Vitals: Orry Bridgeman, Death Certificate, Claiborne Parish, LA 
Submitted for the LAGenWeb Archives by: Sherry Zorzi 
Date:  Oct. 2003
Source:  Louisiana State Archives



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Transcription by Sherry Zorzi, January 28, 2003 
(Stamped) January 12, 1917 
Louisiana State Board of Health 
Bureau of Vital Statistics 
Certificate of Death 
1. Place of Death 
Parish - Claiborne 
Township - blank 
Registration District No. - 1410 
File No. - 82 
Village - blank 
Primary Registration District No. - blank 
Registered No. - 12307 
City - Homer 
No., St., Ward - 7 
2. Full Name - Mrs. Orry Bridgeman 
3. Sex - Female 
4. Color or Race - White 
5. Single, Married, Widowed, or Divorced - Widowed 
6. Date of Birth - Feb. 13, 1835 
7. Age - 81 yrs. 10 mos. 
8. Occupation - none 
9. Birthplace - ? (a question mark is written in the blank) 
10. Name of Father - Thos. Glaze 
11. Birthplace of Father - ? (a question mark is written in the blank) 
12. Maiden Name of Mother - ? (a question mark is written in the blank) 
13. Birthplace of Mother - ? (a question mark is written in the blank) 
14. Informant - Fred F. Meadows Address - Homer, La. 
15. Filed - Dec. 15, 1916 Registrar - Fred T. Meadows 
16. Date of Death - Dec. 13, 1916 
17. I hereby certify that I attended deceased from Nov. 13, 1916 to 
Dec. 13, 1916, that I last saw her alive on Dec. 13, 1916, and that death 
occurred on the date state above at blank o'clock. The cause of death was 
as follows: cancer of bowels 
Duration - 6 mos. 
Contributory (secondary) - blank 
Duration - blank 
Signed - P. Gibson 
December 15, 1916 
Address - Homer 
18. Length of residence - entire section left blank 
19. Place of burial or removal - Homer, La., old cemetery 
Date of Burial - Dec. 14, 1916 
Undertaker - M. L. Kerlon (? Best guess) 
Address - Homer 

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