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Death Certificate
SARTOR Mattie M.
29 May 1944

[editorial comment]

Texas Department of Health
Bureau of Vital Statistics
Standard Certificate of Death
[stamp] 21968
1. Place of Death: State of Texas
County of: Coleman
City or Precinct No: Coleman
Give Street and Number or Name of Institution: Orrall Hospital
2. Full Name of Deceased: Mattie M. Sartor
Length of Residence Where Death Occurred, Years-Months-Days: 1 day
Social Security No: [blank]
Residence of the Deceased, Street and No, City, County, State: Goldsboro, Coleman County, Tex
Personal and Statistical Particulars
3. Sex: Female
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Baby
6. Date of Birth: 5/7 - 44
7. Age, Years, Months, Days, If less than 1 Day Hours, Min: 5 hours
8A. Occupation, Trade, Profession or Kind of Work Done: Baby
8B. Industry or Business in Which Engaged: [blank]
9. Birthplace (state or country): Coleman
10. Father, Name: Earl Sartor
11. Father, Birthplace (state or country): Tex
12. Mother, Maiden Name: Mable Curry
13. Mother, Birthplace (state or country): Tex
14. Informant, Signature: Earl Sartor
Address: Goldsboro
15. Disposition Place of Burial or Removal: Atoka Cem
Disposition Date: 5/30 1944
16. Undertaker, Signature: J. B. Hough
Undertaker, Address: Coleman, Texas

Medical Particulars
17. Date of Death: 5/29, 1944
18. I hereby certify that I attended the deceased from 5/29, 1944, to 5/29, 1944
I last saw heralive on 5/29, 1944
The Death Occurred on the Date Stated Above at 10:00 PM.
The Primary Cause of Death was: Premature
Duration: 5 hours
Contributory Causes Were: [blank]
Duration: [blank]
...
Signature M.D.: J. M. Nichols, MD
Address: Coleman, Texas

20. File Number: 49
File Date: May 30, 1944
Signature of Local Registrar: Barclay Martin Sr.
Post Office Address: Coleman, Texas
[stamp] Department of Health, Received Jun 9, 1944, Texas, Bureau of Vital Statistics

Note the information called for on the reverse side.
[end]

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