Ludie Lillian HARRISON (Bailey) Death Certificate
TEXAS DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
STATE OF TEXAS 178-01-2 178-01
CERTIFICATE OF DEATH 0388 08
STATE FILE NO. 87564
1. PLACE OF DEATH:
a. COUNTY: Nueces
b. CITY OR TOWN: Corpus Christi
c. LENGTH OF STAY: 10 years
d. NAME OF HOSPITAL OR INSTITUTION: Spohn Hospital
e. PLACE OF DEATH INSIDE CITY LIMITS? Yes
2. USUAL RESIDENCE:
a. STATE: Texas
b. COUNTY: Nueces
c. CITY OR TOWN: Corpus Christi
d. STREET ADDRESS: 214 Adams
e. IS RESIDENCE INSIDE CITY LIMITS? Yes
f. IS RESIDENCE A FARM? No
3. NAME OF DECEASED: Ludie L. Bailey
4. DATE OF DEATH: November 10, 1973
5. SEX: Female
6. COLOR OR RACE: Caucasian
7. WIDOWED
8. DATE OF BIRTH: July 4, 1889
9. AGE: 84 years
10a. USUAL OCCUPATION: Housewife
10b. KIND OF BUSINESS OR INDUSTRY: Housewife
11. BIRTHPLACE: Texas
12. CITIZEN OF WHAT COUNTRY? U.S.A.
13. FATHER'S NAME: Edward Harrison
14. MOTHER'S NAME: Cecia Holaway
15. WAS DECEASED EVER IN U.S. ARMED FORCES? No
16. SOCIAL SECURITY NO.: 467-18-4664-D
17. INFORMANT: Mrs. Clarice Farmer by ABL
18. CAUSE OF DEATH:
Part I. DEATH WAS CAUSED BY:
IMMEDIATE CAUSE: Septicemia E. Coli and clostridium. C.V.A., Urinary infection Proteus Renal Insufficiency. Diabetes Mellitus, Non Union left femur fracture, Arteriosclerosis.
Part II. OTHER SIGNIFICANT CONDITIONS: [blank]
19. WAS AUTOPSY PERFORMED? No
20. INJURY [all blank]
21. I hereby certify that I attended the deceased from Dec. 16, 1966 to Nov. 10, 1973 and last saw the deceased alive Nov. 9, 1973. Death occured at 4:30 A.m. on the date stated above and to the best of my knowledge, from the causes stated.
22a. SIGNATURE: H. A. Kennedy, MD
22b. ADDRESS: 3154 Reid Dr. Corpus Christi, Tex
22c. DATE SIGNED: Nov. 20, 1973
23a. BURIAL, CREMATION, REMOVAL: Removal
23b. DATE: Nov. 10, 1973
23c. NAME OF CEMETERY OR CREMATORY: Cemetery Unknown
23d. LOCATION: Edinburg, Texas
24. FUNERAL DIRECTOR'S SIGNATURE: Ross Langham Mortuary, Ross B. Langham
25a. REGISTRAR'S FILE NO.: 1593
25b. DATE REC'D BY LOCAL REGISTRAR: Nov 23 1973
25c. REGISTRAR'S SIGNATURE: W. R. Metzger, M.D.
Transcription by John C. Hepner, 1999