Espy Lee Carruth McCullough, 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
Registration District No. 58-5569C
File No. Blank
Primary Registration District 58
Registered No. 2588

Mar 13 1925
1 - Place of Death
Parish: Vernon
Police Jury Ward: 5
Village or City: Pitkin

2 Full Name: Epsy Lee McCollogh

Personal and Statistical Particulars
3 Sex: Female
4 Color or Race: White
5 Single, Married, Widowed or Divorced: Married - Yes
5a Widow - Wife of A. McCollogh
6 Date of Birth: Blank
7 Age: 39 Years 1 Month 13 Days
8 Occupation of Deceased: Housekeeper
9 Birthplace: Rapides
10 Name of Father: W.P. Caruth
11 Birthplace of Father: Miss
12 Maiden Name of Mother: Fanny Caruth
13 Birthplace of Mother: Miss
14 Informant: A McCollogh 
   Address: Pitkin La	
15 Filed: 3/8 1925 Mrs G.R. Carroll (Registar)

Medical Certificate of Death
16 Date of Death: 2 28 1925
17 I Hereby Certify, That I attended deceased from
   2/26/1925 to 2/28/1925, that I last saw her alive
   on 2/27/1925 and that death occured, on the date 
   stated above, at 12 am.
   The Cause of Death was as follows:
   Childbirth - Nephitis
   Oedina of Lungs
   Duration 2 days
18 Where was disease contracted if not at place of death? Blank
   Did an operation precede death? No
   Was there an autopsy? No
   What test confirmed diagnosis? Blank
   Signed: G.R. Carroll, M.D.
   Address: Fullerton
19 Place of Burial, Cremation, or Removal: Pitkin, La
   Date of Burial: 2/29 1925
20 Undertaker: Elizabeth La. & Friends