Versie McCullough LaCaze, Vernon Parish Louisiana
Submitted by Bill McCullough
Date: March 2, 2009

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April 13 1937
Louisiana State Board of Health
Bureau of Vital Statistics
Certificate of Death
District No. 9-2061
File No. 16
Registered No. 3271

Place of Death
Parish: Caddo
Ward: 4
City: Shreveport
Shreveport Charity Hospital

Full Name: LaCaze, Versie
Residence: Pitkin, La.

Personal and Statistical Particulars
Sex: Female
Race: White
Marital Status: Married
Wife of Charles LaCaze
Date of Birth: Blank
Age: 26 Years
Occupation: Housekeeper
Birthplace: Pitkin, Louisiana
Father: Isaac McCullough
Birthplace: Pitkin, Louisiana
Mother Maiden Name: Jimmie Nolan
Birthplace: Pitkin, Louisiana
Informant: Charles LaCaze, husband
Address: Pitkin, La.
Burial Place: Pitkin La 3/11/1937
Undertaker: Hargrove Bros., Oakdale, La.

Medical Cerificate of Death
Date of Death: March 16 1937
I Hereby Certify, That I attended deceased from March 2, 1937 to
March 16, 1937
I last saw her alive on March 16, 1937, death is said to have
occurred on the date stated above, at 1:15 Pm.
Cause of Death: Vinicents infection of tonsils and Aplrtia anemia
Contributory cause: Menonhagia of unknown origin

W.S. Terry
Charity Hospital
Shreveport, La.