02          20            76

 AVIS             LAWRENCE                                1892      12       17                RAMBO                     AVIS         MALE      TX          IMPERIAL           1941      11          06            49
 

Death Certificate of Mary Avis Palmer
(C. Avis Catalog entry #419)

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

Place of Death:  State of Texas
County of Deaf Smith
City or Precinct No.:  Hereford, Texas

Full Name of Deceased:  Mary Victoria Palmer
Length of Residence Where Death Occurred:  44 years
Residence of Deceased:  Hereford, Texas

Personal and Statistical Particulars
Sex:  Female
Color or Race:  Wh
Single, Married, Widowed or Divorced:  Widowed
Date of birth:  July 16, 1863
Age:  80 years 3 months 28 days
Trade, Profession or Kind of Work Done:  Household Duties

Birthplace:  Texas
Name of Father:  Daniel Avis
Birthplace of Father:  La.
Maiden Name of Mother:  Martha Webb
Birthplace of Mother:  Mo.

Informant:  Mrs. E. H. Norton
Address:  Hereford, Texas

Place of Burial:  
Date:  Nov. 17, 1943
Undertaker:  J. M. Gilliand
Address:  Hereford


Medical Particulars
Date of Death:  Nov. 14, 1943

I hearby certify that I attended deceased from ___ to Nov. 14, 1943 and that I last saw her alive on Nov. 14 1943 and that death occurred on the date stated above, at 1 pm.  
The Primary Cause of Death was:

Comminuted fracture of left hip
Duration:  1 week

Contributory Causes Were:  Hypertatic Pneumonia

If Not Due To Disease, Specify Whether:
Accident, Suicide, or Homicide:   Accident
Date of Occurrence:  Nov. 4, 1943
Place of Occurrence:  Home
Manner or Means:  Fall

Signature:  Lewis B. Barnett M.D.
Address:  Hereford, Texas

File Number:  164
File Date:  Nov. 16-43
Signature of Local Registrar:  A. L. Thomas
Postoffice or Address:  Hereford, Texas

Death Certificate of Lydia V. Hunter
(C. Avis Catalog entry #605)

State of Ohio
Bureau of Vital Statistics
Certificate of Death

Place of Death
County of Wayne
Township of Flain
Registration District No.  1356
Primary Registration District No. 6087
File No. 95587

Full Name:  Lydia V. Hunter

Personal and Statistical Particulars
Sex:  Female
Color:  White
Single, Married, Widowed or Divorced:  Widow
Date of birth:  March 27 1841
Age:  77 years 8 months 11 days
Occupation:  None
Birthplace:  Greene Castle, Indiana
Name of Father:  Unknown Avis
Birthplace of Father:  Unknown
Maiden Name of Mother:  Mary Deming
Birthplace of Mother:  Penna <?>

Informant:  Mrs. J. W. Strahl, Wooster

Filed:  12/31/1918
Registrar:  Vern M. Skelly

Medical Certificate of Death
Date of Death:  Dec 8 1918

I hearby certify that I attended deceased from Oct 7th 1918 to Dec 7 1918 that I last saw her alive on Dec 7 1918 and that death occurred, on the date stated above, at 7 P. M.  The CAUSE OF DEATH was as follows:

Acute indigestion,

Contributory:  Probably gall stones

Signed:  John G. Wiskard, M. D.
Dec 9 1918 Wooster

Place of Burial or Removal:  Dayton, Ohio
Date of Burial:  Dec 9 1918
Undertaker:  H. I. Crowl
Address:  Wooster
 

Death Certificate of James F. Avis
(C. Avis Catalog entry #593)

Indiana State Board of Health
Certificate of Death

County of Hamilton
Township of Jackson
Town of Arcadia

Full Name:  Fred Avis

Personal and Statistical Particulars
Sex:  Male
Color:  White
Date of birth:  Mch 15 1838
Age:  75 years 8 months 2 days
Single, Married, Widowed or Divorced:  Widowed
Name of wife:  Lucinda J. Avis
Birthplace:  Indiana
Name of Father:  David Avis
Birthplace of Father:  Unknown
Maiden Name of Mother:  Unknown
Birthplace of Mother:  Unknown
Occupation:  Retired Wagon Maker

Informant:  F. M. Wolff, Arcadia, Ind.

Burial Permit Issued By:  C. C. Ray
Filed:  11/31/13

Medical Certificate of Death
Date of Death:  Nov 17 1913

I hearby certify that I attended deceased from Oct 20 1913 to Nov 17 1913 and that I last saw him alive on Nov 17 1913 and that death occurred on the date stated above, at --- M.  The CAUSE OF DEATH was as follows:

Cerebral Hemorrhage
Duration:  27 days

Contributory Artero-sclerosis
Duration:  1 year

Signed:  C. C. Ray
11/31/13  Arcadia

Place of Burial or Removal:  Arcadia, Ind
Date of Burial:  Nov 20th 1913
Undertaker:  Kreug & Shoffer
Number of License:  849
Address:  Arcadia
Was the body embalmed?  Yes