Mary Ann McCullough Martin, Vernon Parish Louisiana
Submitted by Bill McCullough
Date: October 21, 2008

************************************************** 
Copyright. All rights reserved. 
http://usgwarchives.net/copyright.htm 
http://usgwarchives.net/la/lafiles.htm 
************************************************** 

Louisiana State Department of Health
Division of Public Health Statistic
Certificate of Death
State File No.627

Personal Data of Deceased
Name: Martin, Mary Ann
Date of Death: May 28 47 7:15AM
Sex: Female
Race: White
Marital Status: Widowed
Name of Husband: Deceased
Date of Birth: Feb 3 1879
Age: 68 Years 3 Months 25 Days
Birthplace: Pitkin
State: Louisiana
Occupation: Housewife

Place of Death
City or Town: Pitkin (Rural)
Parish and Ward No.: Vernon 5
Name of Hospital or Institution: Home

Usual Residence of Deceased: Pitkin (Rural)
Parish and Ward No.: Vernon 5
State: Louisiana
Street Address: Route 3

Parents
Name of Father: Jame B. McCullough
Birthplace: Louisiana
Name of Mother: Harriet Bryant
Birthplace: Louisiana

Informant: Mrs. Jimmie Hill, May 28, 1947

Cause of Death: Cerebral hemorrbage/arteriosclerosis

Funeral Directors Certification:
Burial - 5/29/47
Blue Branch Cemetery
Burial Transit Permit
No.: 481
Parish: Allen
Date of Issue: 5/28/47