1980 MITCHELL, ANN (Texas, U.S., Death Certificates, 1903-1982)

Field Detail
Publication Texas, U.S., Death Certificates, 1903-1982
Originator / Author  
Date  
Responsible Agency Texas Department of State Health Services; Austin Texas, USA
Filed by Entry  
References (State File Number) 55415

Text

State of Texas Certificate of Death

State file no 55415


Name of Deceased: Ann Mitchell

Sex: Female

Date of Death: June 27, 1980

Race: Caucasian

Was the decendent of Spanish Origin? No

Date of Birth: 11/28/1890

Age: 89


Place of death: Harris County, Webster

Name of Hospital or institution: Clear Lake Hospital

Inside city limits: Yes


Married, Never Married, Widowed, Divorced: Widowed

Birthplace: Scotland

Citizen of what country: U.S.A

Was decendent ever in U.S. Armed Forces: No

Surviving Spouse: None


Social Security No: 033-10-6261-D

Usual Occupation: Nurse

Kind of Business or Industry: Nursing


Residence (state, county, city, street address): Texas, Harris, Seabrook, 423 Whitecap Drive

Inside City Limits: Yes


Father’s Name: John Ross

Mother’s Maiden Name: Mary Ann Cumming

Signature of Informant: Donald Mitchell by Phone


Immediate Cause: Pneumonia

Inerval between onset and death: 2 days

Other significant conditions: Congestive Heart Failure, aretrial artenosclerosis, Post eva

Autopsy: No


Certifying physician:

To the best of my knowledge, death occurred at the time, date and place and due to the cause(s) stated

Signed: 7/16/80

Hour of Death: 6:15 AM

Name of Attending Physician: Kenneth M. Griffith M.D.


Burial, Cremation, Removal: Removal

Date: June 27, 1980

Location: Auburndale, Florida

Name of Cemetery or Crematorium: Glen Abbey Memorial Gardens


Registrar’s file no 7981

Date received by local registrar: July 21, 1980

Source Referenced by