Mary Etta McCullough Hill, Vernon Parish Louisiana
Submitted by Bill Mccullough
Date: June 2, 2008

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Louisiana State Board Of Health
Bureau of Vital Statistics
Certificate of Death
District No. 58-5569
File No. 23
Registered No. 3449

April 13 1932
1 - Place of Death
    Parish: Vernon
    Ward: 5
    City: Blank
    Town: Pitkin

2 - Full Name: Mary Etta Hill
    Residence: Blank

Personal and Statistical Particulars
3. Sex: Female
4. Color or race: White
5. Widowed
5a. Wife of NM Hill
6. Date of Birth: blank
7. Age: 72 Years 5 Months 3 Days
8. Occupation: None
12. Birthplace: La
13. Father: Leslie McCollough
14. Birthplace: blank
15. Mother Maiden Name: blank
16. Birthplace: blank
17. Informant: George Hill
    Address: Pitkin La
18. Burial, Cremation, or Removal
    Place: Mathis Cemetery
    Date: 3 22 1932
19. Undertaker: blank
20. Filed: 3,22,1932
    Registar: Lizzie Pittman

Medical Certificate of Death
21. Date of Death: 3,21,1932
22. I Hereby Certify, That I attended deceased from (blank), to (blank).
    I last saw h(blank) alive on (blank) death is said to have occurred on 
    the date stated above, at (blank). 
    The principal cause of death and related causes of importance in order
    of onset were as follows:
    Old Age
24. Was disease or injury in any way related to occupation of deceased? blank
    (Signed) R Strother, M.D.
    (Address) Pitkin La