Daniel McCullough, Beauregard Parish Louisiana
Submitted by Bill McCullough
Date: 

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Louisiana State Board of Health
Bureau of Vital Statistics
Certificate of Death
District No. 6-2038
File No. 28
Registered No. 12630
Nov 15 1937

Place of Death
Parish: Beauregard
Ward: 3
City: De Ridder

Full Name: Dan McCullough

Personal and Statistical Particulars
Sex: Male
Race: White
Martial Status: Married
Husband of: Blank
Age: 59
Occupation: Farmer
Birthplace: La.
Father: Doc. McCullough
Birthplace: La.
Mother Maiden Name: Unknown
Birthplace: Blank
Informant: Mitch McCullough
Address: Pt. Arthur Texas

Burial, Cremation or Removal: Leesville 10/16/1937

Medical Certificate of Death:
Date of Death: 10/15/1937
I Hereby Certify, That I attended deceased from 10/1/1937 to 10/15/1937.
I last saw him on 11/15/1937, death is said to have occurred on the date
stated above at 3PM
Cause of Death: Bronchial Pneumonia