Re: Mat Henderson & Susan Ardella (Hill) Henderson - obits
-
In reply to:
Mat Henderson & Susan Ardella (Hill) Henderson - obits
J. R. Burton 7/28/12
STANDARD CERTIFICATE OF DEATH - Department of Commerce/Bureau of the Census
Place of Death: County, Texas; State (78251) Oklahoma; Registered No 146; Township_ or Village_ or City Guymon No._ St., Ward._ Length of residence in city or town where death occured _ yrs._ mo. _ days _. How long in U.S.A. if of foreign birth? _ yrs. _ mos. _ days.
Full Name: Matt Henderson
Residence : No. Guymon (usual place of abode) St _ Ward. __
(if nonresident give city or town and State)70 1317
Personal And Statistical Particulars
3. Sex: Male 4. Color or Race: White
5. "Married" has been marked out and "Widowed" is written below.
5A. If married, widowed, or divorced - Husband of ("wife of" has been marked out)
Ardella Henderson.
Date Of Birth 6-29-1861.
Age: 76 years 4 months 6 days.
Occupation: Farming.
Birthplace Guntown Miss.
Father: Matt Henderson.
Birthplace: Mississippi.
Maiden Name: Jeannette Edge
Birthplace _.
Informant: J.A. Henderson, Guymon Okla.
Burial: Range - Date: Jan 9, 1938.
Undertaker G E ( ? ) Guymon Okla.
Filled A.C. Stamper registrar.
Medical Certificate of Death .
Date of Death Jan 5th 1838.
The principal cause of death and related causes of importance were as follows:
Apoplexy.
Other contributory causes of importance:
Arthritis Sclerosis (I think it says)
Name of Operation _.
Signed: Morris Smith M.D.
Address: Guymon Oklahoma.