Posts Tagged ‘Itasca Texas’

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!