Certificate of Death for Mary Jane (McDonald) Shirley
Submitted by J. Solomon
1/15/00


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PERSONAL DATA OF DECEASED
Name: Shirley, Mary Jane
Date of Death: Feb. 10, 1947, 2:00 P.M.
Sex: Feamle
Color or Race: White
Single, Married, Widowed, or Divorced: widowed
Date of Birth: June 30, 1858
Age of Deceased: 88 years, 8 months, 10 days
Birthplace: Caldwell Parish
Usual Occupation: housewife
Industry or business: home
Social Security number: None
If veteran name war: none

PLACE OF DEATH
City or Town: Grayson, La
Parish and Ward No.: Wainn Parish
Length of stay in this community: 24
Name of hospital or institution: Rural

USUAL RESIDENCE OF DECEASED
City or town: Grayson, La
Parish and Ward No.: Winn
State: Louisiana
Street Address: Rt. 2

PARENTS:
Name of father: Thomas McDonald
Birthplace of father: Ireland
Name of mother: Maranda Fitzgerald
Birthplace of mother: Miss.

INFORMANT'S CERTIFICATION
I certify that the above stated information is true and correct to the best of
my knowledge. Signed by Mrs. Canzadie Hatten

PHYSICIAN'S CERTIFICATION
Signature of physician: S.G. Harris

FUNERAL DIRECTORS CERTIFICATION
Burial: Feb. 11, 1947
Place of burial: Old Union Cem.
Signature of Funeral Director: M Riser

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