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Amanuensis Monday – Sampson Whitley – Death Certificate Transcription

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!

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