Posts Tagged ‘death certificate’

Amanuensis Monday – Willis Washington Jones Death Certificate

After years of hunting, gathering, and collecting family information, and many attempts at getting it organized, I’m going back through it with an eye to getting it done right this time.  Some of these files were entered, several years ago, into a FamilyTreeMaker database file that all disappeared when I updated my program, so it took me awhile to decide to start over and enter all my data into another program!!

Willis Washington Jones Death Certificate

OKLAHOMA STANDARD CERTIFICATE OF DEATH

PLACE OF DEATH (County):  Creek                       STATE OF OKLAHOMA.  Registered No: 2055 (Lewis)

Village:            (blank)                                                 (453 stamped in crossways here)

Township: (blank)

City: Sapulpa                          No. (handwritten numbers – 19 – 429)

FULL NAME:  Willis W. Jones (handwritten – 520)

(a) Residence No. (blank)                   St. (blank)                    Ward (blank)

PERSONAL AND STATISTICAL PARTICULARS

3. SEX: Male
   4. COLOR OR RACE: White
   5. SINGLE: Widow
4. IF MARRIED, wife or husband
   7. DATE OF BIRTH: March 5th, 1853
5. AGE: 76 Years, 6 Months, 21 Days
6. OCCUPATION OF DECEASED: Retired
7. BIRTHPLACE: KY
8. BIRTHPLACE OF FFATHER: UNKNOWN
9. MAIDEN NAME OF MOTHER: (BLANK)
10. BIRTHPLACE OF MOTHER: (BLANK)
11. INFORMANT: W. L. JONES

ADDRESS: Mankato, Kansas

15. FILED: 10-17-29 Mrs. C. W. Duncan (Registrar)

MEDICAL CERTIFICATE OF DEATH

16. DATE OF DEATH: Sept 26th, 1929
17. I hereby certify that I attended deceased From Sept 26, 1929 to Sept 26, 1929.

that I last haw him alive on Sept 26, 1929 and that death occurred on the above

date, at 11:00 P.M.

The CAUSE OF DEATH:  Apoplexy    Duration:  One day

18. Where was disease contracted: (blank)

did an operation precede death:  NO

Was there an autopsy:  NO

Signed:  R. K. Lewis
Address:  Sapulpa, Okla

19. PLACE OF BURIAL: South Heights DATE of BURIAL: 9/28TH 1929
20. UNDERTAKER: Lewis Landrith ADDRESS: Sapulpa

State Department of Health
State of Oklahoma
Oklahoma City, Oklahoma 73152

December 09 1997

Willis Second Wife Eliza Clark Jones Death Certificate:
http://www.familytreewriter.com/2018/01/amanuensis-monday-eliza-clark-jones-arkansas-death-certificate/

Willis daughter, Myrtle, buried in Osborne Township Cemetery, Mayfield, Kansas

Willis’ half-sister, Bettie Crabb, buried in Glasgow, Kentucky
http://www.familytreewriter.com/2010/04/tombstone-tuesday-bettie-crabb-barren-county-kentucky/

Willis’ step-father, J. R. U. Crabb, buried next to Bettie Crabb in Glasgow, Kentucky.
http://www.familytreewriter.com/2009/11/tombstone-tuesday-j-r-u-crabb-barren-county-kentucky/

Willis’ mother, Elizabeth Laird Jones Crabb
http://www.familytreewriter.com/2009/09/tombstone-tuesday-elizabeth-laird-crabb/

Elmer Leverett Stocking – Death Certificate Transcription

State of Kansas
State Board of Health – Division of Vital Statistics
Standard Certificate of Death – No. 96  5415

1.  Place of Death:  Sumner   –   city
   Township                                                            Registered No.  10
   or City   Mayfield
2. Full Name:    Elmer L. Stocking
   (a) Residence. No.  Mayfield, KS
   Length of residence in city or town where death occurred   58  yrs

PERSONAL AND STATISTICAL PARTICULARS

1. Sex:   Male
2. Color or Race:  White
3. Single, Married, Widowed or Divorced:   Married

5a. Spouse:  Maud Stocking

1.  Date of Birth: Nov. 29, 1879
2. Age:  58 years  1 month  24 Days
3. Trade, Profession or particular kind of work done:  Farmer
4. Industry or business in which work was done:  And Stockman
5. Date deceased last worked at this occupation:  Not filled in
6. Total time (years) spent   inn this occupation:  Not filled in
7. Birthplace:  Mayfield, KS
8. Father’s Name:   Roderick R. Stocking
9. Father’s Birthplace:  Michigan
10. Mother’s Maiden Name: Francis Hitchcock
11. Mother’s Birthplace:  Crescent City, Illinois
12. Informant:   Maud Stocking     Address:   Mayfield, KS
13. Burial:    Mayfield, KS         Burial Date:  January 25, 1938
14. Undertaker:  A. J. Frank, Wellington, KS
15. Filed:    January 24, 1938      Registrar: Bernice S. Lindberg

MEDICAL CERTIFICATE OF DEATH

1. Date of Death:   January 22, 1938
2. I attended deceased from April 21, 1937 to January 22, 1938. I last saw him alive on January 15^th, 1938.  Death is said to have occurred on the date stated above at 11:30 a.m.

The principal cause of death and related causes of importance in order of onset were as follows:

Cancer of Rt Adrenal gland    Date of onset:    1935

Artherosclerosis

1. No Accident or injury
2. Was disease or injury in any way related to occupation of the deceased:    No

Signed:  A. L. Ashmore  M. D.     Address:  601 Orpheum (?)

SAMPSON WHITLEY – DEATH CERTIFICATE

TEXAS DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH

Place of Death – County – Hill

1. Usual Residence:    State – Texas  County – Hill  City – Itasca, Texas
2. Name of Deceased:    Sampson Whitley
3. Date of Death:   5/8/54
4. Sex:   Male
5.  Color or Race:  Colored
6. Marital Status:  Married
7. Date of Birth:   Nov 8, 1890

Age:  64

1. 10a. Occupation:  Labor

10b. Kind of business:  None

1. Birthplace:  Texas
2. Father’s Name:  John Whitley        Birthplace:  Texas
3. Mother’s Maiden Name:  Unknown          Birthplace:  Unknown
4. Not filled in
5. Not filled in
6. Not filled in
7. Social Security No:  Not filled in
8. Informant:  Ida Whitley
9. Cause of Death:  Malignancy (Lung) type unknown       Interval between onset and death:  1 – 2 years
10. Not filled in
11. I hereby certify that I attended the deceased from Jan 1, 1954 to May 7, 1954, that I last saw the deceased on May 7, 1954, and that death occurred at 11 a.m. from the causes and on the date stated above.
12. Signature – Charles C Allen          Address:  Box 67, Itasca, Texas                  Date signed:  May 10, 1954
13. Burial, Cremation, Removal:  Burial    23b.  Date:  5/11/54    Name of Cemetery or Crematory:  Itasca Cemetery
14. Location:  Itasca, Texas  
15. Funeral  Directors Signature: Kentard Funeral Home – Richard Hemphill
16. Registrar’s File No.  226
17. Date Rec’d by Local Registrar:  May 10, 1954
18. Physician’s Signature:  G. Warnour (? – this was difficult to read.)

A three-day bout with a virus sent me to Ancestry.com to see what I could find to fill in the blanks in my family’s tree, and suddenly I was ‘on a roll’ finding my son-in-law’s and granddaughter’s ancestors!

Lucky me!  My oldest granddaughter likes genealogy!