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1. PLACE OF DEATH
County Garza
City Post
2.
FULL NAME Francis Simeon
Colley
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3.
SEX M
4. COLOR
OR RACE White 5.
Marital Status M |
16. Date
of Death July 14, 1927 |
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6. Date of Birth Sept
11, 1851 |
17. I HEREBY
CERTIFY, That I attended the deceased
from , to ,
that I last saw alive
on , and that death occurred, on the date stated
above, at m.
The CAUSE OF DEATH* was as follows: |
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7.
Age 75
yrs. 10
mos. 27 days |
Apoplexy |
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8. Occupation
Farmer |
Contributory
Old Age |
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9. Birthplace
Georgia |
(Address) |
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10. Name of Father Daniel
Colley |
18. LENGTH OF
RESIDENCE (For Hospitals, Institutions, Transients, or Recent
Residents.) |
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11, Birthplace of Father
Georgia |
19. PLACE OF
BURIAL OR REMOVAL Post, TX |
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12. Maiden Name of Mother
Ollie Queen |
DATE OF BURIAL
July 14, 1927 |
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13. Birthplace of Mother
Georgia |
UNDERTAKER
Davis Mason Co. |
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14. THE ABOVE IS TRUE TO
THE BEST OF MY KNOWLEDGE
Informant: M. Colley
Address: Post,
Texas |
ADDRESS:
Post, Texas |
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15. Filed August
1, 1927
Ira Weakley, Registrar |
. |
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