Mrs. Nancy McCullough, Vernon Parish Louisiana
Submitted by Bill McCullough
Date: October 2008

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State of Louisiana Board of Health
Bureau of Vital Statistics
Certificate of Death
Registration District No.: Blank
File No: Blank
Primary Registration District No.: Blank
Registered No.: Blank

Place of Death
Parish: Beaugard
Township: Blank
Village: Blank
City: DeRidder, La.

Full Name: Mrs. Nancy McCullough

Personal and Statistical Particulars
Sex: Female
Race: White
Single Married Widowed or Divorced: Widow
Date of Birth: June 8 1859
Age: 82 yrs
Occupation: Housewife
Birthplace: Pitkin, La.
Name of Father:  Don't Know
Birthplace of Father: Don't Know
Maiden Name of Mother: Don't Know
Birthplace of Mother: Don't Know
Informant: Dave McCullough
Address: Florien, La
Filed: 1/15/42
Registar: James ?. Ma???

Medical Certificate of Death
Date of Death: Jan 9; 1942
I hereby certify, that I attended deceased from Jan 6 1942 to 
Jan 9 1942 that I last saw him alive on Jan 9 1942 and that death
occurred, on the date stated above at 3:45 pm. Immediate cause of 
death ???? Bronchopneumonia due to coronaryOcclusion chronic ???
(Signed) Luke ???, M.D.
Usual residence of Deceased: Louisiana State Beauregard Parish 
Deridder, La, Magnolia St.
Place of Burial or Removal: Lewis Cemetary
Date of Burial: Jan 10. 42
Undertaker: Roberts Funeral  HOme
Address: DeRidder, La.