Place of Death: County |
Parker |
Place of Death: City |
Millsap |
Full Name |
Mary Jane Bellenger |
Sex |
Female |
Color or Race |
White |
Single, Married, Widowed, or Divorced |
Widow |
Date of Birth |
April 19 1847 |
Age |
74 yrs. 11 mos. 4 ds. |
Occupation |
Housewife |
Industry |
|
Birthplace |
Mississippi |
Name of Father |
Ray |
Birthplace of Father |
|
Maiden Name of Mother |
Countess |
Birthplace of Mother |
|
Informant |
her Son Bud Ballinger |
Address |
Millsap Tex |
Filed |
Mar 1 1922 W. H. Hutcheson |
Date of Death |
Feb 23, 1922 |
Attended |
Jan 4 1922 to Feb 23 1922 |
Last saw alive |
Feb 22, 1922 |
Death occurred at |
4 a.m. |
Cause of Death |
Cronic Intersticial Nephritis & Influenza |
Contributory |
|
Where was disease contracted if not place of death? |
do not know |
Physician |
N. A. Hitt |
Date |
|
Physician Address |
Millsap Tex. |
Place of Burial |
Peaster, Texas |
Date of Burial |
2/23/1922 |
Undertaker |
W. A. White |
Address |
Weatherford, Tex. |
|