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Atoka Cemetery, Novice, Coleman County, Texas

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Death Certificate
KINCAID George Anderson
09 March 1952

[editorial comment]

127-0-0-1-349-1-0
4910 30
Texas Department of Health
Bureau of Vital Statistics
Certificate of Death
State File No.: [stamp] 13544
State of Texas
1. Place of Death: a. County: Jones
b. City or Town or Precinct No: Lueders
c. Length of Stay (in this place): 3 months
d. Full Name of Hospital or Institution: Near Lueders
2. Usual Residence (Where deceased lived.)
a. State: Texas
b. County: Wise
c. City or Town: Decatur
d. Street Address: 228 South Trinity
3. Name of Deceased: George Anderson Kincaid
4. Date of Death: March 9- 1952
5. Sex: Male
6. Color or Race: White
7. Married, Never Married, Widowed or Divorced: Widowed
8. Date of Birth: Oct 6 - 1866
9. Age, Years, Months, Days, If less than 1 Day Hours, Min :85 years, months, days
10a. Usual Occupation: Retired
10b. Kinda of Industry or Business: Farmer
11. Birthplace (state or country): Texas
12. Father, Name: no record
12. Father, Birthplace: [blank]
13. Mother, Maiden Name: no record
13. Mother, Birthplace: [blank]
14. Was Deceased Ever in U.S. Armed Forces, (Yes, no, or unknown, If yes, give war or dates of service): [blank]
15. Social Security No.: [blank]
16. Informant's Signature: G. W. [son George William] Kincaid, Box 64, Decatur, Tx
17. Cause of Death, Enter only one cause per line for a, b, and c
I. Disease or Condition Directly Leading to Death *(This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease, injury, or complication which caused death.
(a) [unable to read] Pneumonia
Antecedent Causes, Due to (b) [blank]
II. Other Significant Conditions, Conditions contributing to the death but not related to the disease or condition causing death.: [blank]
18a. Date of Operation: [blank]
18b. Major Findings of Operation: [blank]
19. Autopsy? [blank]
20a. Accident, Suicide, Homicide: … [blank]
21. I hereby certify that I attended the deceased from 3-2- 1952, to 3-9-1952, that I last saw the deceased alive on 3-2-1952, and that death occurred at 8:40 P.M., from the causes and on the date stated above.
22a. Signature: J. T. Hudson, M.D.
22b. Address: Stafford, Texas
22c. Date Signed: 3-11-1952
23a. Burial, Cremation, Removal: Burial
23b. Date: 3/10/52
23c. Name of Cemetery or Crematory: Atoka
23d. Location: Coleman County Texas
24. Funeral Director's Signature: Kiker-Warren - By J. Warren
25a. Register's File No: 12
25b. Date Rec'd by Local Registrar: March 12th, 1952
25c. Registrar's Signature: Catherine Lavelle
[stamp] Texas Department of Health, Rec'd Apr 4 1952, Bureau of Vital Statistics
Note the information called for on the reverse side.
[end]


Owner of originalFamilySearch.org
File nameKINCAIDGeorgeAndersonDC.jpg
File Size821.87k
Dimensions1512 x 1200
Linked toKINCAID George Anderson; KINCAID George William

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