Lesley McCollough, Vernon Parish Louisiana
Submitted by Bill McCullough
Date: June 2008

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

Louisiana State Board of Health
Bureau of Vital Statistics
Certificate of Death
Registration District No.: Blank
File No: Blank
Primary Registration District No.: Blank
Registered No.: 4704

Place of Death
Parish: Vernon
Township: Blank
Village: Pitkin
City: Blank

Full Name: Lesley McCollough

Personal and Statistical Particulars
Sex: Male
Race: Whites
Single Married Widowed or Divorced: Married
Date of Birth: January 1st 1832
Age: 91 yrs 2 Mos 26 Days
Occupation: Planter
Birthplace: Pike Co. Miss
Name of Father: Isaac McCollough
Birthplace of Father: Blank
Maiden Name of Mother: Blank
Birthplace of Mother: Blank
The above is true to the best of my knowledge
Informant: Mrs A L Franklin
Address: Pitkin, La
Filed: Blank
Registar: Blank

Medical Certificate of Death
Date of Death: March 26, 1913
I Hereby Certify, that I attended deceased from March 17, 1913 to 
March 25, 1913 that I last saw him alive on the 25 1913 and that death
occurred, on the date stated above at 1 am. The Cause Of Death was as
follows: Gastestittial Neph?itis Brightr Dr???? Chronis
(Signed) L.J. Sanders, M.D.
Length of Residence: Former or usual residence: Near Pitkin La
Place of Burial or Removal: Blank
Date of Burial: March 27, 1913
Undertaker: Blank
Address: Blank